Health Systems最新文献

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A generic sustainable performance management system for hospital supply chain: design & analysis. 医院供应链通用可持续绩效管理系统:设计与分析。
IF 1.8
Health Systems Pub Date : 2022-12-29 eCollection Date: 2024-01-01 DOI: 10.1080/20476965.2022.2155256
Anas Ziat, Naoufal Sefiani, Hamid Azzouzi, Kamal Reklaoui
{"title":"A generic sustainable performance management system for hospital supply chain: design & analysis.","authors":"Anas Ziat, Naoufal Sefiani, Hamid Azzouzi, Kamal Reklaoui","doi":"10.1080/20476965.2022.2155256","DOIUrl":"10.1080/20476965.2022.2155256","url":null,"abstract":"<p><p>The assessment of the hospital supply chain management represents a key challenge by virtue of the complexity of the healthcare sector. The purpose of this study is to introduce a hybrid approach that helps hospital administrators to clearly identify, evaluate, and narrow the key performance criteria for their supply chain. The methodology attempts to minimise information loss, reduce the fuzziness and subjectivity of the collected data and describes the interdependence among criteria. The proposed generic framework can be valuable for hospitals organisations aiming for a sustainable performance decision-making process. The combination of the Fuzzy Delphi method and Structural Equation Modelling proved to be effective in determining the pillars driving the sustainable performance of the hospital supply chain.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"1 1","pages":"97-108"},"PeriodicalIF":1.8,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11123450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60009357","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
Identification of the risk factors of type 2 diabetes and its prediction using machine learning techniques. 2型糖尿病危险因素的识别及其使用机器学习技术的预测。
IF 1.8
Health Systems Pub Date : 2022-11-05 eCollection Date: 2023-01-01 DOI: 10.1080/20476965.2022.2141141
Md Merajul Islam, Md Jahanur Rahman, Md Menhazul Abedin, Benojir Ahammed, Mohammad Ali, N A M Faisal Ahmed, Md Maniruzzaman
{"title":"Identification of the risk factors of type 2 diabetes and its prediction using machine learning techniques.","authors":"Md Merajul Islam,&nbsp;Md Jahanur Rahman,&nbsp;Md Menhazul Abedin,&nbsp;Benojir Ahammed,&nbsp;Mohammad Ali,&nbsp;N A M Faisal Ahmed,&nbsp;Md Maniruzzaman","doi":"10.1080/20476965.2022.2141141","DOIUrl":"10.1080/20476965.2022.2141141","url":null,"abstract":"<p><p>This study identified the risk factors for type 2 diabetes (T2D) and proposed a machine learning (ML) technique for predicting T2D. The risk factors for T2D were identified by multiple logistic regression (MLR) using p-value (p<0.05). Then, five ML-based techniques, including logistic regression, naïve Bayes, J48, multilayer perceptron, and random forest (RF) were employed to predict T2D. This study utilized two publicly available datasets, derived from the National Health and Nutrition Examination Survey, 2009-2010 and 2011-2012. About 4922 respondents with 387 T2D patients were included in 2009-2010 dataset, whereas 4936 respondents with 373 T2D patients were included in 2011-2012. This study identified six risk factors (age, education, marital status, SBP, smoking, and BMI) for 2009-2010 and nine risk factors (age, race, marital status, SBP, DBP, direct cholesterol, physical activity, smoking, and BMI) for 2011-2012. RF-based classifier obtained 95.9% accuracy, 95.7% sensitivity, 95.3% F-measure, and 0.946 area under the curve.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"12 2","pages":"243-254"},"PeriodicalIF":1.8,"publicationDate":"2022-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9523971","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
Paving the way for increased e-health record use: elaborating intentions of Gen-Z 为增加电子健康记录的使用铺平道路:阐述Z世代的意图
IF 1.8
Health Systems Pub Date : 2022-10-03 DOI: 10.1080/20476965.2022.2129471
Gökhan Aydin, S. Kumru
{"title":"Paving the way for increased e-health record use: elaborating intentions of Gen-Z","authors":"Gökhan Aydin, S. Kumru","doi":"10.1080/20476965.2022.2129471","DOIUrl":"https://doi.org/10.1080/20476965.2022.2129471","url":null,"abstract":"ABSTRACT This paper presents the determinants of personal e-health records adoption by the Gen-Z population and reveals barriers to use. Gen-Z members are one of the most prominent users of digital health services that have an influence on older generations’ technology adoption but have often been overlooked in scholarly research. A survey of 1,000 Gen-Z university students based on modified UTAUT was used to address this research gap. The analysis revealed the vital role of social influence in paving the way for higher adoption among Gen-Z. Moreover, significant influences of performance expectancy, facilitating conditions, and e-health literacy on behavioural intentions were detected. Effort expectancy was found to be insignificant in impacting Gen-Z’s intentions to adopt electronic health record systems. Moreover, privacy concerns acted as a barrier to adoption, yet the offsetting effect of users’ trust in health systems was shown to be instrumental in overcoming such privacy-related barriers.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"12 1","pages":"281 - 298"},"PeriodicalIF":1.8,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49544288","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: 3
Vision-based gait analysis for real-time Parkinson disease identification and diagnosis system. 基于视觉的帕金森病实时识别诊断系统步态分析
IF 1.2
Health Systems Pub Date : 2022-09-20 eCollection Date: 2024-01-01 DOI: 10.1080/20476965.2022.2125838
Sathya Bama B, Bevish Jinila Y
{"title":"Vision-based gait analysis for real-time Parkinson disease identification and diagnosis system.","authors":"Sathya Bama B, Bevish Jinila Y","doi":"10.1080/20476965.2022.2125838","DOIUrl":"10.1080/20476965.2022.2125838","url":null,"abstract":"<p><p>Computer-assisted Parkinson's disease-specific gait pattern recognition has gained more attention in the past decade due to its extensive application. In this research study, vision-based gait feature extraction is obtained from the observed skeleton points to support the real-time Parkinson disease prediction and diagnosis in the smart healthcare environment. So, a novel kernel-based principal component analysis (KPCA) is introduced for establishing respective feature extraction and dimensionality reduction on the patient's video data. In this research study, a vision-based Parkinson disease identification system (VPDIS) is developed with a feature-weighted minimum distance classifier model to support the clinical assessment of Parkinson's disease. At the time of experimentation, a steady-state walking style of the patient was captured using the cameras fixed in the smart healthcare environment. Then, the accumulated walking frames from the remote patients were transformed into the required binary silhouettes for the sake of noise minimisation and compression purpose. The resulting experimentation shows that the proposed feature extraction approach has significant improvements on the recognition of target gait patterns from the video-based gait analysis of Parkinson's and normal patients. Accordingly, the proposed VPDIS using feature-weighted minimum distance classifier model provides better prediction time and classification accuracy against the existing healthcare systems that is developed using support vector machine and ensemble learning classifier models.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":" ","pages":"62-72"},"PeriodicalIF":1.2,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11687389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46303098","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
Daily food planning for families under Covid-19: combining analytic hierarchy processes and linear optimisation. Covid-19 条件下的家庭日常食物规划:将层次分析法与线性优化相结合。
IF 1.2
Health Systems Pub Date : 2022-06-12 eCollection Date: 2022-01-01 DOI: 10.1080/20476965.2022.2080006
Leila Abuabara, Katarzyna Werner-Masters, Alberto Paucar-Caceres
{"title":"Daily food planning for families under Covid-19: combining analytic hierarchy processes and linear optimisation.","authors":"Leila Abuabara, Katarzyna Werner-Masters, Alberto Paucar-Caceres","doi":"10.1080/20476965.2022.2080006","DOIUrl":"10.1080/20476965.2022.2080006","url":null,"abstract":"<p><p>In many households, preparation of food in normal times proves to be problematic, particularly when parents endeavour to keep their children on a balanced diet. The COVID-19 pandemic has further exacerbated this problem imposing the requirement of social distancing, which led to disruptions in the food supply chain and multiplication of responsibilities faced by families with children. The present study revisits the standard \"Diet Problem\" to address these challenges and to develop a participatory approach to provide a diversified weekly meal plan that is easy and fun but simultaneously complies with the unique requirements of each participant. This is done by providing a novel framework, which combines linear optimisation with the Parsimonious Analytic Hierarchy Process, a method for individual choices. This novel approach to participatory modelling is tested within two young family settings in Brazil. The model produced through this contemporary framework provides a weekly menu that best meets expectations of the members of a young family in the context of the COVID-19 pandemic.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"11 3","pages":"232-250"},"PeriodicalIF":1.2,"publicationDate":"2022-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/62/THSS_11_2080006.PMC9487970.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33477126","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
A three-step framework for capacity planning in a nursing home context 养老院容量规划的三步框架
IF 1.8
Health Systems Pub Date : 2022-05-21 DOI: 10.1080/20476965.2022.2062461
N. Dieleman, M. Buitink, René Bekker, Dennis Moeke
{"title":"A three-step framework for capacity planning in a nursing home context","authors":"N. Dieleman, M. Buitink, René Bekker, Dennis Moeke","doi":"10.1080/20476965.2022.2062461","DOIUrl":"https://doi.org/10.1080/20476965.2022.2062461","url":null,"abstract":"ABSTRACT This paper presents a three-step conceptual framework that can be used to structure the care-related capacity planning process in a nursing home context. The proposed framework provides a sound practical vehicle to organise client-centred care without overstretching available capacity. Within this framework, an MILP for shift scheduling and a Genetic Algorithm (GA) for task-scheduling are proposed. To investigate the performance of the proposed framework, it is benchmarked against the current situation. The results show that considerable improvements can be achieved in terms of efficiency and waiting time. More specifically, it is shown that very modest waiting times can be achieved without exceeding available capacity, despite the fluctuations in care demand across the day.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2022-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46600372","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: 1
Contactless remote monitoring of sleep: evaluating the feasibility of an under-mattress sensor mat in a real-life deployment 睡眠的非接触式远程监控:评估床垫下传感器垫在现实生活中的可行性
IF 1.8
Health Systems Pub Date : 2022-05-08 DOI: 10.1080/20476965.2022.2072777
Ibrahim Sadek, B. Abdulrazak
{"title":"Contactless remote monitoring of sleep: evaluating the feasibility of an under-mattress sensor mat in a real-life deployment","authors":"Ibrahim Sadek, B. Abdulrazak","doi":"10.1080/20476965.2022.2072777","DOIUrl":"https://doi.org/10.1080/20476965.2022.2072777","url":null,"abstract":"ABSTRACT Sleep is so important, particularly for the elderly. The lack of sleep may increase the risk of cognitive decline. Similarly, it may also increase the risk of Alzheimer’s disease. Nonetheless, many people underestimate the importance of getting enough rest and sleep. In-laboratory polysomnography is the gold-standard method for assessing the quality of sleep. This method is considered impractical in the clinical environment, seen as labour-intensive and expensive owing to its specialised equipment, leading to long waiting lists. Hence, user-friendly (remote and non-intrusive) devices are being developed to help patients monitor their sleep at home. In this paper, we first discuss commercially-available non-wearable devices that measure sleep, in which we highlight the features associated with each device, including sensor type, interface, outputs, dimensions, power supply, and connectivity. Second, we evaluate the feasibility of a non-wearable device in a free-living environment. The deployed device comprises a sensor mat with an integrated micro-bending multimode fibre. Raw sensor data were gathered from five senior participants living in a senior activity centre over a few to several weeks. We were able to analyse the participants’ sleep quality using various sleep parameters deduced from the sensor mat. These parameters include the wake-up time, bedtime, the time in bed, nap time. Vital signs, namely heart rate, respiratory rate, and body movements, were also reported to detect abnormal sleep patterns. We have employed pre-and post-surveys reporting each volunteer’s sleep hygiene to confirm the proposed system’s outcomes for detecting the various sleep parameters. The results of the system were strongly correlated with the surveys for reporting each sleep parameter. Furthermore, the system proved to be highly effective in detecting irregular patterns that occurred during sleep.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"1 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41814214","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: 1
Feasibility analysis of a prevention programme for patients with early chronic disease using A mathematical model. 用数学模型分析早期慢性病患者预防方案的可行性。
IF 1.8
Health Systems Pub Date : 2022-01-01 DOI: 10.1080/20476965.2020.1860654
Fanwen Meng, Aidan Lyanzhiang Tan, Bee Hoon Heng, Melvin Khee Shing Leow, Palvannan Kannapiran
{"title":"Feasibility analysis of a prevention programme for patients with early chronic disease using A mathematical model.","authors":"Fanwen Meng,&nbsp;Aidan Lyanzhiang Tan,&nbsp;Bee Hoon Heng,&nbsp;Melvin Khee Shing Leow,&nbsp;Palvannan Kannapiran","doi":"10.1080/20476965.2020.1860654","DOIUrl":"https://doi.org/10.1080/20476965.2020.1860654","url":null,"abstract":"<p><p>The increasing prevalence of the chronic disease is of considerable concern to health-care organisations. Prevention programmes to patients with early chronic disease have the potential to improve individual health and quality of life through disease avoidance or delay and to save the medical cost of the health care system. Due to the limited budget in healthcare this study seeks to analyse the feasibility of a programme prior to implementation. A mathematical model is developed to determine incidence reduction rate at which the underlying cost break-even can be achieved; consequently, the programme would be feasible. We show the existence and uniqueness of the underlying incidence reduction and establish the feasibility frontier concerning the trade-offs between intervention effective period and incidence reduction rate. We use a diabetes prevention programme to demonstrate the efficiency and advantage of the model. The proposed model would inform decision-makers scientific principles in determining an intervention for implementation.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"11 2","pages":"75-83"},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2020.1860654","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10619361","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
A Systems-Based Framework for Immunisation System Design: Six Loops, Three Flows, Two Paradigms. 基于系统的免疫系统设计框架:六环、三流、两范式。
IF 1.2
Health Systems Pub Date : 2021-10-28 eCollection Date: 2023-01-01 DOI: 10.1080/20476965.2021.1992300
Catherine Decouttere, Nico Vandaele, Kim De Boeck, Stany Banzimana
{"title":"A Systems-Based Framework for Immunisation System Design: Six Loops, Three Flows, Two Paradigms.","authors":"Catherine Decouttere, Nico Vandaele, Kim De Boeck, Stany Banzimana","doi":"10.1080/20476965.2021.1992300","DOIUrl":"10.1080/20476965.2021.1992300","url":null,"abstract":"<p><p>Despite massive progress in vaccine coverage globally, the region of sub-Saharan Africa is lagging behind for Sustainable Development Goal 3 by 2030. Sub-national under-immunisation is part of the problem. In order to reverse the current immunisation system's (IMS) underperformance, a conceptual model is proposed that captures the complexity of IMSs in low- and middle-income countries (LMICs) and offers directions for sustainable redesign. The IMS model was constructed based on literature and stakeholder interaction in Rwanda and Kenya. The model assembles the paradigms of planned and emergency immunisation in one system and emphasises the synchronised flows of vaccinee, vaccinator and vaccine. Six feedback loops capture the main mechanisms governing the system. Sustainability and resilience are assessed based on loop dominance and dependency on exogenous factors. The diagram invites stakeholders to share their mental models and. The framework provides a systems approach for problem structuring and policy design.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"12 1","pages":"36-51"},"PeriodicalIF":1.2,"publicationDate":"2021-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/0e/THSS_12_1992300.PMC10013358.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9131149","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
Establishing an SEIR-based framework for local modelling of COVID-19 infections, hospitalisations and deaths. 为 COVID-19 感染、住院和死亡的本地建模建立基于 SEIR 的框架。
IF 1.8
Health Systems Pub Date : 2021-09-06 eCollection Date: 2021-01-01 DOI: 10.1080/20476965.2021.1973348
R M Wood, A C Pratt, B J Murch, A L Powell, R D Booton, D G Thomas, J Twigger, E Diakou, S Coleborn, T Manning, C Davies, K M Turner
{"title":"Establishing an SEIR-based framework for local modelling of COVID-19 infections, hospitalisations and deaths.","authors":"R M Wood, A C Pratt, B J Murch, A L Powell, R D Booton, D G Thomas, J Twigger, E Diakou, S Coleborn, T Manning, C Davies, K M Turner","doi":"10.1080/20476965.2021.1973348","DOIUrl":"10.1080/20476965.2021.1973348","url":null,"abstract":"<p><p>Without timely assessments of the number of COVID-19 cases requiring hospitalisation, healthcare providers will struggle to ensure an appropriate number of beds are made available. Too few could cause excess deaths while too many could result in additional waits for elective treatment. As well as supporting capacity considerations, reliably projecting future \"waves\" is important to inform the nature, timing and magnitude of any localised restrictions to reduce transmission. In making the case for locally owned and locally configurable models, this paper details the approach taken by one major healthcare system in founding a multi-disciplinary \"Scenario Review Working Group\", comprising commissioners, public health officials and academic epidemiologists. The role of this group, which met weekly during the pandemic, was to define and maintain an evolving library of plausible scenarios to underpin projections obtained through an SEIR-based compartmental model. Outputs have informed decision-making at the system's major incident Bronze, Silver and Gold Commands. This paper presents illustrated examples of use and offers practical considerations for other healthcare systems that may benefit from such a framework.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"10 4","pages":"337-347"},"PeriodicalIF":1.8,"publicationDate":"2021-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8567954/pdf/THSS_10_1973348.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39597979","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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