Factors influencing community health centers' efficiency: a latent growth curve modeling approach.

Abstract:

:The objective of study is to examine factors affecting the variation in technical and cost efficiency of community health centers (CHCs). A panel study design was formulated to examine the relationships among the contextual, organizational structural, and performance variables. Data Envelopment Analysis (DEA) of technical efficiency and latent growth curve modeling of multi-wave technical and cost efficiency were performed. Regardless of the efficiency measures, CHC efficiency was influenced more by contextual factors than organizational structural factors. The study confirms the independent and additive influences of contextual and organizational predictors on efficiency. The change in CHC technical efficiency positively affects the change in CHC cost efficiency. The practical implication of this finding is that healthcare managers can simultaneously optimize both technical and cost efficiency through appropriate use of inputs to generate optimal outputs. An innovative solution is to employ decision support software to prepare an expert system to assist poorly performing CHCs to achieve better cost efficiency through optimizing technical efficiency.

journal_name

J Med Syst

authors

Marathe S,Wan TT,Zhang J,Sherin K

doi

10.1007/s10916-007-9078-8

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

365-74

issue

5

eissn

0148-5598

issn

1573-689X

journal_volume

31

pub_type

杂志文章
  • SeDeLo: using semantics and description logics to support aided clinical diagnosis.

    abstract::Automated medical diagnosis systems based on knowledge-oriented descriptions have gained momentum with the emergence of semantic descriptions. The objective of this paper is to propose a normalized design that solves some of the problems which have been detected by authors in previous tools. The authors bring together...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-011-9714-1

    authors: Rodríguez-González A,Labra-Gayo JE,Colomo-Palacios R,Mayer MA,Gómez-Berbís JM,García-Crespo A

    更新日期:2012-08-01 00:00:00

  • The diffusion of computer-based information technology into health institutions of Republic of Serbia (FR Yugoslavia).

    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

    authors: Simić S,Marinković J,Bjegović V,Stanisavljević D

    更新日期:1996-08-01 00:00:00

  • Performance Evaluation of State-of-the-Art Local Feature Detectors and Descriptors in the Context of Longitudinal Registration of Retinal Images.

    abstract::In this paper we systematically evaluate the performance of several state-of-the-art local feature detectors and descriptors in the context of longitudinal registration of retinal images. Longitudinal (temporal) registration facilitates to track the changes in the retina that has happened over time. A wide number of l...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-018-0911-z

    authors: Saha SK,Xiao D,Frost S,Kanagasingam Y

    更新日期:2018-02-17 00:00:00

  • A novel user authentication and key agreement protocol for accessing multi-medical server usable in TMIS.

    abstract::Telecare Medical Information System (TMIS) makes an efficient and convenient connection between patient(s)/user(s) at home and doctor(s) at a clinical center. To ensure secure connection between the two entities (patient(s)/user(s), doctor(s)), user authentication is enormously important for the medical server. In thi...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-015-0217-3

    authors: Amin R,Biswas GP

    更新日期:2015-03-01 00:00:00

  • Navigation interface for recommending home medical products.

    abstract::Based on users' health issues, an intelligent personal health record (iPHR) system can automatically recommend home medical products (HMPs) and display them in a sequential order. However, the sequential output interface does not categorize search results and is not easy for users to quickly navigate to their desired ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-010-9537-5

    authors: Luo G

    更新日期:2012-04-01 00:00:00

  • Effect of providing drug utilization review information on tricyclic antidepressant prescription in the elderly.

    abstract::Tricyclic antidepressants are known as potentially inappropriate medications in the elderly. A notification issued in July 2015 in South Korea recommended caution while prescribing tricyclic antidepressants to the elderly. Further, since October 2015, the nationwide computerized drug utilization review monitoring syst...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-018-1061-z

    authors: Park MJ,Kim MH,Shin SM,Chung SY

    更新日期:2018-09-13 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

  • Surgical unit time utilization review: resource utilization and management implications.

    abstract::As health care providers seek ways to reduce the cost of health care services, hospital operating rooms (ORs) have been identified as potential areas for cost reduction efforts. Cost containment efforts which have shifted significant portions of the inpatient population to ambulatory areas have resulted in an inpatien...

    journal_title:Journal of medical systems

    pub_type: 杂志文章,评审

    doi:10.1007/BF00996639

    authors: Gordon T,Paul S,Lyles A,Fountain J

    更新日期:1988-06-01 00:00:00

  • A Proposed Solution and Future Direction for Blockchain-Based Heterogeneous Medicare Data in Cloud Environment.

    abstract::The healthcare data is an important asset and rich source of healthcare intellect. Medical databases, if created properly, will be large, complex, heterogeneous and time varying. The main challenge nowadays is to store and process this data efficiently so that it can benefit humans. Heterogeneity in the healthcare sec...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-018-1007-5

    authors: Kaur H,Alam MA,Jameel R,Mourya AK,Chang V

    更新日期:2018-07-10 00:00:00

  • A proposal for laboratory data reporting.

    abstract::Changes are proposed regarding the presentation of laboratory information. More definitive statements are required for reference limits, sampling variance (the Clinical Delta Range), and multivariate group analysis of large test batteries. To make this transition possible, laboratory reports should be classed so that ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF02225113

    authors: Grams RR

    更新日期:1979-01-01 00:00:00

  • Correction to: An Extended Hackathon Model for Collaborative Education in Medical Innovation.

    abstract::We append two additional funders to our acknowledgments. ...

    journal_title:Journal of medical systems

    pub_type: 已发布勘误

    doi:10.1007/s10916-018-1127-y

    authors: Wang JK,Pamnani RD,Capasso R,Chang RT

    更新日期:2018-12-10 00:00:00

  • Classifying Heart Sounds Using Images of Motifs, MFCC and Temporal Features.

    abstract::Cardiovascular disease is the leading cause of death in the world, and its early detection is a key to improving long-term health outcomes. The auscultation of the heart is still an important method in the medical process because it is very simple and cheap. To detect possible heart anomalies at an early stage, an aut...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1286-5

    authors: Nogueira DM,Ferreira CA,Gomes EF,Jorge AM

    更新日期:2019-05-06 00:00:00

  • Trauma system development in Armenia.

    abstract:UNLABELLED:A medical partnership program between Boston University School of Medicine and the the Emergency Hospital, of Yerevan, Armenia, has been developed to improve the care of the injured in that city. The Emergency Hospital, a trauma center, was site-visited by experts from a Level I trauma center who evaluated p...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF02260892

    authors: Hirsch EF,Levy K

    更新日期:1996-04-01 00:00:00

  • Dual System for Enhancing Cognitive Abilities of Children with ADHD Using Leap Motion and eye-Tracking Technologies.

    abstract::Attention Deficit Hyperactivity Disorder (ADHD) is a brain disorder marked by an ongoing pattern of inattention and/or hyperactivity-impulsivity that affects with development or functioning. It affects 3-5% of all American and European children. The objective of this paper is to develop and test a dual system for the ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-017-0757-9

    authors: Garcia-Zapirain B,de la Torre Díez I,López-Coronado M

    更新日期:2017-07-01 00:00:00

  • Automated classification of liver disorders using ultrasound images.

    abstract::This paper presents a novel approach for detection of Fatty liver disease (FLD) and Heterogeneous liver using textural analysis of liver ultrasound images. The proposed system is able to automatically assign a representative region of interest (ROI) in a liver ultrasound which is subsequently used for diagnosis. This ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-011-9803-1

    authors: Minhas Fu,Sabih D,Hussain M

    更新日期:2012-10-01 00:00:00

  • Multi-sources data fusion framework for remote triage prioritization in telehealth.

    abstract::The healthcare industry is streamlining processes to offer more timely and effective services to all patients. Computerized software algorithm and smart devices can streamline the relation between users and doctors by providing more services inside the healthcare telemonitoring systems. This paper proposes a multi-sou...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-014-0103-4

    authors: Salman OH,Rasid MF,Saripan MI,Subramaniam SK

    更新日期:2014-09-01 00:00:00

  • Video surveillance system against anti-terrorism by Using Adaptive Linear Activity Classification (ALAC) Technique.

    abstract::Automated human activity analysis has been, and remains, a challenging problem. Security and surveillance are essential issues in today's world. Any behavior which is uncommon in occurrence and deviates from customarily understood action could be termed as suspicious. For different application regions, while identifyi...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1394-2

    authors: Karthikeswaran D,Sengottaiyan N,Anbukaruppusamy S

    更新日期:2019-06-29 00:00:00

  • Developing and Preliminary Validating an Automatic Cell Classification System for Bone Marrow Smears: a Pilot Study.

    abstract::Bone marrow smear examination is an indispensable diagnostic tool in the evaluation of hematological diseases, but the process of manual differential count is labor extensive. In this study, we developed an automatic system with integrated scanning hardware and machine learning-based software to perform differential c...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-020-01654-y

    authors: Jin H,Fu X,Cao X,Sun M,Wang X,Zhong Y,Yang S,Qi C,Peng B,He X,He F,Jiang Y,Gao H,Li S,Huang Z,Li Q,Fang F,Zhang J

    更新日期:2020-09-07 00:00:00

  • Estimating hospital inefficiency: does case mix matter?

    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-ine...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1020823612156

    authors: Rosko MD,Chilingerian JA

    更新日期:1999-02-01 00:00:00

  • Construction and Application of a Medical-Grade Wireless Monitoring System for Physiological Signals at General Wards.

    abstract::Physiological signals can contain abundant personalized information and indicate health status and disease deterioration. However, in current medical practice, clinicians working in the general wards are usually lack of plentiful means and tools to continuously monitor the physiological signals of the inpatients. To a...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-020-01653-z

    authors: Xu H,Li P,Yang Z,Liu X,Wang Z,Yan W,He M,Chu W,She Y,Li Y,Cao D,Yan M,Zhang Z

    更新日期:2020-09-04 00:00:00

  • An analysis of standardized disease classification system for health care planning.

    abstract::This paper deals with the development of the standardized disease classification system, which generates usable statistics for comprehensive health care planning. It is used by ARCH (a regional health planning agency) to obtain a measure of acute hospital utilization and regional health status. A sample of 35,000 pati...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF02285282

    authors: Carder WW,Kwak NK

    更新日期:1977-01-01 00:00:00

  • Annotating Early Esophageal Cancers Based on Two Saliency Levels of Gastroscopic Images.

    abstract::Early diagnoses of esophageal cancer can greatly improve the survival rate of patients. At present, the lesion annotation of early esophageal cancers (EEC) in gastroscopic images is generally performed by medical personnel in a clinic. To reduce the effect of subjectivity and fatigue in manual annotation, computer-aid...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-018-1063-x

    authors: Liu D,Rao N,Mei X,Jiang H,Li Q,Luo C,Li Q,Zeng C,Zeng B,Gan T

    更新日期:2018-10-16 00:00:00

  • Does use of CAM for specific health problems increase with reduced access to care?

    abstract::The objective of this paper was to determine predictors of complementary and alternative medicine (CAM) use among individuals with specific health problems. Data were derived from the 1998 Medical Expenditure Panel Survey (MEPS). After adjustment for potential confounders, individuals with perceived barriers to obtain...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-005-3002-x

    authors: Ritchie CS,Gohmann SF,McKinney WP

    更新日期:2005-04-01 00:00:00

  • Development of a Strategy to Predict and Detect Falls Using Wearable Sensors.

    abstract::Falls are a prevalent problem in actual society. Some falls result in injuries and the cost associated with their treatment is high. This is a complex problem that requires several steps in order to be tackled. Firstly, it is crucial to develop strategies that recognize the locomotion mode, indicating the state of the...

    journal_title:Journal of medical systems

    pub_type: 临床试验,杂志文章

    doi:10.1007/s10916-019-1252-2

    authors: Ribeiro NF,André J,Costa L,Santos CP

    更新日期:2019-04-04 00:00:00

  • Analysis and Improvement of a Mutual Authentication Scheme for Wireless Body Area Networks.

    abstract::An increase in aging population and the consequent chronic diseases pose not only serious effects to the economy but also a heavy burden to the medical system. Wireless body area networks (WBANs) provide a simple and low-cost strategy for health monitoring and telemedicine of the elderly. Many authentication schemes b...

    journal_title:Journal of medical systems

    pub_type: 杂志文章,评审

    doi:10.1007/s10916-018-1129-9

    authors: Chen R,Peng D

    更新日期:2018-12-18 00:00:00

  • A systems framework for evaluating nursing care quality in nursing homes.

    abstract::Given the ongoing concerns about the quality of care in nursing homes, a theoretical framework to guide a systems approach to quality is important. Existing frameworks either do not model causality, or do so in a linear fashion in which the actual linkages between components of quality may not be well specified. Throu...

    journal_title:Journal of medical systems

    pub_type: 杂志文章,评审

    doi:10.1023/b:joms.0000023302.80118.74

    authors: Unruh L,Wan TT

    更新日期:2004-04-01 00:00:00

  • Systematic review of the use of computer simulation modeling of patient flow in surgical care.

    abstract::Computer simulation has been employed to evaluate proposed changes in the delivery of health care. However, little is known about the utility of simulation approaches for analysis of changes in the delivery of surgical care. We searched eight bibliographic databases for this comprehensive review of the literature publ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章,评审

    doi:10.1007/s10916-009-9336-z

    authors: Sobolev BG,Sanchez V,Vasilakis C

    更新日期:2011-02-01 00:00:00

  • Clinical pathways scheduling using hybrid genetic algorithm.

    abstract::In order to improve the standard of management in hospitals and effectively control the cost of clinical treatments, this research primarily focuses on optimizing the scheduling of clinical pathways (CPs). A mathematical model for CP scheduling is constructed, and the hybrid genetic algorithm (HGA, combining a genetic...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-013-9945-4

    authors: Du G,Jiang Z,Yao Y,Diao X

    更新日期:2013-06-01 00:00:00

  • Characterizing Awake and Anesthetized States Using a Dimensionality Reduction Method.

    abstract::Distinguishing between awake and anesthetized states is one of the important problems in surgery. Vital signals contain valuable information that can be used in prediction of different levels of anesthesia. Some monitors based on electroencephalogram (EEG) such as the Bispectral (BIS) index have been proposed in recen...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-015-0382-4

    authors: Mirsadeghi M,Behnam H,Shalbaf R,Jelveh Moghadam H

    更新日期:2016-01-01 00:00:00

  • The advantages of wearable green reflected photoplethysmography.

    abstract::This report evaluates the efficacy of reflected-type green light photoplethysmography (green light PPG). Transmitted infrared light was used for PPG and the arterial pulse was monitored transcutaneously. The reflected PPG signal contains AC components based on the heartbeat-related signal from the arterial blood flow ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-010-9506-z

    authors: Maeda Y,Sekine M,Tamura T

    更新日期:2011-10-01 00:00:00