Health Systems最新文献_第10页

Using healthcare simulation in space planning to improve efficiency and effectiveness within the healthcare system. 在空间规划中使用医疗保健模拟以提高医疗保健系统的效率和有效性。

IF 1.8

Health Systems Pub Date : 2019-01-24 eCollection Date: 2019-01-01 DOI: 10.1080/20476965.2019.1569482

Shilpa Register, Michelle Brown, Marjorie Lee White

引用次数: 3

Improving patient timeliness of care through efficient outpatient clinic layout design using data-driven simulation and optimisation. 利用数据驱动的模拟和优化技术，通过高效的门诊布局设计，提高病人就医的及时性。

IF 1.2

Health Systems Pub Date : 2019-01-16 eCollection Date: 2019-01-01 DOI: 10.1080/20476965.2018.1561160

Vahab Vahdat, Amir Namin, Rana Azghandi, Jacqueline Griffin

引用次数: 0

A decision support system for demand and capacity modelling of an accident and emergency department. 事故和急救部门需求和能力建模的决策支持系统。

IF 1.8

Health Systems Pub Date : 2019-01-06 eCollection Date: 2020-01-01 DOI: 10.1080/20476965.2018.1561161

Muhammed Ordu, Eren Demir, Chris Tofallis

引用次数: 23

I want to talk to a real person: theorising avoidance in the acceptance and use of automated technologies. 我想和一个真实的人谈谈：在接受和使用自动化技术时的回避理论。

IF 1.8

Health Systems Pub Date : 2019-01-01 Epub Date: 2017-12-12 DOI: 10.1080/20476965.2017.1406568

Katheryn R Christy, Jakob D Jensen, Brian Britt, Courtney L Scherr, Christina Jones, Natasha R Brown

{"title":"I want to talk to a real person: theorising avoidance in the acceptance and use of automated technologies.","authors":"Katheryn R Christy, Jakob D Jensen, Brian Britt, Courtney L Scherr, Christina Jones, Natasha R Brown","doi":"10.1080/20476965.2017.1406568","DOIUrl":"10.1080/20476965.2017.1406568","url":null,"abstract":"Automated communication systems are increasingly common in mobile and ehealth contexts. Yet, there is reason to believe that some high risk segments of the population might be prone to avoid automated systems even though they are often designed to reach these groups. To facilitate research in this area, avoidance of automated communication (AAC) is theorized - and a measurement instrument validated - across two studies. In study 1, an AAC scale was found to be unidimensional and internally reliable as well as negatively correlated with comfort, perceptions, and intentions to use technology. Moreover, individuals with social phobia had lower AAC scores which was consistent with the idea that they preferred non-human interaction facilitated by automated communication. In study 2, confirmatory factor analysis supported the unidimensional structure of the measure and the instrument once again proved to be reliable. Individuals with lower AAC had greater intentions to utilize automated communication, EHRs, and an automated virtual nurse program. AAC is a disposition that predicts significant variance in intentions and comfort with various automated communication technologies. Avoidance increases with age but may be mitigated by systems that allow participants to opt-out or immediately interact with a live person.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"8 1","pages":"31-43"},"PeriodicalIF":1.8,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2017.1406568","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37052483","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

Spatial dynamics of access to primary care for the medicaid population. 医疗补助人群获得初级保健的空间动态。

IF 1.8

Health Systems Pub Date : 2018-12-28 eCollection Date: 2020-01-01 DOI: 10.1080/20476965.2018.1561159

Nasim Sabounchi, Nasser Sharareh, Fatima Irshaidat, Serdar Atav

{"title":"Spatial dynamics of access to primary care for the medicaid population.","authors":"Nasim Sabounchi, Nasser Sharareh, Fatima Irshaidat, Serdar Atav","doi":"10.1080/20476965.2018.1561159","DOIUrl":"10.1080/20476965.2018.1561159","url":null,"abstract":"Primary care (PC) has always been underestimated and underinvested by the United States health system. Our goal was to investigate the effect of Medicaid expansion and the Affordable Care Act (ACA) provisions on PC access in Broome County, NY, a county that includes both rural and urban areas, and can serve as a benchmark for other regions. We developed a spatial system dynamics model to capture different stages of PC access for the Medicaid population by using the health belief model constructs and simulate the effect of several hypothetical interventions on PC utilisation. The government data portals used as data sources for calibrating our model include the New York State Department of Health, the Medicaid Delivery System Reform Incentive Payment (DSRIP) dashboards, and the US census. In our unique approach, we integrated the simulation results within Geographical Information System (GIS) maps, to assess the influence of geospatial factors on PC access. Our results identify hot spot demographic areas that have poor access to PC service facilities due to transportation constraints and a shortage in PC providers. Our decision support tool informs policymakers about programmes with the strongest impact on improving access to care, considering spatial and temporal characteristics of a region.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"9 1","pages":"64-75"},"PeriodicalIF":1.8,"publicationDate":"2018-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2018.1561159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37829237","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: 7

The costs and value of modelling-based design in healthcare delivery: five case studies from the US. 医疗保健服务中基于建模的设计的成本和价值:来自美国的五个案例研究。

IF 1.8

Health Systems Pub Date : 2018-11-26 DOI: 10.1080/20476965.2018.1548255

Terry Young, Sada Soorapanth, Jim Wilkerson, Lance Millburg, Todd Roberts, David Morgareidge

引用次数: 5

An exhaustive review and analysis on applications of statistical forecasting in hospital emergency departments. 详尽回顾和分析统计预测在医院急诊科的应用。

IF 1.8

Health Systems Pub Date : 2018-11-19 DOI: 10.1080/20476965.2018.1547348

Muhammet Gul, Erkan Celik

引用次数: 0

Analysing repeated hospital readmissions using data mining techniques. 使用数据挖掘技术分析重复住院。

IF 1.8

Health Systems Pub Date : 2018-11-09 eCollection Date: 2018-01-01 DOI: 10.1080/20476965.2018.1510040

Ofir Ben-Assuli, Rema Padman

引用次数: 14

Analysis of patient-mover dispatching and equipment-marshalling areas: a simulation study at the University of Michigan Hospital. 病人移动调度和设备编组区域分析:密歇根大学医院的模拟研究。

IF 1.8

Health Systems Pub Date : 2018-11-02 DOI: 10.1080/20476965.2018.1534037

Yavuz A Bozer, Chate Eamrungroj

{"title":"Analysis of patient-mover dispatching and equipment-marshalling areas: a simulation study at the University of Michigan Hospital.","authors":"Yavuz A Bozer, Chate Eamrungroj","doi":"10.1080/20476965.2018.1534037","DOIUrl":"https://doi.org/10.1080/20476965.2018.1534037","url":null,"abstract":"We study the intra-facility patient movement problem in large, multi-floor hospitals, where many patients are moved each year by patient movers using wheelchairs or gurneys. Using a simulation model, and the University of Michigan Health System (UMHS) hospital as the problem setting, we compare alternative rules for dispatching the patient movers via a centralised, computer-controlled system. Included in the comparison is the rule used currently at the hospital as well as new alternative dispatching rules we develop for the study. Our results suggest that significant improvements in system performance can be obtained by using better dispatching rules that consider not only the proximity of the patient mover to the patient pick-up point but also the type of equipment needed (wheelchair versus gurney) and the location of the equipment marshalling areas, which also play a key role. In conjunction with the dispatching rules, we investigate the number and location of the marshalling areas, and show empirically that carefully locating them based on usage improves the system performance as much as, if not more than, a more efficient dispatching rule. Although the UMHS hospital serves as the problem setting, our study would apply to most hospitals with dedicated patient movers and centralised dispatching.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"9 3","pages":"226-252"},"PeriodicalIF":1.8,"publicationDate":"2018-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2018.1534037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38487183","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

Increasing exposure to complementary and alternative medicine treatment options through the design of a social media tool. 通过设计社交媒体工具，增加对补充和替代药物治疗选择的接触。

IF 1.2

Health Systems Pub Date : 2018-10-16 eCollection Date: 2019-01-01 DOI: 10.1080/20476965.2018.1529378

Miloslava Plachkinova, Vanessa Kettering, Samir Chatterjee

引用次数: 0