Health Systems最新文献_第10页

The impact of systemic innovations for transforming transplant systems. Lessons learned from the German lung transplantation system. A qualitative study. 系统创新对移植系统转型的影响。德国肺移植系统的经验教训。定性研究。

IF 1.8

Health Systems Pub Date : 2019-05-16 eCollection Date: 2020-01-01 DOI: 10.1080/20476965.2019.1604086

Antoniya Hauerwaas, Ursula Weisenfeld

{"title":"The impact of systemic innovations for transforming transplant systems. Lessons learned from the German lung transplantation system. A qualitative study.","authors":"Antoniya Hauerwaas, Ursula Weisenfeld","doi":"10.1080/20476965.2019.1604086","DOIUrl":"https://doi.org/10.1080/20476965.2019.1604086","url":null,"abstract":"The aim of this paper is to demonstrate the potential of the systemic innovations approach for transforming transplantation systems. It explores potential leverage points for intervening in the LTx-system as well as possible paths of transformation. We present possible transition pathways giving the example of the German Lung transplantation system that teeters on the brink of collapse due to system failures and organ scarcity and illustrate systemic innovations as core mechanisms for systems change in health systems. Desk research and semi-structured experts interviews provided qualitative data for a deductive-inductive coding and a rigorous qualitative content analysis of the data. Depending on the systemic innovations chosen to achieve systems change, transplant systems follow different transformational paths: from a collapse to a leapfrogging towards a non-human transplantation system. Thus, global health areas like transplantation benefit from analysis on systemic innovations as these support researchers, public policy and regulators by developing transformative strategies in healthcare systems.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"9 1","pages":"76-93"},"PeriodicalIF":1.8,"publicationDate":"2019-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2019.1604086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37829238","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: 1

Real-Time Automated Hazard Detection Framework for Health Information Technology Systems. 卫生信息技术系统实时自动危害检测框架。

IF 1.8

Health Systems Pub Date : 2019-05-07 eCollection Date: 2019-01-01 DOI: 10.1080/20476965.2019.1599701

Olufemi A Omitaomu, Ozgur Ozmen, Mohammed M Olama, Laura L Pullum, Teja Kuruganti, James Nutaro, Hilda B Klasky, Helia Zandi, Aneel Advani, Angela L Laurio, Merry Ward, Jeanie Scott, Jonathan R Nebeker

{"title":"Real-Time Automated Hazard Detection Framework for Health Information Technology Systems.","authors":"Olufemi A Omitaomu, Ozgur Ozmen, Mohammed M Olama, Laura L Pullum, Teja Kuruganti, James Nutaro, Hilda B Klasky, Helia Zandi, Aneel Advani, Angela L Laurio, Merry Ward, Jeanie Scott, Jonathan R Nebeker","doi":"10.1080/20476965.2019.1599701","DOIUrl":"https://doi.org/10.1080/20476965.2019.1599701","url":null,"abstract":"An increase in the reliability of Health Information Technology (HIT) will facilitate institutional trust and credibility of the systems. In this paper, we present an end-to-end framework for improving the reliability and performance of HIT systems. Specifically, we describe the system model, present some of the methods that drive the model, and discuss an initial implementation of two of the proposed methods using data from the Veterans Affairs HIT and Corporate Data Warehouse systems. The contributions of this paper, thus, include (1) the design of a system model for monitoring and detecting hazards in HIT systems, (2) a data-driven approach for analysing the health care data warehouse, (3) analytical methods for characterising and analysing failures in HIT systems, and (4) a tool architecture for generating and reporting hazards in HIT systems. Our goal is to work towards an automated system that will help identify opportunities for improvements in HIT systems.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"8 3","pages":"190-202"},"PeriodicalIF":1.8,"publicationDate":"2019-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2019.1599701","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37460010","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: 8

Combining regression trees and panel regression for exploring and testing the impact of complementary management practices on short-notice elective operation cancellation rates. 结合回归树和面板回归，探索和测试补充管理措施对临时通知的择期手术取消率的影响。

IF 1.2

Health Systems Pub Date : 2019-04-19 DOI: 10.1080/20476965.2019.1596338

Reza Salehnejad, Manhal Ali, Nathan Proudlove

{"title":"Combining regression trees and panel regression for exploring and testing the impact of complementary management practices on short-notice elective operation cancellation rates.","authors":"Reza Salehnejad, Manhal Ali, Nathan Proudlove","doi":"10.1080/20476965.2019.1596338","DOIUrl":"10.1080/20476965.2019.1596338","url":null,"abstract":"Variation in the performance of providers across healthcare systems is pervasive. It is recognised as both a major concern and an opportunity for learning and improvement. Variation between providers is broadly considered to be due to management practices and contextual factors such as catchment-area demographics. However, there is little understanding of the ways in which these impact on performance and how they can be measured. We use recent developments in both regression trees and panel regression techniques to explore and then statistically test complementary alignments of management practices whilst taking into account contextual factors. We apply this to 5 years of NHS hospital trust data, examining performance on short-notice cancellation rates. We find that different alignments of management practices give rise to quite different short-notice cancellation rates between trusts, with some being substantially lower. Our research offers a data-driven approach for identifying optimal clusters of management practices.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"9 4","pages":"326-344"},"PeriodicalIF":1.2,"publicationDate":"2019-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7738292/pdf/THSS_9_1596338.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10292914","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

Planning security architecture for health survey data storage and access. 规划健康调查数据存储和访问的安全架构。

IF 1.2

Health Systems Pub Date : 2019-04-15 eCollection Date: 2020-01-01 DOI: 10.1080/20476965.2019.1599702

M Rita Thissen, Katherine M Mason

引用次数: 0

Modelling competition in health care markets as a complex adaptive system: an agent-based framework. 作为复杂适应系统的医疗保健市场竞争建模:基于主体的框架。

IF 1.8

Health Systems Pub Date : 2019-01-24 DOI: 10.1080/20476965.2019.1569480

Abdullah Alibrahim, Shinyi Wu

{"title":"Modelling competition in health care markets as a complex adaptive system: an agent-based framework.","authors":"Abdullah Alibrahim, Shinyi Wu","doi":"10.1080/20476965.2019.1569480","DOIUrl":"https://doi.org/10.1080/20476965.2019.1569480","url":null,"abstract":"Health market reforms necessitate continuous re-evaluation of initiatives, competitive regulations, and antitrust policies. Synergistic implications, evolution, and behaviour changes associated with the market competition are often overlooked due to methodological limitations. To rectify these limitations, parallels between defining features of health care markets (HCM) and complex adaptive systems (CAS) are drawn. The science of CAS develops complex system-level models of dynamic interactions to allow insights for heterogeneous agents and emergent behaviours. Agent-based modelling (ABM) is a computational tool of CAS science suitable for investigating competition in HCM. The proposed agent-based framework conceptualises agents, environment, and interactions, and formalises agent-specific attributes and modules that achieve agent roles to recreate HCM dynamics. The framework conceptualises competition in HCM into an implementable ABM for a CAS assessment, identifies data sources, and develops face-validity procedures. Developments in data, computational power, and decisions theory compel CAS approach to complement studies on pressing HCM issues.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"9 3","pages":"212-225"},"PeriodicalIF":1.8,"publicationDate":"2019-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2019.1569480","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38487182","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: 2

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