Health Systems最新文献_第7页

Increasing cardio-thoracic productivity at Erasmus MC. 提高Erasmus MC的心肺功能。

IF 1.8

Health Systems Pub Date : 2020-11-26 eCollection Date: 2022-01-01 DOI: 10.1080/20476965.2020.1848357

Maartje Zonderland, Jos Bekkers, Jasper van Bommel, Maarten Ter Horst, Wouter van Leeuwen, Femke van den Wall Bake, Willem Wiegersma, Ad Bogers

引用次数: 1

Secondary Household Covid-19 Transmission Modelling of Students Returning Home from University 高校返乡学生Covid-19二次家庭传播模型研究

IF 1.8

Health Systems Pub Date : 2020-11-13 DOI: 10.1101/2020.11.11.20229559

Paul Robert Harper, Joshua W. Moore, Thomas E. Woolley

引用次数: 0

Outcomes of managing healthcare services using the Theory of Constraints: A systematic review. 使用约束理论管理医疗服务的结果:系统回顾。

IF 1.8

Health Systems Pub Date : 2020-10-06 eCollection Date: 2022-01-01 DOI: 10.1080/20476965.2020.1813056

Gustavo M Bacelar-Silva, James F Cox, Pedro Pereira Rodrigues

{"title":"Outcomes of managing healthcare services using the Theory of Constraints: A systematic review.","authors":"Gustavo M Bacelar-Silva, James F Cox, Pedro Pereira Rodrigues","doi":"10.1080/20476965.2020.1813056","DOIUrl":"10.1080/20476965.2020.1813056","url":null,"abstract":"ABSTRACT Despite ever-increasing resources devoted to healthcare, lack of capacity and timeliness are still chronic problems worldwide. This systematic review aims to present an overview of the Theory of Constraints (TOC) implementations in healthcare services and their outcomes. We analysed 42 TOC implementations (15 full-text articles, 12 video proceedings, and 2 theses/disserations) from major scientific electronic databases and TOC International Certification Organization Conferences. All implementations reported positive outcomes, both tangible and intangible. The two main improvements reported by authors were in productivity (98%; n = 41) – more patients treated – and in the timeliness of care (83%; n = 35). Furthermore, the selected studies reported dramatic improvements: 50% mean reductions in patient waiting time; 38% reduction in patient length of stay; 43% mean increase in operating room productivity and 34% mean increase in throughput. TOC implementations attained positive results in all levels of the health and social care chain. Most TOC recommendations and changes showed almost immediate results and required little or no additional cost to implement. Evidence supports TOC as a promising solution for the chronic healthcare problem, improving quality and timeliness, both necessary conditions for providing effective healthcare.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"11 1","pages":"1-16"},"PeriodicalIF":1.8,"publicationDate":"2020-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2020.1813056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39756478","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

Patient-held health IT adoption across the primary-secondary care interface: a Normalisation Process Theory perspective. 患者持有的医疗信息技术在初级-二级护理界面的采用:标准化过程理论视角。

IF 1.8

Health Systems Pub Date : 2020-09-29 eCollection Date: 2022-01-01 DOI: 10.1080/20476965.2020.1822146

Stephen McCarthy, Ciara Fitzgerald, Laura Sahm, Colin Bradley, Elaine K Walsh

{"title":"Patient-held health IT adoption across the primary-secondary care interface: a Normalisation Process Theory perspective.","authors":"Stephen McCarthy, Ciara Fitzgerald, Laura Sahm, Colin Bradley, Elaine K Walsh","doi":"10.1080/20476965.2020.1822146","DOIUrl":"https://doi.org/10.1080/20476965.2020.1822146","url":null,"abstract":"Patient-held Health Information Technologies (HIT) can reduce medical error by improving communication between patients and the healthcare team. Despite the proposed benefits, the roll-out of patient-held HIT solutions remains nascent, leaving considerable gaps in our understanding of the adoption challenges inherent. This paper adopts Normalisation Process Theory to study the factors which support or impede the adoption and \"normalisation\" of patient-held HIT, particularly across the primary-secondary care interface. The authors conducted an in-depth case study of HIT adoption across four GP practices, and the wards of a 350 bed hospital. 35 semi-structured interviews were completed. Findings point towards both user-specific and network-specific factors as significant challenges to normalisation across primary-secondary care. This includes factors related to interactional workability, skill set workability, relational integration, and contextual integration. We also discuss challenges specific to patient-held HIT adoption e.g., understanding the patient/clinician experience, supporting informal clinician networks, and spanning across IT boundaries.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"11 1","pages":"17-29"},"PeriodicalIF":1.8,"publicationDate":"2020-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2020.1822146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39756479","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

Variation of quantified infection rates of mixed samples to enhance rapid testing during an epidemic. 流行病期间混合样本的定量感染率变化以加强快速检测。

IF 1.8

Health Systems Pub Date : 2020-09-13 eCollection Date: 2021-01-01 DOI: 10.1080/20476965.2020.1817801

Usama Kadri

引用次数: 3

Identifying user assistance systems for radiotherapy to increase efficiency and help saving lives. 确定用于放射治疗的用户辅助系统，以提高效率，帮助挽救生命。

IF 1.2

Health Systems Pub Date : 2020-08-30 eCollection Date: 2021-01-01 DOI: 10.1080/20476965.2020.1803148

Ralf Müller-Polyzou, Melanie Reuter-Oppermann, Anke Engbert, Raphael Schmidt

{"title":"Identifying user assistance systems for radiotherapy to increase efficiency and help saving lives.","authors":"Ralf Müller-Polyzou, Melanie Reuter-Oppermann, Anke Engbert, Raphael Schmidt","doi":"10.1080/20476965.2020.1803148","DOIUrl":"10.1080/20476965.2020.1803148","url":null,"abstract":"Increasing efficiency and reducing risk in radiotherapy cancer treatment is of high importance. User assistance systems within a digitally connected radiotherapy environment can support all involved professionals to perform their individual tasks faster and better. This paper presents a qualitative analysis of radiotherapy workflows and a corresponding process modelling in order to identify hypothetical user assistance systems for specific process activities. In addition, the results of an empirical study on the identified systems are presented together with derived requirements and design principles for these systems. A structured online survey with 50 medical physicists in Germany has been conducted. Among others the acceptance, the increase of perceived efficiency and the risk reduction while using the assistance systems are analysed and discussed. The results support the creation of value adding user assistance systems for radiotherapy that improve efficiency, reduce treatment risks and reach high user acceptance levels.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"10 4","pages":"318-336"},"PeriodicalIF":1.2,"publicationDate":"2020-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8567950/pdf/THSS_10_1803148.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39597978","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

Constructing operating theatre schedules using partitioned graph colouring techniques. 使用分割图形着色技术构建手术室时间表。

IF 1.8

Health Systems Pub Date : 2020-07-27 eCollection Date: 2021-01-01 DOI: 10.1080/20476965.2020.1796530

Ahmed Kheiri, Rhyd Lewis, Jonathan Thompson, Paul Harper

{"title":"Constructing operating theatre schedules using partitioned graph colouring techniques.","authors":"Ahmed Kheiri, Rhyd Lewis, Jonathan Thompson, Paul Harper","doi":"10.1080/20476965.2020.1796530","DOIUrl":"https://doi.org/10.1080/20476965.2020.1796530","url":null,"abstract":"In hospitals, scheduled operations can often be cancelled in large numbers due to the unavailability of beds for post-operation recovery. Operating theatre scheduling is known to be an <math> <mrow><mrow><mi>N</mi></mrow> </mrow> <mrow><mrow><mi>P</mi></mrow> </mrow> </math> -hard optimisation problem. Previous studies have shown that the correct scheduling of surgical procedures can have a positive impact on the availability of beds in hospital wards, thereby allowing a reduction in number of elective operation cancellations. This study proposes an exact technique based on the partitioned graph colouring problem for constructing optimal master surgery schedules, with the goal of minimising the number of cancellations. The resultant schedules are then simulated in order to measure how well they cope with the stochastic nature of patient arrivals. Our results show that the utilisation of post-operative beds can be increased, whilst the number of cancellations can be decreased, which may ultimately lead to greater patient throughput and reduced waiting times. A scenario-based model has also been employed to integrate the stochastic-nature associated with the bed requirements into the optimisation process. The results indicate that the proposed model can lead to more robust solutions.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"10 4","pages":"286-297"},"PeriodicalIF":1.8,"publicationDate":"2020-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2020.1796530","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39597976","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

An empirical investigation of forecasting methods for ambulance calls - a case study. 救护车呼叫预测方法的实证研究-个案研究。

IF 1.8

Health Systems Pub Date : 2020-06-25 eCollection Date: 2021-01-01 DOI: 10.1080/20476965.2020.1783190

Mohamed A K Al-Azzani, Soheil Davari, Tracey Jane England

引用次数: 8

Alternative care providers in rheumatoid arthritis patient care: a queueing and simulation analysis. 在类风湿关节炎患者护理替代护理提供者:排队和模拟分析。

IF 1.8

Health Systems Pub Date : 2020-06-14 eCollection Date: 2021-01-01 DOI: 10.1080/20476965.2020.1771619

Toni Tagimacruz, Diane P Bischak, Deborah A Marshall

{"title":"Alternative care providers in rheumatoid arthritis patient care: a queueing and simulation analysis.","authors":"Toni Tagimacruz, Diane P Bischak, Deborah A Marshall","doi":"10.1080/20476965.2020.1771619","DOIUrl":"https://doi.org/10.1080/20476965.2020.1771619","url":null,"abstract":"Patients diagnosed with rheumatoid arthritis require lifelong monitoring by a rheumatologist. Initiation of the disease-modifying anti-rheumatic drug therapy within twelve weeks of the onset of symptoms is crucial to prevent joint damage and functional disability. We examine the impact of the engagement of alternate care providers (ACP) in alleviating delay due to limited rheumatologist capacity. Using queueing theory and discrete-event simulation, we model rheumatologist-only and rheumatologist-with-ACP system configurations as closed, multi-class queueing networks with class switching.Using summary data from an actual rheumatology clinic for illustration, we analyze various parameter conditions to aid clinic managers and policymakers in decisions concerning capacity allocations and feasible patient panel size that impact timeliness of care and resource utilization.Results not only confirm that a substantial increase in RA patient panel size with an ACP involved in the care of follow-up patients but also demonstrates the boundaries for feasible panel sizes and workload allocation.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"10 4","pages":"249-267"},"PeriodicalIF":1.8,"publicationDate":"2020-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2020.1771619","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39597974","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

Organisational factors underpinning intra-hospital transfers: a guide for evaluating context in quality improvement. 支持医院内转诊的组织因素:质量改进环境评价指南。

IF 1.8

Health Systems Pub Date : 2020-05-27 eCollection Date: 2021-01-01 DOI: 10.1080/20476965.2020.1768807

Renee Fekieta, Alana Rosenberg, Beth Hodshon, Shelli Feder, Sarwat I Chaudhry, Beth L Emerson

{"title":"Organisational factors underpinning intra-hospital transfers: a guide for evaluating context in quality improvement.","authors":"Renee Fekieta, Alana Rosenberg, Beth Hodshon, Shelli Feder, Sarwat I Chaudhry, Beth L Emerson","doi":"10.1080/20476965.2020.1768807","DOIUrl":"https://doi.org/10.1080/20476965.2020.1768807","url":null,"abstract":"During intra-hospital transfers, multiple clinicians perform coordinated tasks that leave patients vulnerable to undesirable outcomes. Communication has been established as a challenge to care transitions, but less is known about the organisational complexities within which transfers take place. We performed a qualitative assessment that included various professions to capture a multi-faceted understanding of intra-hospital transfers. Ethnographic observations and semi-structured interviews were conducted with clinicians and staff from the Medical Intensive Care Unit, Emergency Department, and general medicine units at a large, urban, academic, tertiary medical centre. Results highlight the organisational factors that stakeholders view as important for successful transfers: the development, dissemination, and application of protocols; robustness of technology; degree of teamwork; hospital capacity; and the ways in which competing hospital priorities are managed. These factors broaden our understanding of the organisational context of intra-hospital transfers and informed the development of a practical guide that can be used prior to embarking on quality improvement efforts around transitions of care.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"10 4","pages":"239-248"},"PeriodicalIF":1.8,"publicationDate":"2020-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2020.1768807","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39597973","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: 3