Health Systems最新文献

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Towards new frontiers of healthcare systems research using artificial intelligence and generative AI. 利用人工智能和生成式人工智能开辟医疗保健系统研究的新领域。
IF 1.2
Health Systems Pub Date : 2024-11-20 eCollection Date: 2024-01-01 DOI: 10.1080/20476965.2024.2402128
Samir Chatterjee, Ann Fruhling, Kathy Kotiadis, Daniel Gartner
{"title":"Towards new frontiers of healthcare systems research using artificial intelligence and generative AI.","authors":"Samir Chatterjee, Ann Fruhling, Kathy Kotiadis, Daniel Gartner","doi":"10.1080/20476965.2024.2402128","DOIUrl":"10.1080/20476965.2024.2402128","url":null,"abstract":"","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"13 4","pages":"263-273"},"PeriodicalIF":1.2,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assistance systems for patient positioning in radiotherapy practice. 放射治疗中病人定位辅助系统。
IF 1.2
Health Systems Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI: 10.1080/20476965.2024.2395567
Ralf Müller-Polyzou, Melanie Reuter-Oppermann, Jasmin Feger, Nicolas Meier, Anthimos Georgiadis
{"title":"Assistance systems for patient positioning in radiotherapy practice.","authors":"Ralf Müller-Polyzou, Melanie Reuter-Oppermann, Jasmin Feger, Nicolas Meier, Anthimos Georgiadis","doi":"10.1080/20476965.2024.2395567","DOIUrl":"10.1080/20476965.2024.2395567","url":null,"abstract":"<p><p>Effective radiotherapy for cancer treatment requires precise and reproducible positioning of patients at linear accelerators. Assistance systems in digitally networked radiotherapy can help involved specialists perform these tasks more efficiently and accurately. This paper analyses patient positioning systems and develops new knowledge by applying the Design Science Research methodology. A systematic literature review ensures the rigour of the research. Furthermore, this article presents the results of an online survey on assistance systems for patient positioning, the derived design requirements and an artefact in the form of a conceptual model of a patient positioning system. Both the systematic literature review and the online survey serve as empirical evidence for the conceptual model. This paper thereby contributes to broadening the academic knowledge on patient positioning in radiotherapy and provides guidance to system designers.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"13 4","pages":"332-360"},"PeriodicalIF":1.2,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resilience of hospitals in an age of disruptions: a systematic literature review on resources and capabilities. 医院在混乱时代的应变能力:关于资源和能力的系统文献综述。
IF 1.2
Health Systems Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI: 10.1080/20476965.2024.2365144
Nunzia Carbonara, Roberta Pellegrino, Cristina De Luca
{"title":"Resilience of hospitals in an age of disruptions: a systematic literature review on resources and capabilities.","authors":"Nunzia Carbonara, Roberta Pellegrino, Cristina De Luca","doi":"10.1080/20476965.2024.2365144","DOIUrl":"10.1080/20476965.2024.2365144","url":null,"abstract":"<p><p>Hospitals play a critical role in ensuring continuous and effective healthcare delivery, especially during crises. However, the COVID-19 pandemic exposed vulnerabilities in hospital systems, prompting a need to enhance resilience-the ability to withstand, absorb, respond to, recover from, and learn from disasters. A systematic literature review, grounded in the resource-based view, identified organizational characteristics, in terms of resources and capabilities, and their synergistic effects that bolster hospital resilience. The results demonstrate that digital technologies impact on anticipation and adaptation abilities, organizational capabilities to reorganize roles, tasks, and spaces enhance adaptability, and Inter-organizational collaborations increase the responsiveness of the hospitals. The study provides substantial theoretical and practical contributions. It expands knowledge of hospital resilience in light of recent disruptive events and promotes integration capabilities as determinants for the majority of resilience dimensions. All organisational and inter-organisational collaboration, cooperation, and coordination are deemed crucial for hospital resilience.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"13 3","pages":"192-228"},"PeriodicalIF":1.2,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From digital health to learning health systems: four approaches to using data for digital health design. 从数字健康到学习型健康系统:利用数据进行数字健康设计的四种方法。
IF 1.2
Health Systems Pub Date : 2024-01-13 eCollection Date: 2023-01-01 DOI: 10.1080/20476965.2023.2284712
Valeria Pannunzio, Maaike Kleinsmann, Dirk Snelders, Jeroen Raijmakers
{"title":"From digital health to learning health systems: four approaches to using data for digital health design.","authors":"Valeria Pannunzio, Maaike Kleinsmann, Dirk Snelders, Jeroen Raijmakers","doi":"10.1080/20476965.2023.2284712","DOIUrl":"10.1080/20476965.2023.2284712","url":null,"abstract":"<p><p>Digital health technologies, powered by digital data, provide an opportunity to improve the efficacy and efficiency of health systems at large. However, little is known about different approaches to the use of data for digital health design, or about their possible relations to system-level dynamics. In this contribution, we identify four existing approaches to the use of data for digital health design, namely the silent, the overt, the data-enabled, and the convergent. After characterising the approaches, we provide real-life examples of each. Furthermore, we compare the approaches in terms of selected desirable characteristics of the design process, highlighting relative advantages and disadvantages. Finally, we reflect on the system-level relevance of the differentiation between the approaches and point towards future research directions. Overall, the contribution provides researchers and practitioners with a broad conceptual framework to examine data-related challenges and opportunities in digital health design.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"12 4","pages":"481-494"},"PeriodicalIF":1.2,"publicationDate":"2024-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10791080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using participatory systems approaches to improve healthcare delivery. 利用参与式系统方法改善医疗保健服务。
IF 1.2
Health Systems Pub Date : 2024-01-13 eCollection Date: 2023-01-01 DOI: 10.1080/20476965.2023.2285555
Guillaume Lamé, Antuela Tako, Maaike Kleinsmann
{"title":"Using participatory systems approaches to improve healthcare delivery.","authors":"Guillaume Lamé, Antuela Tako, Maaike Kleinsmann","doi":"10.1080/20476965.2023.2285555","DOIUrl":"10.1080/20476965.2023.2285555","url":null,"abstract":"","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"12 4","pages":"357-361"},"PeriodicalIF":1.2,"publicationDate":"2024-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10791099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of a composite, multi-scale COVID-19 mitigation framework: US border use-case 多尺度 COVID-19 综合缓解框架的应用:美国边境案例
IF 1.8
Health Systems Pub Date : 2023-12-21 DOI: 10.1080/20476965.2023.2287506
Zach Danial, Nathan Edwards, John James, Paula Mahoney, Casey Corrado, Brian Savage
{"title":"Application of a composite, multi-scale COVID-19 mitigation framework: US border use-case","authors":"Zach Danial, Nathan Edwards, John James, Paula Mahoney, Casey Corrado, Brian Savage","doi":"10.1080/20476965.2023.2287506","DOIUrl":"https://doi.org/10.1080/20476965.2023.2287506","url":null,"abstract":"","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"49 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138949993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determinants of health-related quality of life among patients with Ischemic heart disease 缺血性心脏病患者健康相关生活质量的决定因素
IF 1.8
Health Systems Pub Date : 2023-11-16 DOI: 10.1080/20476965.2023.2275799
O. Jlassi, Amira Omrane, M. Ben Massoud, Taoufik Khalfallah, Lamia Bouzgarrou, Habib Gamra
{"title":"Determinants of health-related quality of life among patients with Ischemic heart disease","authors":"O. Jlassi, Amira Omrane, M. Ben Massoud, Taoufik Khalfallah, Lamia Bouzgarrou, Habib Gamra","doi":"10.1080/20476965.2023.2275799","DOIUrl":"https://doi.org/10.1080/20476965.2023.2275799","url":null,"abstract":"","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"36 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139269463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Taking a systems approach to promote posttraumatic growth: A position paper 采用系统方法促进创伤后成长:立场文件
Health Systems Pub Date : 2023-10-30 DOI: 10.1080/20476965.2023.2275794
Megan E. Call, Heather R. Walker, Michael L. Good, Joe Borgenicht, Gretchen A. Case, Amy B. Locke
{"title":"Taking a systems approach to promote posttraumatic growth: A position paper","authors":"Megan E. Call, Heather R. Walker, Michael L. Good, Joe Borgenicht, Gretchen A. Case, Amy B. Locke","doi":"10.1080/20476965.2023.2275794","DOIUrl":"https://doi.org/10.1080/20476965.2023.2275794","url":null,"abstract":"ABSTRACTAs health systems emerge from the pandemic, academic medical centres are motivated to have a healthy and resilient workforce. In the face of the collective traumas of the pandemic, we took a systems approach to infuse wellness into our culture by modelling collective recovery in a non-traditional town hall. Over a dozen senior leaders, faculty, staff, and students shared their personal experiences in a virtual forum, nearly 1000 attendees communally supported one another. Since the town hall, a recording of the experience has been broadly viewed, messaging from leaders proliferated, and smaller versions of the same exercise were implemented. At a time when academic medical centres faced multiple challenges, we chose to first value the well-being of our staff at a system-wide level. It is our hope that other academic medical centres leverage our story to hold space for the experiences of the people who make their work possible.KEYWORDS: COVID-19professional well-beingtrauma-informed Disclosure statementNo potential conflict of interest was reported by the author(s).Notes1. Members of this group developed the 3 R’s as a collaborative approach to system-level conversations and financial strategy. The 3 R’s influences the development and implementation of this project. More can be read about the 3 R’s here: https://uofuhealth.utah.edu/notes/postings/2021/05/town-hall-moving-forward.php#.YQCMuBNKi8U2. Because this town hall was intended as a community building and quality improvement event, the metrics we use to measure its success are rooted in attendance and participation. These primary goals reflect our hopes for broad institutional change marked by events such as these which – in theory – promise cultural shifts.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136067382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fractured systems: a literature review of OR/MS methods applied to orthopaedic care settings and treatments 骨折系统:OR/MS方法应用于骨科护理设置和治疗的文献综述
Health Systems Pub Date : 2023-10-09 DOI: 10.1080/20476965.2023.2264348
Matthew Howells, Paul Harper, Geraint Palmer, Daniel Gartner
{"title":"Fractured systems: a literature review of OR/MS methods applied to orthopaedic care settings and treatments","authors":"Matthew Howells, Paul Harper, Geraint Palmer, Daniel Gartner","doi":"10.1080/20476965.2023.2264348","DOIUrl":"https://doi.org/10.1080/20476965.2023.2264348","url":null,"abstract":"Orthopaedic systems are facing an impending wave of increased pressures as a result of global ageing populations. This is compounded by the current stresses these services face, as a result of the COVID-19 pandemic, and increasing burden of musculoskeletal conditions. It is vital that measures are taken to alleviate the pressures on these systems, to ensure timely and quality access to care for patients. This literature review presents a taxonomic classification of the applications of Operational Research and Management Science (OR/MS) methodologies to orthopaedic care settings and treatments, covering the general, medical, and methodological context of each paper. Our structured search identified 492 relevant publications that have been included in our analysis. The results found a literature largely dominated by cost analysis applications, typically utilising Markov models or decision trees. Key gaps identified in this review include the lack of holistic modelling of orthopaedic systems and pathways, and limited applications to resource and capacity planning. The implications of our review are that researchers, healthcare professionals and managers can develop a research agenda to address these gaps, and enhance decision support in orthopaedics.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135146913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estimating the workload of a multi-disciplinary care team using patient-level encounter histories. 利用患者层面的就诊历史估算多学科护理团队的工作量
IF 1.2
Health Systems Pub Date : 2023-06-12 eCollection Date: 2024-01-01 DOI: 10.1080/20476965.2023.2215848
Ekin Koker, Hari Balasubramanian, Rebecca Castonguay, Aliecia Bottali, Aaron Truchil
{"title":"Estimating the workload of a multi-disciplinary care team using patient-level encounter histories.","authors":"Ekin Koker, Hari Balasubramanian, Rebecca Castonguay, Aliecia Bottali, Aaron Truchil","doi":"10.1080/20476965.2023.2215848","DOIUrl":"10.1080/20476965.2023.2215848","url":null,"abstract":"<p><p>Healthcare spending in the United States is concentrated on a small percentage of individuals, with 5% of the population accounting for 50% of annual spending. Many patients among the top 5% of spenders have complex health and social needs. Care coordination interventions, often led by a multidisciplinary team consisting of nurses, community health workers and social workers, are one strategy for addressing the challenges facing such patients. Care teams strive to improve health outcomes by forging strong relationships with clients, visiting them on a regular basis, reconciling medications, arranging primary and speciality care visits, and addressing social needs such as housing instability, unemployment and insurance. In this paper, we propose a simulation algorithm that samples longitudinal patient-level encounter histories to estimate the staffing needs for a multidisciplinary care team. Our numerical results illustrate multiple uses of the algorithm for staffing under stationary and non-stationary patient enrollment rates.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":" ","pages":"295-315"},"PeriodicalIF":1.2,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47549141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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