Abstract：
:A two-stage approach is used in a stochastic frontier analysis of the factors affecting hospital efficiency. In the first stage, a translog cost-function is used to estimate inefficiency scores. In the second stage, inefficiency scores are regressed against independent variables to test hypotheses that come from X-inefficiency Theory. The study was based on 1989 data for 195 Pennsylvania acute care hospitals. This data base was chosen because of the availability of patient-level severity of illness data, a measure of output that is not available from most data sources. The stochastic frontier analysis models estimated mean inefficiency scores that ranged from 0.075 to 0.180. The addition of the DRG case mix index (CMI) reduced estimated inefficiency by more than 50%. The incremental effect of a severity of illness variable to an equation with CMI was very small. The second-stage results suggest inefficiency and are inversely associated with regulatory pressures and industry concentration.
journal_name
J Med Systjournal_title
Journal of medical systemsauthors
Rosko MD,Chilingerian JAdoi
10.1023/a:1020823612156subject
Has Abstractpub_date
1999-02-01 00:00:00pages
57-71issue
1eissn
0148-5598issn
1573-689Xjournal_volume
23pub_type
杂志文章abstract：:Preparatory sensory information (PSI) has been found to have significant effects in reducing distress, tension, restlessness, negative moods, and anxiety, and also in reducing length of postoperative hospitalization during various threatening medical events, but no evidence has demonstrated the effect of PSI on a pati...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1021869112673
更新日期：2003-04-01 00:00:00
abstract：:Approximately 1% of the people in the world suffer from epilepsy. Careful analyses of the electroencephalograph (EEG) records can provide valuable insight and improved understanding of the mechanisms causing epileptic disorders. Predicting the onset of epileptic seizure is an important and difficult biomedical problem...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/b:joms.0000044954.85566.a9
更新日期：2004-12-01 00:00:00
abstract：:To effectively control the growth of medical expenditure, Bureau of National Health Insurance (NHI) of Taiwan has taken many measures, including the Reasonable Number of Outpatient Services, Ceiling Price, Global Budgets, Strategic Analysis and the Excellence Plan; however, these measures can only scratch the surface....
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-009-9346-x
更新日期：2011-02-01 00:00:00
abstract：PURPOSE:Measuring and providing performance feedback to physicians has gained momentum not only as a way to comply with regulatory requirements, but also as a way to improve patient care. Measurement of structural, process, and outcome metrics in a reliable, evidence-based, specialty-specific manner maximizes the proba...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-014-0105-2
更新日期：2014-09-01 00:00:00
abstract：:With the view to set up the oriental pulse database as well as objective diagnosis standards, this study has designed and manufactured a digital pulse diagnosis system that uses a high-performance microprocessor on the basis of systematic pulse diagnosis methodology. The algorithm for extracting significant points has...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-007-9101-0
更新日期：2008-02-01 00:00:00
abstract：:This paper introducesnear-set based segmentation method for extraction and quantification of mucin regions for detecting mucinouscarcinoma (MC which is a sub type of Invasive ductal carcinoma (IDC)). From histology point of view, the presence of mucin is one of the indicators for detection of this carcinoma. In order ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-017-0792-6
更新日期：2017-08-10 00:00:00
abstract：:Breast cancer diagnosis can be done through the pathologic assessments of breast tissue samples such as core needle biopsy technique. The result of analysis on this sample by pathologist is crucial for breast cancer patient. In this paper, nucleus of tissue samples are investigated after decomposition by means of the ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-011-9788-9
更新日期：2012-10-01 00:00:00
abstract：:Realistic modeling of soft tissue deformation is crucial to virtual orthopedic surgery, especially orthopedic trauma surgery which involves layered heterogeneous soft tissues. In this paper, a novel modeling framework for multilayered soft tissue deformation is proposed in order to facilitate the development of orthop...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-008-9237-6
更新日期：2010-06-01 00:00:00
abstract：OBJECTIVE:To test the hypothesis that advanced electronic medical record (EMR) capabilities are associated with better quality and safety of hospital care. METHODS AND FINDINGS:We used data from the HIMSS Analytics EMR Adoption Model (EMRAM(SM)) to measure the adoption and use of information technology in Dutch hospit...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0274-7
更新日期：2015-09-01 00:00:00
abstract：:We studied the survival rates and the prognostic variables that corresponded to death during hospitalization in 312 AIDS CDC group IV patients in São Paulo. Discriminant analysis proved to be a good tool to perform the exploratory data analysis that guided the survival analysis groups. It selected nine variables that ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00996941
更新日期：1993-08-01 00:00:00
abstract：:Goal Two of the US ONCHIT Plan focuses on enabling the use of electronic health information for critical health improvement activities that promote the health of targeted communities, and the US population as a whole. Because of the focus on communities and populations, the activities under this second goal differ fun...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-009-9269-6
更新日期：2010-08-01 00:00:00
abstract：:This paper aims to assist the administration departments of medical organisations in making the right decision on selecting a suitable multiclass classification model for acute leukaemia. In this paper, we proposed a framework that will aid these departments in evaluating, benchmarking and ranking available multiclass...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1338-x
更新日期：2019-06-01 00:00:00
abstract：:Open Access is an upcoming paradigm to communicate scientific knowledge. The Trans-O-MIM Project works on strategies, models, and evaluation metrics for the goal-oriented, stepwise, sustainable, and fair transformation of established subscription-based scientific journals into open-access-based journals. This research...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-020-01651-1
更新日期：2020-10-06 00:00:00
abstract：:General electronic medical records systems remain insufficient for ophthalmology outpatient clinics from the viewpoint of dealing with many ophthalmic examinations and images in a large number of patients. Filing systems for documents and images by Yahgee Document View (Yahgee, Inc.) were introduced on the platform of...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-009-9303-8
更新日期：2010-10-01 00:00:00
abstract：:Millions of people are diagnosed every year with a chest disease in the world. Chronic obstructive pulmonary and pneumonia diseases are two of the most important chest diseases. And these are very common illnesses in Turkey. In this paper, a comparative study on chronic obstructive pulmonary and pneumonia diseases dia...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-008-9209-x
更新日期：2009-12-01 00:00:00
abstract：:Parkinsons disease is a complex neurodegenerative disorder for which patients present many symptoms, tremor being the main one. In advanced stages of the disease, Deep Brain Stimulation is a generalized therapy which can significantly improve the motor symptoms. However despite its beneficial effects on treating the s...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0328-x
更新日期：2015-11-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-011-9803-1
更新日期：2012-10-01 00:00:00
abstract：:Automatic peak detection of auditory brainstem responses is a multistage process. The main task is the detection of the pedestal peak, which is a broad peak filtered out from the auditory brainstem signal. Special validation stages have been used to determine whether a real response is present, and if so, peak V is de...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00996703
更新日期：1994-08-01 00:00:00
abstract：:In a longitudinal panel study design, 80 hospitals in Virginia were selected for analysis to test the hypothesis that the introduction of the prospective payment system (PPS) in October 1983 had helped hospitals enhance their operational performance in technical efficiency. A non-parametric method called Data Envelopm...
journal_title：Journal of medical systems
pub_type： 杂志文章,多中心研究
doi：10.1023/a:1005542324990
更新日期：2000-06-01 00:00:00
abstract：:This study investigates the feasibility of cardiopulmonary coupling (CPC) using home sleep monitoring system. We have designed a system to measure respiratory signals and normal-to-normal (NN) interval series in a non-contact based on air mattress. Then, CPC analysis was conducted using extracted respiratory signals a...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-017-0824-2
更新日期：2017-09-26 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章,评审
doi：10.1007/s10916-018-0921-x
更新日期：2018-03-10 00:00:00
abstract：:Due to lack of a central bureaucrat in mobile ad hoc networks, the security of the network becomes serious issue. During malicious attacks, according to the motivation of intruder the severity of the threat varies. It may lead to loss of data, energy or throughput. This paper proposes a lightweight Intruder Node Detec...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1309-2
更新日期：2019-05-10 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-005-3002-x
更新日期：2005-04-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-1107-2
更新日期：2018-11-05 00:00:00
abstract：:As changes in the medical environment and policies on national health insurance coverage have triggered tremendous impacts on the business performance and financial management of medical institutions, effective management becomes increasingly crucial for hospitals to enhance competitiveness and to strive for sustainab...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-010-9598-5
更新日期：2011-10-01 00:00:00
abstract：:Assessing employee performance is one of the most important issue in healthcare management services. Because of their direct relationship with patients, nurses are also the most influential hospital staff who play a vital role in providing healthcare services. In this paper, a novel Data Envelopment Analysis Matrix (D...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-0974-x
更新日期：2018-05-31 00:00:00
abstract：:A new denoising algorithm using Fast Guided Filter and Discrete Wavelet Transform is proposed to remove Gaussian noise in an image. The Fast Guided Filter removes some part of the details in addition to noise. These details are estimated accurately and combined with the filtered image to get back the final denoised im...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1376-4
更新日期：2019-07-12 00:00:00
abstract：:The basic purpose of this study was to analyze the diffusion of computer-based information technology into the health care institutions of the Republic of Serbia in the year 1994, and to compare the results with a similar investigation in 1992 in order to determine the state and progress of its development. The instru...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF02263392
更新日期：1996-08-01 00:00:00
abstract：:This paper presents an overview of a systems approach being implemented within the Kaiser-Permanente Medical Care Program (KPMCP) for the planning of large-scale, integrated health care facilities. This approach was motivated by the increasing change and complexity of factors, both external and internal to KPMCP, that...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF02222314
更新日期：1978-01-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1369-3
更新日期：2019-06-19 00:00:00
