Health Systems最新文献_第2页

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

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":null,"pages":null},"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":null,"pages":null},"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

Beyond mathematics, statistics, and programming: data science, machine learning, and artificial intelligence competencies and curricula for clinicians, informaticians, science journalists, and researchers. 超越数学、统计学和编程：数据科学、机器学习和人工智能能力以及临床医生、信息学家、科学记者和研究人员的课程

IF 1.2

Health Systems Pub Date : 2023-07-18 eCollection Date: 2023-01-01 DOI: 10.1080/20476965.2023.2237745

William R Hersh, Robert E Hoyt, Steven Chamberlin, Jessica S Ancker, Aditi Gupta, Tara B Borlawsky-Payne

{"title":"Beyond mathematics, statistics, and programming: data science, machine learning, and artificial intelligence competencies and curricula for clinicians, informaticians, science journalists, and researchers.","authors":"William R Hersh, Robert E Hoyt, Steven Chamberlin, Jessica S Ancker, Aditi Gupta, Tara B Borlawsky-Payne","doi":"10.1080/20476965.2023.2237745","DOIUrl":"10.1080/20476965.2023.2237745","url":null,"abstract":"Data science, machine learning and artificial intelligence applications impact clinicians, informaticians, science journalists, and researchers. Most biomedical data science training focuses on learning a programming language in addition to higher mathematics and advanced statistics. This approach is appropriate for graduate students but greatly reduces the number of individuals in healthcare who can be involved in data science. To serve these four stakeholder audiences, we describe several curricular strategies focusing on solving real problems of interest to these audiences. Relevant competencies for these audiences include using intuitive programming tools that facilitate data exploration with minimal programming background, creating data models, evaluating results of data analyses, and assessing data science research reports, among others. Offering the curricula described here more broadly could broaden the stakeholder groups knowledgeable about and engaged in data science.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10583607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45332312","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

Applying a participatory systems and value approach in a transdisciplinary exercise: on assessing the impact of training and education initiatives. 在跨学科工作中应用参与制度和价值方针:评估培训和教育措施的影响

IF 1.8

Health Systems Pub Date : 2023-07-11 eCollection Date: 2023-01-01 DOI: 10.1080/20476965.2023.2230632

Emmanuel A Akinluyi, Anne Greenough, Keith Ison, P John Clarkson

{"title":"Applying a participatory systems and value approach in a transdisciplinary exercise: on assessing the impact of training and education initiatives.","authors":"Emmanuel A Akinluyi, Anne Greenough, Keith Ison, P John Clarkson","doi":"10.1080/20476965.2023.2230632","DOIUrl":"10.1080/20476965.2023.2230632","url":null,"abstract":"Participatory systems approaches are readily used in multi- and inter-disciplinary exploration of shared processes, but are less-commonly applied in trans-disciplinary efforts eliciting principles that generalise across contexts. The authors were charged with developing a transdisciplinary framework for prospectively or retrospectively assessing initiatives to improve education and training within a multifaceted organisation. A common System Impact Model (SIM) was developed in a series of workshops involving thirty participants from different disciplines, clinical specialisms, and organisations. The model provided a greater understanding of the interrelationships between factors influencing the benefits of education and training and development as seen from various stakeholder perspectives. It was used to create a system for assessing the impact of initiatives on service-users/patients, trainees, and organisations. It was shown to enable a range of participants to connect on common challenges, to maximise cross-, multi-, and inter-disciplinary learning, and to uncover new strategies for delivering value, as system designers.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10791087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44394311","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

Towards a better understanding of mental health care delivery systems: From stories to system components. 更好地理解心理健康护理提供系统：从故事到系统组件

IF 1.8

Health Systems Pub Date : 2023-06-27 eCollection Date: 2023-01-01 DOI: 10.1080/20476965.2023.2229391

Alexander Komashie, Sarah Rae, P John Clarkson

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 1.8

Health Systems Pub Date : 2023-06-12 DOI: 10.1080/20476965.2023.2215848

Ekin Koker, H. Balasubramanian, Rebecca Castonguay, Aliecia Bottali, A. Truchil

引用次数: 0

Exploratory analysis using discrete event simulation modelling of the wait times and service costs associated with the maximum wait time guarantee policy applied in a rheumatology central intake clinic 探索性分析使用离散事件模拟建模的等待时间和服务成本与最大等待时间保证政策应用于风湿病中心门诊

IF 1.8

Health Systems Pub Date : 2023-06-01 DOI: 10.1080/20476965.2023.2219293

T. Tagimacruz, Monica Cepoiu-Martin, D. Marshall

引用次数: 1

The role of Hospital-Based Cancer Registries (HBCRs) as information systems in the delivery of evidence-based integrated cancer care: a scoping review. 基于医院的癌症登记处（HBCR）作为信息系统在提供循证综合癌症护理中的作用：范围界定综述

IF 1.2

Health Systems Pub Date : 2023-05-27 eCollection Date: 2024-01-01 DOI: 10.1080/20476965.2023.2216749

Sheela Tripathee, Sara Jane MacLennan, Amudha Poobalan, Muhammad Imran Omar, Aravinda Meera Guntupalli

{"title":"The role of Hospital-Based Cancer Registries (HBCRs) as information systems in the delivery of evidence-based integrated cancer care: a scoping review.","authors":"Sheela Tripathee, Sara Jane MacLennan, Amudha Poobalan, Muhammad Imran Omar, Aravinda Meera Guntupalli","doi":"10.1080/20476965.2023.2216749","DOIUrl":"10.1080/20476965.2023.2216749","url":null,"abstract":"Cancer is a leading cause of mortality, with 10 million deaths in 2020. With the number of people impacted by cancer projected to increase, a better-integrated cancer care is needed. Evidence suggests that Hospital-Based Cancer Registries (HBCRs) that collect administrative and clinical data could improve integrated and equitable evidence-based care. However, the state and HBCR's role in the delivery of integrated cancer care for improved health outcomes, particularly in low- and middle-income countries (LMICs), is poorly understood and is assessed in this scoping review. A systematic search was conducted in April 2020. Thirty articles were included. This review found that while HBCRs have been implemented in several countries, few studies have evaluated the quality and effectiveness of registries, especially in LMICs. HBCRs in LMICs function more as data collection tools than information systems to influence clinical care decisions and monitoring, missing the opportunity to guide cancer care priorities and policies.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44326593","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

Assessment of implementation barriers of blockchain technology in public healthcare: evidences from developing countries. 区块链技术在公共医疗领域的实施障碍评估：来自发展中国家的证据。

IF 1.8

Health Systems Pub Date : 2023-05-23 eCollection Date: 2023-01-01 DOI: 10.1080/20476965.2023.2206446

Sudhanshu Joshi, Manu Sharma

引用次数: 0