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 sustainable development. The study accordingly aims at evaluating hospital operational efficiency for better resource allocation and cost effectiveness. Several data envelopment analysis (DEA)-based models were first compared, and the DEA-artificial neural network (ANN) model was identified as more capable than the DEA and DEA-assurance region (AR) models of measuring operational efficiency and recognizing the best-performing hospital. The classification and regression tree (CART) efficiency model was then utilized to extract rules for improving resource allocation of medical institutions.
journal_name
J Med Systjournal_title
Journal of medical systemsauthors
Chuang CL,Chang PC,Lin RHdoi
10.1007/s10916-010-9598-5subject
Has Abstractpub_date
2011-10-01 00:00:00pages
1075-83issue
5eissn
0148-5598issn
1573-689Xjournal_volume
35pub_type
杂志文章abstract::Blood leucocytes segmentation in medical images is viewed as difficult process due to the variability of blood cells concerning their shape and size and the difficulty towards determining location of Blood Leucocytes. Physical analysis of blood tests to recognize leukocytes is tedious, time-consuming and liable to err...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-018-0912-y
更新日期:2018-02-17 00:00:00
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
更新日期:2018-09-13 00:00:00
abstract::Breast cancer (BC) is the leading cause of death among women worldwide. It affects in general women older than 40 years old. Medical images analysis is one of the most promising research areas since it provides facilities for diagnosis and decision-making of several diseases such as BC. This paper conducts a Structure...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-020-01689-1
更新日期:2021-01-04 00:00:00
abstract::Business Intelligence (BI) has caused extensive concerns and widespread use in gathering, processing and analyzing data and providing enterprise users the methodology to make decisions. Different from traditional BI architecture, this paper proposes a new BI architecture, Top-Down Scalable BI architecture with definin...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-013-9928-5
更新日期:2013-04-01 00:00:00
abstract::This paper describes the development of statistical classifiers to help diagnose meningococcal meningitis, i.e. the most sever, infectious and deadliest type of this disease. The goal is to find a mechanism able to determine whether a patient has this type of meningitis from a set of symptoms that can be directly obse...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-017-0785-5
更新日期:2017-08-11 00:00:00
abstract::Coronary calcium detection in medicine image processing is a hot research topic. According to the low resolution and complex background in medicine image, an improved coronary calcium detection algorithm based on the Single Shot MultiBox Detector (SSD) in Mimics is proposed in this paper. The algorithm firstly uses th...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-019-1218-4
更新日期:2019-03-25 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::The purpose of this study is to develop an abnormal gait detection algorithm and a vibratory stimulation system on a lower limb to improve gait stability and prevent falls. The system consists of a gait measurement module, an abnormal gait detection module, and a vibratory stimulation module. The gait measurement modu...
journal_title:Journal of medical systems
pub_type: 临床试验,杂志文章
doi:10.1007/s10916-009-9293-6
更新日期:2010-10-01 00:00:00
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 techn...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-007-9078-8
更新日期:2007-10-01 00:00:00
abstract::During the past few years a lot of PKI (Public Key Infrastructures) infrastructures have been proposed for healthcare networks in order to ensure secure communication services and exchange of data among healthcare professionals. However, there is a plethora of challenges in these healthcare PKI infrastructures. Especi...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-010-9573-1
更新日期:2012-06-01 00:00:00
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
更新日期:2017-02-01 00:00:00
abstract::Diffusion tensor imaging (DTI) is a new imaging method that can be used to non-invasively measure the diffusion coefficient of water molecules in biological tissue structures in recent years. Since the DTI data is a tensor space, its segmentation is different from ordinary MRI images. Based on the existing deep learni...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-019-1431-1
更新日期:2019-08-12 00:00:00
abstract::In the health insurance system of Japan, a fee-for-service system has been applied to individual treatment services since 1958. This system involves a structural problem of causing an increase in examination and drug administration. A flat-fee payment system called DPC was introduced in April 2003 to solve the problem...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-008-9220-2
更新日期:2010-02-01 00:00:00
abstract::In order to investigate the relationship between changes in blood circulation and bone mineral density (BMD) loss, the characteristic parameters reflecting the function of tissue oxygen metabolism are obtained by means of blood oxygen level-dependent magnetic resonance imaging (BOLD-MRI), image processing and semi-qua...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-019-1206-8
更新日期:2019-03-02 00:00:00
abstract::As the need for knowledge exchange grows, so does the need to find new ways for researchers, decision makers, and educators to communicate and collaborate with each other on how to improve drug prescribing and use. In this paper, we introduce a conceptual framework for evaluating knowledge exchange activities within d...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-009-9408-0
更新日期:2011-08-01 00:00:00
abstract::Electrocardiography (ECG) sensors play a vital role in the Internet of Medical Things, and these sensors help in monitoring the electrical activity of the heart. ECG signal analysis can improve human life in many ways, from diagnosing diseases among cardiac patients to managing the lifestyles of diabetic patients. Abn...
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::Executives of small hospitals and home health services have heard that this is the Age of Computers, Telecommunications, Robotics, and Gene Engineering, and they wonder if their organizations might benefit from the high technology and advanced management tools employed by big corporations and "leading edge" hospitals....
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/BF00992955
更新日期:1986-02-01 00:00:00
abstract::The spectrum of EEG has been studied to predict the depth of anesthesia using variety of signal processing methods up to date. Those standard models have used the full spectrum of EEG signals together with the systolic-diastolic pressure and pulse values. As it is generally agreed today that the brain is in stable sta...
journal_title:Journal of medical systems
pub_type: 临床试验,杂志文章
doi:10.1007/s10916-014-0173-3
更新日期:2015-01-01 00:00:00
abstract::EhcoBUTLER is an Information and Communication Technology (ICT) solution funded by the European Union (H2020; ID: 643566) and intended especially for elderly people with mild cognitive impairment (MCI) to improve their health, independence and quality of life, particularly at the social level. The purpose of this stud...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-020-01566-x
更新日期:2020-05-25 00:00:00
abstract:BACKGROUND:The use of artificial intelligence, including machine learning, is increasing in medicine. Use of machine learning is rising in the prediction of patient outcomes. Machine learning may also be able to enhance and augment anesthesia clinical procedures such as airway management. In this study, we sought to de...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-019-1481-4
更新日期:2020-01-02 00:00:00
abstract::Monitoring the follicles in women's ovaries is especially important in human reproduction. Today, the monitoring of follicles is done with human interaction. Such monitoring can be very demanding and inaccurate, and in most cases signifies additional burdens for the experts. In this paper, a new algorithm for automate...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1023/a:1022832515369
更新日期:1997-12-01 00:00:00
abstract::Curve and surface thinning are widely-used skeletonization techniques for modeling objects in three dimensions. In the case of disordered porous media analysis, however, neither is really efficient since the internal geometry of the object is usually composed of both rod and plate shapes. This paper presents an altern...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-010-9495-y
更新日期:2012-04-01 00:00:00
abstract::The MEGADATS pedigree plotting system, described in this paper, is designed to display a human pedigree on a graphics device such as a pen plotter. The plotting algorithm, which is order n in disk reads, where n is the number of individuals, is presented. Example plots are given, including a family with multiple mates...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/BF00996195
更新日期:1985-06-01 00:00:00
abstract::Wireless Capsule Endoscopy (WCE), which allows clinicians to inspect the whole gastrointestinal tract (GI) noninvasively, has bloomed into one of the most efficient technologies to diagnose the bleeding in GI tract. However WCE generates large amount of images in one examination of a patient. It is hard for clinicians...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-009-9424-0
更新日期:2011-12-01 00:00:00
abstract::EPIC Systems Corporation provides a widely used electronic medical record. Beaker Anatomic Pathology is a newly developed laboratory information system (LIS) that has been implemented at a small number of academic pathology departments. Pathologist opinions of EPIC Beaker AP have not been well described in the literat...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-020-01574-x
更新日期:2020-05-06 00:00:00
abstract::This paper investigates how a healthcare network in Taiwan uses a practical cloud image data center (CIDC) to communicate with its constituent hospital branches. A case study approach was used. The study was carried out in the central region of Taiwan, with four hospitals belonging to the Veterans Hospital healthcare ...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-016-0430-8
更新日期:2016-04-01 00:00:00
abstract::Hand hygiene compliance is the most significant, modifiable cause of hospital-acquired infections, yet national averages for compliance rates remain unsatisfactory. Noncompliance can contribute to patient mortality, extended hospital stays, higher re-admission rates, and lower reimbursement for hospitals under the Pat...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-015-0253-z
更新日期:2015-06-01 00:00:00
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
更新日期:1989-10-01 00:00:00
abstract::Pathological brain detection has made notable stride in the past years, as a consequence many pathological brain detection systems (PBDSs) have been proposed. But, the accuracy of these systems still needs significant improvement in order to meet the necessity of real world diagnostic situations. In this paper, an eff...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-017-0867-4
更新日期:2017-12-07 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