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Journal of the Society for Health Systems最新文献

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Nurse staffing and scheduling: past solutions and future directions. 护士人员配备和调度:过去的解决方案和未来的方向。
Journal of the Society for Health Systems Pub Date : 1992-01-01
R C Jelinek, J A Kavois
{"title":"Nurse staffing and scheduling: past solutions and future directions.","authors":"R C Jelinek,&nbsp;J A Kavois","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nurse staffing and scheduling systems have been a significant challenge for operations researchers, industrial engineers, and system developers for many decades. The purpose of this paper is to discuss historical approaches to workload measurement, nurse staffing and personnel scheduling, and to predict possible future directions for nurse staffing and scheduling systems.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 4","pages":"75-82"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12463445","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
A historical review of the Kaiser Permanente Medical Care Program. 凯撒永久医疗保健计划的历史回顾。
Journal of the Society for Health Systems Pub Date : 1992-01-01
C C Cutting, M F Collen
{"title":"A historical review of the Kaiser Permanente Medical Care Program.","authors":"C C Cutting,&nbsp;M F Collen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Kaiser Permanente Medical Care Program evolved from a series of major construction projects in the 1930s and from the World War II shipyards in the early 1940s. In the late 1940s, it became a community-based medical care program, and later in the 1970s, the prototype Health Maintenance Organization (HMO). Over the past five decades, Kaiser Permanente has developed its basic principles of prepaid, group practice for comprehensive-care services where physicians control their medical practice in a partnership of responsibility for the Health Plan, the Hospitals, and the Medical Groups. All of this is carried out with autonomy of its 13 regions in the United States.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 4","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12463439","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
A cost-accounting system used in a hospital-related laundry facility. 在医院相关洗衣设施中使用的成本会计系统。
Journal of the Society for Health Systems Pub Date : 1992-01-01
M Mazumdar, S C Kalathur, E R Nazareth
{"title":"A cost-accounting system used in a hospital-related laundry facility.","authors":"M Mazumdar,&nbsp;S C Kalathur,&nbsp;E R Nazareth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A laundry facility supplying linen to several hospitals needs to keep a good account of the numbers of different types of linen which enter and leave its premises so as to allocate the costs fairly and equitably among member hospitals. This task is made difficult by the problem of errors in counting due to high volume, different sizes and shapes of linen pieces, and human error in sorting. An electronic counting system has been installed in the premises to facilitate the process of counting, and this paper describes an approach for correcting the counting errors by applying factors that account for the inherent error in the system. These factors are estimated from sampling the contents of the sorted linen and statistical analysis of the resulting data. An efficient sampling scheme is proposed.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 3","pages":"82-94"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12562905","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
The integrated health-care system: reflection and projection. 综合医疗保健系统:反思与预测。
Journal of the Society for Health Systems Pub Date : 1992-01-01
C D Flagle
{"title":"The integrated health-care system: reflection and projection.","authors":"C D Flagle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper presents a personal view of the development of integrated, comprehensive health-care systems in the United States. The influence of Federal legislation is described, beginning with the 1950-60s policy objective of Hill-Burton Program administrators to create a number of community-based regional medical centers, each consisting of a range of health services organized by and around community hospitals. Later variations of the concept appeared in such programs as Medicare-Medicaid, Comprehensive Health Planning, the Regional Medical Programs, and the new Agency for Health Care Policy and Research. Based on the cumulative experience of the past, the economic, professional and social climate of the present, with its increasing involvement of the patient/payer/consumer in decisions, and the enhanced inter-organizational coordination emerging from technologies of computers and communication science, the goal of creating comprehensive integrated systems as conceived in the 1950s and 60s may finally be achieved in the 1990s, but in a different form from that envisioned earlier. By judicious exploitation of computer and communication capabilities and the massive knowledge bases evolving from research, the way is eased for patient-centered integration and coordination of services without demanding integration in the sense of ownership or formal control of all the providers within a central organization.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 4","pages":"16-24"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12463438","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
Patient-scheduling methodologies. Patient-scheduling方法。
Journal of the Society for Health Systems Pub Date : 1992-01-01
W M Hancock, M W Isken
{"title":"Patient-scheduling methodologies.","authors":"W M Hancock,&nbsp;M W Isken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Inpatient admissions, surgical scheduling, and outpatient scheduling are three of the most important patient-scheduling functions in the hospital. In this paper, the key elements of state-of-the-art scheduling systems are discussed, along with a rationale for their importance. Our purpose is to show how well-designed patient-scheduling systems can contribute to the improvement of hospital operations.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 4","pages":"83-94"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12463446","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
An introduction to patient flow simulation for health-care managers. 医疗保健管理人员的病人流程模拟介绍。
Journal of the Society for Health Systems Pub Date : 1992-01-01
A R Mahachek
{"title":"An introduction to patient flow simulation for health-care managers.","authors":"A R Mahachek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Simulation of patient flow is a remarkably useful management tool. With today's software for personal computers, simulation is no longer just for academics and consultants. Senior and mid-level managers should actively seek out simulation as a problem-solving technique. This article provides health-care managers with the fundamental knowledge needed to individually initiate simulation studies of their departments.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 3","pages":"73-81"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12562903","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
Health systems education yesterday, today, and tomorrow. 卫生系统教育的昨天、今天和明天。
Journal of the Society for Health Systems Pub Date : 1992-01-01
H E Smalley
{"title":"Health systems education yesterday, today, and tomorrow.","authors":"H E Smalley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper traces the history of the application of industrial management engineering techniques to health systems problems. The educational background of early practitioners and the development of specialized health systems educational programs are described. Projections are made about the future of health systems engineering and health systems education.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 4","pages":"31-6"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12463440","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
Assessing the impact of patient care policies using simulation analysis. 使用模拟分析评估病人护理政策的影响。
Journal of the Society for Health Systems Pub Date : 1992-01-01
T W Butler, G R Reeves, K R Karwan, J R Sweigart
{"title":"Assessing the impact of patient care policies using simulation analysis.","authors":"T W Butler,&nbsp;G R Reeves,&nbsp;K R Karwan,&nbsp;J R Sweigart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Simulation models are ideal for assessing the performance of strategic, tactical, and operational policies for hospitals. Simulation can validate a proposed policy, uncover fallacies of a proposal, or determine the sensitivity of the response to a policy change. A simulation model was developed to analyze the complex interactions comprising patient placement processes, beginning with patient arrivals and continuing through discharge. The model reflects current and potential patient assignment policies at a major southeastern general hospital. The system developed was utilized to assess proposed policies for the hospital. The simulated results of the hospital policy proposals, as well as other proposals, demonstrate the usefulness of simulation analysis in hospital policy decision-making.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 3","pages":"38-53"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12563550","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
Clinical information systems: 25-year history and the future. 临床信息系统:25年的历史和未来。
Journal of the Society for Health Systems Pub Date : 1992-01-01
O G Kennedy, G M Davis, S Heda
{"title":"Clinical information systems: 25-year history and the future.","authors":"O G Kennedy,&nbsp;G M Davis,&nbsp;S Heda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Clinical information Systems have not advanced rapidly enough to meet the growing needs for clinical data. This is due primarily to the industry's past focus on financial information processing. Pressure is increasing for clinical data to support health-care professionals in the delivery of patient care, and in the establishment and monitoring of quality of care indicators. This article summarizes the history of clinical systems, and presents key issues regarding future clinical information systems.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 4","pages":"49-60"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12463443","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
Design and validation of a critical care simulation model. 重症监护模拟模型的设计与验证。
Journal of the Society for Health Systems Pub Date : 1992-01-01
J C Lowery, J B Martin
{"title":"Design and validation of a critical care simulation model.","authors":"J C Lowery,&nbsp;J B Martin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The high costs of building, equipping, and staffing critical care beds, coupled with more restrictive reimbursement policies, are forcing hospital administrators to seek ways for determining accurately the number of critical care beds needed. Existing critical care bedsizing models do not capture the complexity of today's critical care environment, nor have they been formally validated using actual hospital performance data. The study described herein was designed to address these needs. A GPSS/H simulation model was developed and validated, and includes the flow of patients through the study hospital's operating rooms, post-anesthesia recovery unit, three intensive care units, and two intermediate care (stepdown) units.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 3","pages":"15-36"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12563549","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
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