The impact of the prospective payment system on the technical efficiency of hospitals.

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 Envelopment Analysis (DEA) was used to calculate and compare the efficiency scores for each peer group of hospitals (by bed size) between the year 1984 and the year 1993. Contrary to expectations, no significant difference in technical efficiency was found in each hospital peer group over the study period. Nevertheless, the case study demonstrates that if hospital managers use this analytical tool appropriately, they may spot where any organizational weakness lies and how they can improve it.

journal_name

J Med Syst

authors

Chern JY,Wan TT

doi

10.1023/a:1005542324990

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

159-72

issue

3

eissn

0148-5598

issn

1573-689X

journal_volume

24

pub_type

杂志文章,多中心研究
  • Two-Steps Coronary Artery Segmentation Algorithm Based on Improved Level Set Model in Combination with Weighted Shape-Prior Constraints.

    abstract::Due to the complex topological structure of the coronary artery and the uneven distribution of the contrast agent, the angiography images are inevitably blurred and has low contrast, which causes great difficulty in process of segmentation. For this problem, a two-steps segmentation algorithm based on Hessian matrix a...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1329-y

    authors: Ge S,Shi Z,Peng G,Zhu Z

    更新日期:2019-05-29 00:00:00

  • A Secure Dynamic Identity and Chaotic Maps Based User Authentication and Key Agreement Scheme for e-Healthcare Systems.

    abstract::Secure user authentication schemes in many e-Healthcare applications try to prevent unauthorized users from intruding the e-Healthcare systems and a remote user and a medical server can establish session keys for securing the subsequent communications. However, many schemes does not mask the users' identity informatio...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-016-0586-2

    authors: Li CT,Lee CC,Weng CY,Chen SJ

    更新日期:2016-11-01 00:00:00

  • A multivariate approach to laboratory practice.

    abstract::The application of multivariate statistical technics to laboratory data analysis is a recent development in clinical pathology. The proliferation in number and type of diagnostic tests requires a simple method to extract predictors of clinical states from data generated by existing laboratory procedures, as well as a ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF02222466

    authors: Beck JR

    更新日期:1980-01-01 00:00:00

  • Development of an Automated Healthcare Kiosk for the Management of Chronic Disease Patients in the Primary Care Setting.

    abstract::An increase in the prevalence of chronic disease has led to a rise in the demand for primary healthcare services in many developed countries. Healthcare technology tools may provide the leverage to alleviate the shortage of primary care providers. Here we describe the development and usage of an automated healthcare k...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-016-0529-y

    authors: Ng G,Tan N,Bahadin J,Shum E,Tan SW

    更新日期:2016-07-01 00:00:00

  • Correction to: Medical Image Retrieval Using Vector Quantization and Fuzzy S-Tree.

    abstract::The article Medical Image Retrieval Using Vector Quantization and Fuzzy S-tree, written by Jana Nowaková, Michal Prílepok and Václav Snášel, was originally published electronically on the publisher's internet portal (currently SpringerLink) on December 15, 2016 without open access. ...

    journal_title:Journal of medical systems

    pub_type: 已发布勘误

    doi:10.1007/s10916-018-0957-y

    authors: Nowaková J,Prílepok M,Snášel V

    更新日期:2018-05-01 00:00:00

  • Adaptive Fruitfly Based Modified Region Growing Algorithm for Cardiac Fat Segmentation Using Optimal Neural Network.

    abstract::Epicardial adipose tissue is a visceral fat that has remained an entity of concern for decades owing to its high correlation with coronary heart disease. It continues to stump medical practitioners on the pretext of its relevance with pericardial fat and its dependence on a numerous other parameters including ethnicit...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1227-3

    authors: Priya C,Sudha S

    更新日期:2019-03-15 00:00:00

  • Classification of mitral insufficiency and stenosis using MLP neural network and neuro-fuzzy system.

    abstract::Cardiac Doppler signals recorded from mitral valve of 60 patients were transferred to a personal computer by using a 16-bit sound card. The power spectral density (PSD) was applied to the recorded signal from each patient. In order to do a good interpretation and rapid diagnosis, PSD values classified using multilayer...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/b:joms.0000041169.28544.fd

    authors: Barýpçý N,Ergün U,Ilkay E,Serhatlýoğlu S,Hardalaç F,Güler I

    更新日期:2004-10-01 00:00:00

  • Nursing care quality in nursing homes: cross-sectional versus longitudinal analysis.

    abstract::This empirical study of the relationship between nursing care adequacy and nursing care quality demonstrates that a positive relationship exists between the process and outcome dimensions of quality of nursing care. The results from the analysis of national data on nursing homes' deficiencies highlight the importance ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1022579512926

    authors: Wan TT

    更新日期:2003-06-01 00:00:00

  • An Intelligent Segmentation and Diagnosis Method for Diabetic Retinopathy Based on Improved U-NET Network.

    abstract::Due to insufficient samples, the generalization performance of deep network is insufficient. In order to solve this problem, an improved U-net based image automatic segmentation and diagnosis algorithm was proposed, in which the max-pooling operation in original U-net model was replaced by the convolution operation to...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1432-0

    authors: Li Q,Fan S,Chen C

    更新日期:2019-08-12 00:00:00

  • The systematical analysis of oriental pulse waveform: a practical approach.

    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

    authors: Lee J

    更新日期:2008-02-01 00:00:00

  • A Metric for Evaluating a Transformation of Subscription-Based Journals into Open-Access Journals.

    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

    authors: Mielke C,Kuballa S,Schulze M,Haux R

    更新日期:2020-10-06 00:00:00

  • Predicting metastasis in breast cancer: comparing a decision tree with domain experts.

    abstract::Breast malignancy is the second most common cause of cancer death among women in Western countries. Identifying high-risk patients is vital in order to provide them with specialized treatment. In some situations, such as when access to experienced oncologists is not possible, decision support methods can be helpful in...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-007-9064-1

    authors: Razavi AR,Gill H,Ahlfeldt H,Shahsavar N

    更新日期:2007-08-01 00:00:00

  • Evaluating training data suitability for decision tree induction.

    abstract::Decision tree induction, as well as other inductive learning methods, requires training data of high quality to be able to generate accurate and reliable classification models. Example cases should form a representative sample from the application area, and the attributes used to describe example cases should be relev...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1005624715089

    authors: Viikki K,Juhola M,Pyykkö I,Honkavaara P

    更新日期:2001-04-01 00:00:00

  • A computer workstation for clinical medicine.

    abstract::New computer tools for physicians, nurses, and the medical care team will become common in the 1990s. This paper describes a clinical workstation (CWS) development project that uses new technology that moves the technical support for medical decision making from the computer room to the nursing station. Collection, pr...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00993933

    authors: Lenhard RE,Kahane SN,Richmond DW,Phipps KJ,Ardolino MK,Kearney LA,Lifshitz K

    更新日期:1990-10-01 00:00:00

  • Metadata from data: identifying holidays from anesthesia data.

    abstract::The increasingly large databases available to researchers necessitate high-quality metadata that is not always available. We describe a method for generating this metadata independently. Cluster analysis and expectation-maximization were used to separate days into holidays/weekends and regular workdays using anesthesi...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-015-0232-4

    authors: Starnes JR,Wanderer JP,Ehrenfeld JM

    更新日期:2015-05-01 00:00:00

  • Exploring Factors Affecting Voluntary Adoption of Electronic Medical Records Among Physicians and Clinical Assistants of Small or Solo Private General Practice Clinics.

    abstract::The health care reform initiative led by the Hong Kong government's Food and Health Bureau has started the implementation of an electronic sharing platform to provide an information infrastructure that enables public hospitals and private clinics to share their electronic medical records (EMRs) for improved access to ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-018-0971-0

    authors: Or C,Tong E,Tan J,Chan S

    更新日期:2018-05-29 00:00:00

  • A computerized kinematic diagnostic system.

    abstract::This paper describes the instrumentation developed for a clinical system that measures upper extremity kinematics in normal and cerebral palsied children. The ability to diagnose cerebral palsy during early and midinfancy is influenced by the fact that movement and postural abnormalities become apparent only over time...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00996460

    authors: Eckhouse RH Jr,Maulucci RA,Leonard E

    更新日期:1989-10-01 00:00:00

  • Multiscale Time-Sharing Elastography Algorithms and Transfer Learning of Clinicopathological Features of Uterine Cervical Cancer for Medical Intelligent Computing System.

    abstract::Intelligent medical diagnosis and computing system faces many challenges in complex object recognition, large-scale data imaging and real-time diagnosis, such as poor real-time computing, low efficiency of data storage and low recognition rate of lesions. In order to solve the above problems, this paper proposes a med...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1433-z

    authors: Dong X,Du H,Guan H,Zhang X

    更新日期:2019-08-26 00:00:00

  • Information subsystem of the SO4/Cl ratio as database for studying its influence on human health.

    abstract::General lack of surface waters in the Dalmatian region on one hand (Croatia) and a large profusion and complexity of underground waters circulation, on the other hand, are typical phenomena of Dalmatian Karst region. Underground waters in Dalmatia belong to rift water similar to surface waters considering its hydroche...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-005-5185-6

    authors: Stambuk-Giljanović N,Stambuk D

    更新日期:2005-06-01 00:00:00

  • Efficient management of health centres human resources in Zambia.

    abstract::This study uses Data Envelopment Analysis (DEA) to estimate the degree of technical, allocative and cost efficiency in individual public and private health centres in Zambia; and to identify the relative inefficiencies in the use of various inputs among individual health centers. About 83% of the 40 health centres wer...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-006-9032-1

    authors: Masiye F,Kirigia JM,Emrouznejad A,Sambo LG,Mounkaila A,Chimfwembe D,Okello D

    更新日期:2006-12-01 00:00:00

  • A comparative study on chronic obstructive pulmonary and pneumonia diseases diagnosis using neural networks and artificial immune system.

    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

    authors: Er O,Sertkaya C,Temurtas F,Tanrikulu AC

    更新日期:2009-12-01 00:00:00

  • Anesthesia report card - a customizable tool for performance improvement.

    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

    authors: Peccora CD,Gimlich R,Cornell RP,Vacanti CA,Ehrenfeld JM,Urman RD

    更新日期:2014-09-01 00:00:00

  • Epileptic spike recognition in electroencephalogram using deterministic finite automata.

    abstract::This Paper presents an automated method of Epileptic Spike detection in Electroencephalogram (EEG) using Deterministic Finite Automata (DFA). It takes prerecorded single channel EEG data file as input and finds the occurrences of Epileptic Spikes data in it. The EEG signal was recorded at 256 Hz in two minutes separat...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-008-9177-1

    authors: Keshri AK,Sinha RK,Hatwal R,Das BN

    更新日期:2009-06-01 00:00:00

  • Medical Image Enhancement by a Bilateral Filter Using Optimization Technique.

    abstract::For researchers, denoising of Magnetic Resonance (MR) image is a greatest challenge in digital image processing. In this paper, the impulse noise and Rician noise in the medical MR images are removed by using Bilateral Filter (BF). The novel approaches are presented in this paper; Enhanced grasshopper optimization alg...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1370-x

    authors: Anoop V,Bipin PR

    更新日期:2019-06-20 00:00:00

  • Automated production of an on-line laboratory reference manual from a laboratory information system.

    abstract::Laboratories provide information beyond test results, including information related to patient preparation, specimen collection and handling, test methodology, test availability, and interpretation of results. Most laboratories publish reference manuals to distribute this information to clients, while relying on the l...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1014857926545

    authors: Bennett ST,Kern DA

    更新日期:2002-04-01 00:00:00

  • Serum urate as a free radical scavenger in diabetics.

    abstract::We have looked at the relationship between serum urate and the molar equivalent serum antioxidant capacity (MESA) in diabetic and normal individuals who attended St Bartholomew's Hospital diabetic clinic and BUPA Health Screening Centre, London, and have compared serum antioxidant capacity between the two groups. Samp...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00996951

    authors: Pearl A,Hale A,Whitehead T

    更新日期:1993-08-01 00:00:00

  • Security risks associated with radio frequency identification in medical environments.

    abstract::Radio frequency identification (RFID) is a form of wireless communication that is used to identify assets and people. RFID has significant benefits to the medical environment. However, serious security threats are present in RFID systems that must be addressed in a medical environment. Of particular interest are threa...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-011-9792-0

    authors: Hawrylak PJ,Schimke N,Hale J,Papa M

    更新日期:2012-12-01 00:00:00

  • Does size really matter--using a decision tree approach for comparison of three different databases from the medical field of acute appendicitis.

    abstract::Decision trees have been successfully used for years in many medical decision making applications. Transparent representation of acquired knowledge and fast algorithms made decision trees one of the most often used symbolic machine learning approaches. This paper concentrates on the problem of separating acute appendi...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1016461301710

    authors: Zorman M,Eich HP,Stiglic B,Ohmann C,Lenic M

    更新日期:2002-10-01 00:00:00

  • A Framework for Evaluating the Software Product Quality of Pregnancy Monitoring Mobile Personal Health Records.

    abstract::Stakeholders' needs and expectations are identified by means of software quality requirements, which have an impact on software product quality. In this paper, we present a set of requirements for mobile personal health records (mPHRs) for pregnancy monitoring, which have been extracted from literature and existing mo...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-015-0415-z

    authors: Idri A,Bachiri M,Fernández-Alemán JL

    更新日期:2016-03-01 00:00:00

  • A Multi Directional Perfect Reconstruction Filter Bank Designed with 2-D Eigenfilter Approach: Application to Ultrasound Speckle Reduction.

    abstract::B-Mode ultrasound images are degraded by inherent noise called Speckle, which creates a considerable impact on image quality. This noise reduces the accuracy of image analysis and interpretation. Therefore, reduction of speckle noise is an essential task which improves the accuracy of the clinical diagnostics. In this...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-016-0675-2

    authors: Nagare MB,Patil BD,Holambe RS

    更新日期:2017-02-01 00:00:00