Health Systems最新文献_第9页

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

Priority setting for health system strengthening in low income countries. A qualitative case study illustrating the complexities. 确定加强低收入国家卫生系统的重点。说明复杂性的定性案例研究。

IF 1.8

Health Systems Pub Date : 2020-05-18 eCollection Date: 2021-01-01 DOI: 10.1080/20476965.2020.1758596

Beverley M Essue, Lydia Kapiriri

{"title":"Priority setting for health system strengthening in low income countries. A qualitative case study illustrating the complexities.","authors":"Beverley M Essue, Lydia Kapiriri","doi":"10.1080/20476965.2020.1758596","DOIUrl":"https://doi.org/10.1080/20476965.2020.1758596","url":null,"abstract":"Health systems are critical to the realisation of Universal Health Coverage. There has been insufficient attention to the evaluation of priority setting for health system strengthening within low income countries, including evaluation of the local capacity to implement priorities. This study evaluated the extent to which health system strengthening was prioritized in Uganda. The Kapiriri & Martin framework was used to evaluate health system priority setting from 2005-2015. A document analysis was triangulated with interview data (n = 67) from global, national and subnational stakeholders and analysed using content analysis. Health system strengthening was perceived to be circumvented by a lack of resources as well as influential actors with disease focused, rather than system-oriented, interests. There were defined processes with explicit criteria for identifying priorities and evidence was highly valued. But sub-optimal transparency and weak accountability often compromised the integrity of priority setting and contributed to stalling progress on health system strengthening and achieving health system outcomes. The strengths in the current planning processes should be harnessed. In addition, a systematic approach to priority setting, potentially through the establishment of an independent body, and stronger oversight mechanisms, would strengthen health system planning in this setting.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2020-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2020.1758596","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39299554","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

The importance of widespread testing for COVID-19 pandemic: systems thinking for drive-through testing sites. COVID-19大流行广泛检测的重要性:免下车检测点的系统思考

IF 1.8

Health Systems Pub Date : 2020-04-26 eCollection Date: 2020-01-01 DOI: 10.1080/20476965.2020.1758000

Ozgur M Araz, Adrian Ramirez-Nafarrate, Megan Jehn, Fernando A Wilson

{"title":"The importance of widespread testing for COVID-19 pandemic: systems thinking for drive-through testing sites.","authors":"Ozgur M Araz, Adrian Ramirez-Nafarrate, Megan Jehn, Fernando A Wilson","doi":"10.1080/20476965.2020.1758000","DOIUrl":"https://doi.org/10.1080/20476965.2020.1758000","url":null,"abstract":"On 11 March 2020, the World Health Organisation (WHO) declared COVID-19 a pandemic. Early epidemiological estimates show that COVID-19 is highly transmissible, infecting populations across the globe in a short amount of time. WHO has recommended widespread clinical testing in order to contain COVID-19. However, mass testing in emergency department (ED) settings may result in crowded EDs and increase transmission risk for healthcare staff and other ED patients. Drive-through COVID-19 testing sites are an effective solution to quickly collect samples from suspected cases with minimal risk to healthcare personnel and other patients. Nevertheless, there are many logistical and operational challenges, such as shortages of testing kits, limited numbers of healthcare staff and long delays for collecting samples. Solving these problems requires an understanding of disease dynamics and epidemiology, as well as the logistics of mass distribution. In this position paper, we provide a conceptual framework for addressing these challenges, as well as some insights from prior literature and experience on developing decision support tools for public health departments.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2020-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2020.1758000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38394496","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: 42

Operational analysis of school-based delivery models to vaccinate children against influenza. 以学校为本为儿童接种流感疫苗模式的运作分析。

IF 1.8

Health Systems Pub Date : 2020-04-22 eCollection Date: 2021-01-01 DOI: 10.1080/20476965.2020.1754733

Luca Grieco, Mariya Melnychuk, Angus Ramsay, Abigail Baim-Lance, Simon Turner, Andrew Wilshere, Naomi Fulop, Steve Morris, Martin Utley

{"title":"Operational analysis of school-based delivery models to vaccinate children against influenza.","authors":"Luca Grieco, Mariya Melnychuk, Angus Ramsay, Abigail Baim-Lance, Simon Turner, Andrew Wilshere, Naomi Fulop, Steve Morris, Martin Utley","doi":"10.1080/20476965.2020.1754733","DOIUrl":"https://doi.org/10.1080/20476965.2020.1754733","url":null,"abstract":"Large-scale immunisation programmes against seasonal influenza are characterised by logistical challenges related to the need for vaccinating large cohorts of people in a short amount of time. Careful operational planning of resources is essential for a successful implementation of such programmes. We focused on the process of child vaccination in schools and analysed the staffing and workflow aspects of a school-aged children vaccination programme in England. Our objectives were to document vaccination processes and analyse times and costs associated with different models deployed across England. We collected data through direct non-participatory observations. Statistical data analysis enabled us to identify potential factors influencing vaccine delivery time and informed the development of a tool to simulate vaccination sessions. Using this tool, we carried out scenario analyses and explored trade-offs between session times and costs in different settings. Our work ultimately supported the local implementation of school-based vaccination.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2020-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/20476965.2020.1754733","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39299553","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

An analytical framework for group simulation model building. 群体仿真模型构建的分析框架。

IF 1.8

Health Systems Pub Date : 2020-04-09 eCollection Date: 2021-01-01 DOI: 10.1080/20476965.2020.1740613

Timothy Bolt, Steffen Bayer, Maria Kapsali, Sally Brailsford

引用次数: 2