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::A new scheduling problem arising in the home care context is addressed, whose novelty with respect to the literature lies in the way overtime is paid. In this problem, some clients are willing to pay a higher fee to cover the additional overtime cost, if such overtime is incurred because a caregiver works extra time w...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-020-09532-2
更新日期:2021-01-22 00:00:00
abstract::Rapid diagnostic testing for COVID-19 is key to guiding social distancing orders and containing emerging disease clusters by contact tracing and isolation. However, communities throughout the US do not yet have adequate access to tests. Pharmacies are already engaged in testing, but there is capacity to greatly increa...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-020-09538-w
更新日期:2021-01-10 00:00:00
abstract::An important challenge confronting healthcare is the effective management of access to primary care. Appointment scheduling policies/templates can help strike an effective balance between the lead-time to an appointment (a.k.a. indirect waiting time, measuring the difference between a patient's desired and actual appo...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-020-09535-z
更新日期:2021-01-05 00:00:00
abstract::Blood is a key resource in all health care systems, usually drawn from voluntary donors. We focus on the operations management in blood collection centers, which is a key step to guarantee an adequate blood supply and a good quality of service to donors, by addressing the so-called Blood Donation Appointment Schedulin...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-020-09508-2
更新日期:2020-12-01 00:00:00
abstract::Ensuring regular and timely access to efficient and quality health services reduces the risk of maternal mortality. Specifically, improving technical efficiency (TE) can result in improved health outcomes. To date, no studies in Mexico have explored the connection of TE with either the production of maternal health se...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-020-09503-7
更新日期:2020-12-01 00:00:00
abstract::We investigate the capability of information from electronic health records of an emergency department (ED) to predict patient disposition decisions for reducing "boarding" delays through the proactive initiation of admission processes (e.g., inpatient bed requests, transport, etc.). We model the process of ED disposi...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-019-09496-y
更新日期:2020-09-01 00:00:00
abstract::In the domain of Home Health Care (HHC), precise decisions regarding patient's selection, staffing level, and scheduling of health care staff have a significant impact on the efficiency and effectiveness of the HHC system. However, decentralized planning, the absence of well defined decision rules, delayed decisions a...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-019-09469-1
更新日期:2020-06-01 00:00:00
abstract::The operating room is a major cost and revenue center for most hospitals. Thus, more effective operating room management and scheduling can provide significant benefits. In many hospitals, the post-anesthesia care unit (PACU), where patients recover after their surgical procedures, is a bottleneck. If the PACU reaches...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-018-9457-3
更新日期:2019-12-01 00:00:00
abstract::This study aimed to reflect the efficiency of hospitals under the Ministry of Health (MoH) before and after the implementation of Public Hospital Associations (PHAs). This study covered 3 years before (2010-2012) and 3 years after (2013-2015) the implementation. The population of the study included 865 hospitals under...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-018-9463-5
更新日期:2019-09-01 00:00:00
abstract::As the competition in the Taiwanese medical industry becomes increasingly fierce, public hospitals are confronted with challenges in orientation and operations. This study measured changes in the operational efficiency of public and their competitors, non-public hospitals, in Taiwan. This study considered differences ...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-018-9465-3
更新日期:2019-09-01 00:00:00
abstract::The aims of this study are to analyze the efficiency of players comprising the healthcare supply chain comparatively, and to investigate the relationship between these different types of efficiency, eventually seeking the way to optimize a healthcare supply chain. To achieve the aims, the players comprising a healthca...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-019-09471-7
更新日期:2019-09-01 00:00:00
abstract::Nonlinear fuzzy classification models have better classification performance than linear fuzzy classifiers. In many nonlinear fuzzy classification problems, piecewise-linear fuzzy discriminant functions can approximate nonlinear fuzzy discriminant functions. In this paper, we first build fuzzy classifier based on data...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-019-09477-1
更新日期:2019-09-01 00:00:00
abstract::Hospital readmission risk modeling is of great interest to both hospital administrators and health care policy makers, for reducing preventable readmission and advancing care service quality. To accommodate the needs of both stakeholders, a readmission risk model is preferable if it (i) exhibits superior prediction pe...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-018-9431-0
更新日期:2019-03-01 00:00:00
abstract::Effective treatment for tuberculosis (TB) patients on first-line treatment involves triaging those with drug-resistant (DR) TB to appropriate treatment alternatives. Patients likely to have DR TB are identified using results from repeated inexpensive sputum-smear (SS) tests and expensive but definitive drug sensitivit...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-017-9416-4
更新日期:2018-12-01 00:00:00
abstract::This paper deals with an Integrated Elective Surgery-Scheduling Problem (IESSP) that arises in a privately operated healthcare facility. It aims to optimize the resource utilization of the entire surgery process including pre-operative, per-operative and post-operative activities. Moreover, it addresses a specific fea...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-016-9390-2
更新日期:2018-09-01 00:00:00
abstract::We analyse data collected from the administrative datawarehouse of an Italian regional district (Lombardia) concerning patients affected by Chronic Heart Failure. The longitudinal data gathering for each patient hospital readmissions in time, as well as patient-specific covariates, is studied as a realization of non h...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-016-9357-3
更新日期:2017-09-01 00:00:00
abstract::The case mix planning problem deals with choosing the ideal composition and volume of patients in a hospital. With many countries having recently changed to systems where hospitals are reimbursed for patients according to their diagnosis, case mix planning has become an important tool in strategic and tactical hospita...
journal_title:Health care management science
pub_type: 杂志文章,评审
doi:10.1007/s10729-015-9342-2
更新日期:2017-06-01 00:00:00
abstract::Scheduling of surgeries in the operating rooms under limited competing resources such as surgical and nursing staff, anesthesiologist, medical equipment, and recovery beds in surgical wards is a complicated process. A well-designed schedule should be concerned with the welfare of the entire system by allocating the av...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-015-9334-2
更新日期:2017-03-01 00:00:00
abstract::The number of emergency cases or emergency room visits rapidly increases annually, thus leading to an imbalance in supply and demand and to the long-term overcrowding of hospital emergency departments (EDs). However, current solutions to increase medical resources and improve the handling of patient needs are either i...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-015-9335-1
更新日期:2017-03-01 00:00:00
abstract::This is a study to measure the efficiency of the rural Health Centres (HCs) and their Regional Surgeries (RSs) of the 6th Health Prefecture (HP) of Greece, which covers Southern and Western Greece. Data Envelopment Analysis (DEA) was applied under Constant and Variable Returns to Scale, using a weight-restricted, outp...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-015-9324-4
更新日期:2016-12-01 00:00:00
abstract::Operating rooms (ORs) in US hospitals are costly to staff, generate about 70 % of a hospital's revenues, and operate at a staffed-capacity utilization of 60-70 %. Many hospitals allocate blocks of OR time to individual or groups of surgeons as guaranteed allocation, who book surgeries one at a time in their blocks. Th...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-015-9318-2
更新日期:2016-09-01 00:00:00
abstract::We propose a mathematical programming formulation that incorporates annualized hours and shows to be very flexible with regard to modeling various contract types. The objective of our model is to minimize salary cost, thereby covering workforce demand, and using annualized hours. Our model is able to address various b...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-014-9292-0
更新日期:2015-09-01 00:00:00
abstract::For effective operating room (OR) planning, surgery duration estimation is critical. Overestimation leads to underutilization of expensive hospital resources (e.g., OR time) whereas underestimation leads to overtime and high waiting times for the patients. In this paper, we consider a particular estimation method curr...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-014-9309-8
更新日期:2015-09-01 00:00:00
abstract::The effective management of a cancer treatment facility for radiation therapy depends mainly on optimizing the use of the linear accelerators. In this project, we schedule patients on these machines taking into account their priority for treatment, the maximum waiting time before the first treatment, and the treatment...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-014-9270-6
更新日期:2015-06-01 00:00:00
abstract::Continuous improvement in process efficiency for specialist outpatient clinic (SOC) systems is increasingly being demanded due to the growth of the patient population in Singapore. In this paper, we propose a discrete event simulation (DES) model to represent the patient and information flow in an ophthalmic SOC syste...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-014-9291-1
更新日期:2015-06-01 00:00:00
abstract::Simulated allocation models (SAMs) are used to evaluate organ allocation policies. An important component of SAMs is a module that decides whether each potential recipient will accept an offered organ. The objective of this study was to develop and test accept-or-decline classifiers based on several machine-learning m...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-014-9295-x
更新日期:2015-03-01 00:00:00
abstract::This paper reports on the use of different approaches for assessing efficiency of a sample of major Brazilian for-profit hospitals. Starting out with the bootstrapping technique, several DEA estimates were generated, allowing the use of confidence intervals and bias correction in central estimates to test for signific...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-013-9249-8
更新日期:2014-06-01 00:00:00
abstract::The new Accreditation Council for Graduate Medical Education (ACGME) duty-hour standards for residents and fellows went into effect in 2011. These regulations were designed to reduce fatigue-related medical errors and improve patient safety. The new shift restrictions, however, have led to more frequent transitions in...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-013-9237-z
更新日期:2014-03-01 00:00:00
abstract::This paper presents a model for the daily planning of health care services carried out at patients' homes by staff members of a home care company. The planning takes into account individual service requirements of the patients, individual qualifications of the staff and possible interdependencies between different ser...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-013-9243-1
更新日期:2014-03-01 00:00:00
abstract::The objective of this article is to estimate the value of 'follow-on' or 'me-too' drugs from the payer, industry and societal perspectives. Since me-too drugs do not bring additional clinical benefits, they are only valuable to payers if they save costs. An empirical model was constructed to identify the factors affec...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-013-9225-3
更新日期:2013-12-01 00:00:00
abstract::In this paper, we propose a two-phase approach for designing a weekly scheduling template for outpatient clinics providing multiple types of services. In many outpatient clinics, various service types are categorized to address the operational challenge of substantial changeover time between certain pairs of services....
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-013-9223-5
更新日期:2013-09-01 00:00:00
abstract::At the heart of the practice of primary care is the concept of a physician panel. A panel refers to the set of patients for whose long term, holistic care the physician is responsible. A physician's appointment burden is determined by the size and composition of the panel. Size refers to the number of patients in the ...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-012-9214-y
更新日期:2013-06-01 00:00:00
abstract::Hospital readmission rate has been broadly accepted as a quality measure and cost driver. However, success in reducing readmissions has been elusive. In the US, almost 20 % of Medicare inpatients are rehospitalized within 30 days, which amounts to a cost of $17 billion. Given the skyrocketing healthcare cost, policyma...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-013-9220-8
更新日期:2013-06-01 00:00:00
abstract::We describe a simulation optimization method to design PSA screening policies based on expected quality adjusted life years (QALYs). Our method integrates a simulation model in a genetic algorithm which uses a probabilistic method for selection of the best policy. We present computational results about the efficiency ...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-012-9195-x
更新日期:2012-12-01 00:00:00
abstract::This paper addresses the modeling and simulation of blood collection systems in France for both fixed site and mobile blood collection with walk in whole blood donors and scheduled plasma and platelet donors. Petri net models are first proposed to precisely describe different blood collection processes, donor behavior...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-011-9181-8
更新日期:2012-03-01 00:00:00
abstract::The Balanced Scorecard (BSC) is a validated tool to monitor enterprise performances against specific objectives. Through the choice and the evaluation of strategic Key Performance Indicators (KPIs), it provides a measure of the past company's outcome and allows planning future managerial strategies. The Fresenius Medi...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-011-9183-6
更新日期:2012-03-01 00:00:00
abstract::A common method for modelling emergency referrals to a hospital in-patient unit is to assume that they follow a Poisson distribution. If lengths of stay are independent and identically distributed, then the distribution of bed demand can be derived by analysis of a queueing system with an infinite number of servers. U...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-011-9158-7
更新日期:2011-09-01 00:00:00
abstract::Variability in admissions and lengths of stay inherently leads to variability in bed occupancy. The aim of this paper is to analyse the impact of these sources of variability on the required amount of capacity and to determine admission quota for scheduled admissions to regulate the occupancy pattern. For the impact o...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-011-9163-x
更新日期:2011-09-01 00:00:00
abstract::Patients' experiences of waiting for treatment have changed dramatically in recent years in the United Kingdom's National Health Service. There has been a substantial reduction in the mean wait but the characteristics of the distributions have also changed significantly, implying a change in priorities and waiting lis...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-011-9171-x
更新日期:2011-09-01 00:00:00
abstract::We present a strategic model to solve the long-term staffing problem of physicians in hospitals using flexible shifts. The objective is to minimize the total number of staff subject to several labor agreements. A wide range of legal restrictions and facility-specific staffing policies are considered. In general, the m...
journal_title:Health care management science
pub_type: 杂志文章
doi:10.1007/s10729-011-9155-x
更新日期:2011-06-01 00:00:00