Abstract：
:The regionalization of health services is fundamentally based on a system of allocation of resources. The VA appears to have adopted the philosophies of regionalization by forming a network of 28 medical care districts that share the system budgeting responsibility. This approach tends to ignore population aspects, specifically: the needs of the veterans, the interplay of medical school affiliation, the internal effects of incentives for high inpatient censuses, the effect of district leadership. A fourfold research plan is suggested, including an intense investigation of (1) the veteran population, (2) the decision-making process in resource allocation, (3) the relationship of the Va to its environment, especially the health care structure of the communities where facilities operate, and (4) the problems associated with health delivery planning and resource allocation in general.
journal_name
J Med Systjournal_title
Journal of medical systemsauthors
Williams SJdoi
10.1007/BF02222065subject
Has Abstractpub_date
1981-01-01 00:00:00pages
111-27issue
1-2eissn
0148-5598issn
1573-689Xjournal_volume
5pub_type
杂志文章abstract：:The characteristics of disaster management are outlined. Planning for the efficient management of a disaster is described. The level of preparedness for disasters can be increased using simulation models in conjunction with drills. With the simulation model, "what-if" analyses are performed to predict the consequences...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1020521909778
更新日期：1998-10-01 00:00:00
abstract：:The aim of this paper is to introduce the soft systemic approach to medical information system design, called metaparadigm. The metaparadigm is a metadesign paradigm. Using it we first design an IS design paradigm and it is our deep belief that metaparadigms employment can enhance many conventional IS design weaknesse...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF01000586
更新日期：1993-02-01 00:00:00
abstract：:To evaluate risk and vulnerability in the chemotherapy process using a proactive risk analysis method. Healthcare failure mode and effect analysis (HFMEA) was adopted to identify potential chemotherapy process failures. A multidisciplinary team is formed to identify, evaluate, and prioritize potential failure modes ba...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-010-9616-7
更新日期：2012-06-01 00:00:00
abstract：:This paper has three major goals: (1) Show by demonstration (in a currently implemented CPR) that for this case, the additional information entry required by providers to acquire the information for Clinical Decision Support (CDS) and Resource Auditing (RA) comes as a side effect of patient care documentation. (2) Use...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00997292
更新日期：1994-06-01 00:00:00
abstract：:Turkey has experienced significant development in the private health insurance market since 1991. Improvements in private health services, increased public awareness, and insufficient service delivery by the social security organizations have encouraged more people to buy private health insurance. The number of people...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1010749320021
更新日期：2001-08-01 00:00:00
abstract：:The objective of this study is to propose and validate a computer-aided segmentation system which performs the automated segmentation of injured kidney in the presence of contusion, peri-, intra-, sub-capsular hematoma, laceration, active extravasation and urine leak due to abdominal trauma. In the present study, tota...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1476-1
更新日期：2019-11-24 00:00:00
abstract：:In a previous paper, the authors described three paradigms applicable to automated medical text analysis. In this paper, the relative importance of the three paradigms is discussed, viz. the relative value of the linguistic word categorization, the semantic paradigm, and the medical fact delineation. The strategy adop...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00993881
更新日期：1991-02-01 00:00:00
abstract：:Exertional heat illness is primarily a multi-system disorder results from the combined effect of exertional and thermoregulation stress. The severity of exertional heat illness can be classified as mild, intermediate and severe from non-specific symptoms like thirst, myalgia, poor concentration, hysteria, vomiting, we...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-007-9097-5
更新日期：2007-12-01 00:00:00
abstract：:The U.S. Department of Veterans Affairs (VA) operates and maintains one of the largest health care systems under a single management structure in the world. The coordination of administrative and clinical information on veterans served by the VA health care system is a daunting and critical function of the Department....
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1020579806511
更新日期：1999-06-01 00:00:00
abstract：:We describe the new Computerized Severity Index (CSI) that is obtained from an expanded discharge abstract data set, based on a 6th-digit severity addition to the ICD-9-CM coding system. The new 6-digit code book (called ICD-9-CMSA) is used to label existence and severity of each principal and secondary diagnosis. It ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00992953
更新日期：1986-02-01 00:00:00
abstract：:In this paper, we describe a new approach to generating standardized e-Learning content from existing medical collections. The core of this approach is a tool called Clavy, which makes it possible to retrieve information items from medical collections, to transform these items into meaningful learning units, and to ex...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1330-5
更新日期：2019-05-18 00:00:00
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：:We proposed Index-Blocked Discrete Cosine Transform Filtering Method (IB-DCTFM) to design ideal frequency range filter on DCT domain for biomedical signal which frequently exposed to specific frequency noise such as motion artifacts and 50/60 Hz powerline interference. IB-DCTFM removes unwanted frequency range signal ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-009-9289-2
更新日期：2010-08-01 00:00:00
abstract：:Wearable monitoring devices are an innovative way to measure heart rate (HR) and heart rate variability (HRV), however, there is still debate about the validity of these wearables. This study aimed to validate the accuracy and predictive value of the Empatica E4 wristband against the VU University Ambulatory Monitorin...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-020-01648-w
更新日期：2020-09-23 00:00:00
abstract：:There has been rapid growth in the number of ambulatory surgical centers in the United States over the past few years. Yet little research has been done to assist community health planners and surgeons in decision making and planning for ambulatory surgery. In this paper, an analytical framework is developed to assist...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF02222843
更新日期：1980-01-01 00:00:00
abstract：:Three forecasting methodologies were applied to monthly laboratory test count data in order to arrive at a best procedure for forecasting ahead to cover the next fiscal year. The purpose of the forecasting was, first, to aid in reimbursement and income decisions and, second, to assist in operations management decision...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF02225111
更新日期：1979-01-01 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：: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：: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：: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：STUDY OBJECTIVE:To study the relationship between a trauma center per diem charges and medicare DRG reimbursement. DESIGN:Retrospective comparison of charges ($630/day, $1500/ICU day) and hypothetical DRG reimbursement using medical records ICD-9 N and P codes and version 5.0 of grouper. SETTING:An urban level I trau...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF02257265
更新日期：1995-08-01 00:00:00
abstract：:We constructed a question and answer system for direct delivery of E-mail queries from the general public to the proper hospital representative and with which the system administrator can monitor E-mail replies. The system consists of two sub-systems; one is an E-mail questionnaire sub-system that automatically delive...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1005476928236
更新日期：2000-02-01 00:00:00
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
更新日期：1988-06-01 00:00:00
abstract：:Patient safety has been regarded as the most important quality policy of hospital management. The medicine dispensing definitely plays an influential role in the Joint Commission International Accreditation Standards. The problem we are going to discuss in this paper is that the function of detecting mistakes does not...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-011-9799-6
更新日期：2012-12-01 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：:Diabetes is a chronic end organ disease that occurs when the pancreas does not secrete enough insulin or the body is unable to process it properly. Over time, diabetes affects the circulatory system, including that of the retina. Diabetic retinopathy is a medical condition where the retina is damaged because fluid lea...
journal_title：Journal of medical systems
pub_type： 杂志文章,评审
doi：10.1007/s10916-010-9454-7
更新日期：2012-02-01 00:00:00
abstract：:This paper describes our experience using telephone conference calls to conduct support groups for chemically-dependent women. Forty-seven women agreed to participate in regular, weekly support groups that were conducted by two chemical dependency counselors. Counselors attempted to conduct 59 support groups via a tel...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1022846408428
更新日期：1997-04-01 00:00:00
abstract：:In real-time medical systems, the role of biometric technology is significant in authentication systems because it is used in verifying the identity of people through their biometric features. The biometric technology provides crucial properties for biometric features that can support the process of personal identific...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-1103-6
更新日期：2018-10-29 00:00:00
abstract：:In this study, it is aimed to determine the degree of the development in emotional expression of full face transplant patients from photographs. Hence, a rehabilitation process can be planned according to the determination of degrees as a later work. As envisaged, in full face transplant cases, the determination of ex...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-0895-8
更新日期：2018-01-20 00:00:00
abstract：:Body Area Networks integrated into mHealth systems are becoming a mature technology with unprecedented opportunities for personalized health monitoring and management. Potential applications include early detection of abnormal conditions, supervised rehabilitation, and wellness management. Such integrated mHealth syst...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-011-9661-x
更新日期：2011-10-01 00:00:00
