解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract::Week Hospital is an innovative inpatient health care organization and management, by which hospital stay services are planned in advance and delivered on week-time basis to elective patients. In this context, a strategic decision is the optimal clinical management of patients, and, in particular, devising efficient an...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-010-9144-5
更新日期:2011-03-01 00:00:00
abstract::Corporate employers contract with pharmacy benefit managers (PBMs) with the goals of lowering their employee prescription drug coverage costs while maintaining health care quality. However, little is known about how employer-PBM contract elements and brand drugmakers' rebates combine to influence a profit-maximizing P...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-010-9129-4
更新日期:2010-12-01 00:00:00
abstract::This paper describes the efficiency of Dutch hospitals using the method of Data Envelopment Analysis (DEA). In particular the analysis focuses on explaining cost inefficiency measures due to each hospital's operating environment. In previous works, the resulting DEA score is regressed on environmental factors via a To...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-009-9104-0
更新日期:2010-03-01 00:00:00
abstract::This paper examines the empirical consistency of the Diagnosis Cost Groups/Hierarchical Condition Categories (DCG/HCC) risk-adjustment method for comparing 7-day mortality between hospital-based outpatient departments (HOPDs) and freestanding ambulatory surgery centers (ASCs). We used patient level data for the three ...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-009-9101-3
更新日期:2009-12-01 00:00:00
abstract::Finding alternatives to hospital admissions for older people and helping them to live for as long as possible in their own homes is a key objective of UK health and social policy. However, there is a lack of proof as to whether such alternatives actually work and are cost-effective. The research reported in this paper...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-008-9092-5
更新日期:2009-09-01 00:00:00
abstract::This paper develops a mathematical/economic framework to address the following question: Given a particular population, a specific HIV prevention program, and a fixed amount of funds that could be invested in the program, how much money should be invested? We consider the impact of investment in a prevention program o...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-008-9074-7
更新日期:2009-03-01 00:00:00
abstract::The study investigated the determinants of households' choice of health care provider in Nigeria. Individual and household based questionnaires were used for the study. Using a multinomial logit model, the findings revealed that both distance and money prices are significant factors in discouraging individuals from se...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-007-9038-3
更新日期:2008-09-01 00:00:00
abstract:INTRODUCTION:The objective of this paper is to present complementary views of the activity of the emergency department for a specific group of patients. Once validated, these views will be used as decision support tools for better managing the department and providing better care delivery for this population. The views...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-008-9059-6
更新日期:2008-06-01 00:00:00
abstract::Computer simulation of patient flow has been used extensively to assess the impacts of changes in the management of surgical care. However, little research is available on the utility of existing modeling techniques. The purpose of this paper is to examine the capacity of Statecharts, a system of graphical specificati...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-007-9026-7
更新日期:2008-03-01 00:00:00
abstract::This paper describes the use of operational research techniques to analyze the wait list for the Division of General Surgery at the Capital District Health Authority in Halifax, Nova Scotia, Canada. A discrete event simulation model was developed to aid capacity planning decisions and to analyze the performance of the...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-007-9035-6
更新日期:2007-12-01 00:00:00
abstract::On the basis of documentary analysis and interviews with decision makers, this paper discusses the cost accounting methodologies used for price setting of inpatient services in the Hungarian health care system focusing on sector of acute inpatient care, which is financed through the Hungarian adaptation of Diagnosis R...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-006-9091-3
更新日期:2006-08-01 00:00:00
abstract::With the emergence of the Internet, new health information systems are being designed and implemented that focus on coordination between providers, patients, payors and other constituents. While the importance of end user input in identifying the desired functionality of systems has long been recognized, very little w...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-006-7663-x
更新日期:2006-05-01 00:00:00
abstract::The present paper suggests extending the FDH-method, known from the efficiency measurement literature, to cover interval production data. Interval data represent a direct way to handle data uncertainty and problems with data comparability which seem particularly prevalent concerning health care applications. We illust...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-006-6283-9
更新日期:2006-02-01 00:00:00
abstract::The income elasticity of health care spending in the OECD countries tends toward luxury good values. Similar studies, based on more recent data, and capable of informing macroeconomic health policies of the African countries, do not currently exist. How the health care expenditure in Africa responds to changes in the ...
journal_title:Health care management science
pub_type: 杂志文章,评审
doi:10.1007/s10729-005-4137-5
更新日期:2005-11-01 00:00:00
abstract::In medical decision-making, we must (a) establish the patient's prognosis, and (b) identify the therapeutic strategy that will best improve that prognosis. The prognosis is the projected progression over time of the cumulative probability of (a) mortality, (b) morbidity, (c) disability, (d) psychological distress, and...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-005-0396-4
更新日期:2005-05-01 00:00:00
abstract::Combination vaccines for pediatric immunization have become an effective means to reduce the number of separate injections required to immunize children according to the United States Recommended National Childhood Immunization Schedule. This paper reports the results of using operations research methodologies to anal...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-005-5214-5
更新日期:2005-02-01 00:00:00
abstract::Provider efficiency in the dialysis industry in the U.S.A. has been of great interest for a variety of parties mainly because of the continuing growth in the number of such patients and providers and in the industry's costs. This study examined technical efficiency longitudinally among the multiple-output producers of...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-004-7534-2
更新日期:2004-11-01 00:00:00
abstract::Due to the lack of internal consistency across unit root and cointegration test methods for short time-series data, past research findings conflict on whether the OECD health expenditure data are stationary. Stationarity reasonably guarantees that the estimated OLS relationship is nonspurious. This paper departs from ...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/b:hcms.0000039380.42784.20
更新日期:2004-08-01 00:00:00
abstract::This paper empirically investigates the phenomenon known as "cost shifting" across inpatient and outpatient hospital services. That is, we examine whether, when faced with lower government reimbursement for outpatient services, providers raise inpatient prices for non-government patients (and analogously for lower inp...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/b:hcms.0000005394.61649.0f
更新日期:2004-02-01 00:00:00
abstract::Despite rapid advances in medicine and beneficial lifestyle changes, the incidence and mortality rate of gynecologic carcinoma remains high worldwide. This paper presents the econometric model findings of the major drivers of breast cancer mortality among US women. The results have implications for public health polic...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1026281608207
更新日期:2003-11-01 00:00:00
abstract::We developed a model to estimate out-of-hospital deaths due to Myocardial Infarction (MI), which was based on a detailed database of MI admissions to Pennsylvania hospitals during 1998. Our estimation method addresses the problem of geographical selection bias in inpatient databases, which occurs when MI patients with...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1024463418429
更新日期:2003-08-01 00:00:00
abstract::The extent of random financial risk involved in the Finnish bed-day and Diagnosis Related Groups (DRG) based hospital pricing systems were estimated and compared using parametric and simulation methods. DRG based payment schemes were found to provide significantly better protection against financial risk for municipal...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1023341000858
更新日期:2003-05-01 00:00:00
abstract::Health and health care are increasingly big business. The challenge is to apply our knowledge and skills to meet people's needs, if not their demands as efficiently, effectively and beneficially as possible. "Value for money" is the slogan. For those who deliver the goods as required, the converse. "money for value" s...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1020321304556
更新日期:2002-11-01 00:00:00
abstract::By integrating queuing theory and compartmental models of flow we demonstrate how changing admission rates, length of stay and bed allocation influence bed occupancy, emptiness and rejection in departments of geriatric medicine. By extending the model to include waiting beds, we show how the provision of extra, emerge...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1020342509099
更新日期:2002-11-01 00:00:00
abstract::With increased pressures from governmental and insurance agencies, today's physician devotes less time to patient care and more time to administration. To assist physician clinics in evaluating potential operating procedures that improve operating efficiencies and better satisfy patients, an object-oriented discrete-e...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1014464529565
更新日期:2002-04-01 00:00:00
abstract::We test a chained time trade-off (TTO) approach to estimating health gains from interventions by asking respondents to directly compare the "before" and "after" intervention health states in the TTO framework. Respondents with experience of both health states were used, thus minimising biases stemming from confusion s...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1013253119756
更新日期:2002-02-01 00:00:00
abstract::Using the Diagnostic Cost Group (DCG) model developed from a national sample, we examine biased selection among one fee-for-service (FFS) plan, one preferred provider organization, and several health maintenance organizations (HMOs) in Massachusetts. The proportions of enrollees in low-risk groups are higher in the HM...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1011842327930
更新日期:2001-12-01 00:00:00
abstract::A shortage of donor liver grafts unfortunately results in approximately 10% of patients dying whilst listed for a liver transplant in Europe and the United States. Thus it is imperative that all available organs are used as efficiently as possible. This paper reports upon the application of a simulation modelling appr...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1011405610919
更新日期:2001-06-01 00:00:00
abstract::The "natural history" of Alzheimer's disease (AD) is discussed in terms of the data required in a general, discrete-time, non-homogeneous Markov model. The proposed model differs from similar models reported in the literature because mortality is disaggregated into AD-specific mortality and competing mortality due to ...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1009689329661
更新日期:2001-02-01 00:00:00
abstract::The goal of "treatment on demand" is to allow all those seeking substance abuse treatment immediate entry into a program. Surprisingly, little is understood regarding the relationship between the demand for treatment, queues, waiting times and treatment admission rates, and treatment capacity. Nor has the increase in ...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1019001726188
更新日期:2000-06-01 00:00:00
abstract::In Belgium the management and administration of the compulsory and universal health insurance is left to a limited number of non-governmental non-profit sickness funds. Since 1995 these sickness funds are partially financed in a prospective way. The risk adjustment scheme is based on a regression model to explain medi...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1019089223462
更新日期:2000-02-01 00:00:00
abstract::There has been increasing interest in measuring the productive performance of health care services, since the mid-1980s. This paper reviews this literature and, in particular, the concept and measurement of efficiency and productivity. Concerning measurement, we focus on the use of Data Envelopment Analysis (DEA), a t...
journal_title:Health care management science
pub_type: 杂志文章,评审
doi:10.1023/a:1019087828488
更新日期:1999-07-01 00:00:00
abstract::This paper reports a pilot study of the use of simulation in planning hospital pharmacy services. The objectives were to create a simulation model of the hospital drug distribution system, to use the model to investigate a simple problem and to assess the potential for simulation to aid decision making in hospital pha...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1019015207107
更新日期:1999-01-01 00:00:00
abstract::Retinopathy is a common complication of insulin-dependent (IDDM) and non-insulin-dependent (NIDDM) diabetes, but serious visual loss may be prevented or delayed with sufficiently early diagnosis and treatment. Screening for early signs of retinopathy is clearly beneficial for some people, but there is no established c...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1019086300747
更新日期:1998-10-01 00:00:00
abstract::The study uses Data Envelopment Analysis (DEA) to analyze physician practice behavior and develops measures of physician practice efficiency as a basis for improving productivity and reducing costs in otitis media treatment. Other objectives include determining geographic variations in practice patterns for otitis med...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1023/a:1019026114859
更新日期:1998-09-01 00:00:00