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Dissertations / Theses on the topic 'Healthcare Finance'
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Feleke, Nebiyu A. "Security analysis of finance and healthcare android applications." Thesis, Boston University, 2013. https://hdl.handle.net/2144/12099.
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Thesis (M.S.)--Boston UniversityAndroid is a major mobile operating system pre-installed and shipped with more than 60% of smart-phones in the market. The open source nature of android en- courages developers to innovate wide-range of applications. Meantime, the sweeping android acceptance with individuals and industries caught the attention of malicious software writers, which led to a sharp increase of security threats. Such threats raise a deeper concern in financial and healthcare applications that are inherently bound to handle private and sensitive information. The research provides a deeper analysis on security vulnerabilities of android applications in finance and healthcare category, from official Google app store. It is proposed and implemented a security analysis framework that takes account of a wide range of vulnerability metrics to provide unified and quantified method of measuring android applications vulnerability. The framework implementation automated the process of crawling google's app store, downloading applications package to a repository and conducting vulnerability analysis. It automatically extracts security parameters, measures vulnerability metrics and generates vulnerability report. The security parameters were extracted from manifest, de-compiled source code and app store meta-data. The analysis, on the top 632 free apps from finance and medical category revealed that on average financial apps found to be more vulnerable than medical apps. Medical apps have the maximum value for all types of vulnerabilities. Furthermore, a descriptive statistical analysis on the vulnerability metrics revealed that there is a linear relationship between implicitly open components and the number of times they access sensitive android resources.
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Mustapa, Muzani. "Facilities management knowledge in private finance initiative (PFI) healthcare projects." Thesis, Loughborough University, 2013. https://dspace.lboro.ac.uk/2134/12843.
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An organisation's accumulation of knowledge has been identified as a key factor in its progress and survival. This is particularly the case for a business that involves service delivery and is very pertinent to the construction industry. The key to success in managing organisational knowledge is recognising the importance of managing (and maintaining) the knowledge of the staff in the face of staff retention challenges. Knowledge retention is integral to ensuring that the experience and tacit knowledge acquired by the staff during their service will not be lost when the staff leave the organisation. The concept of Knowledge Management (KM) is seen as the solution through the inculcation of knowledge sharing via various tools and techniques in managing the knowledge within parties in construction. The aim of this research is to identify where and how KM initiatives being used within PFI-FM healthcare projects as a result of the unique character of the associated PFI contracts and a wide range of FM services. The complexities involved in managing and delivering services at the operational stage of PFI projects and the vast amount of tasks and services stipulated in the FM context, particularly regarding the planning, types of services, time, place, tools and resources needed, make it a suitable area for KM adoption. This research, which involved exploratory studies, literature reviews, analyses of three case studies involving PFI-FM healthcare projects and structured interviews with the Facilities Managers, has managed to discover the adoption of KM tools in managing FM healthcare services among Facilities Managers in PFI healthcare projects. However, KM has not been used to its fullest potential; the incomplete application of KM initiatives has, thus, created some problems with regard to delivering PFI-FM healthcare services. The outcome has resulted in the formulation of a framework that combines the best practices of KM initiatives with practical approaches of managing organisational knowledge of FM healthcare services which derived from the case studies. The framework has been validated by experts evaluated from the industry and refined to ensure that the framework developed is practical. The most pertinent achievements of this research include demonstrations of the needs for KM initiatives in delivering PFI-FM healthcare services and the development of a framework to enable better service delivery among the PFI-FM healthcare service providers, particularly with regard to addressing the challenges derived from PFI contracts and the vast scope of FM healthcare services. Overall, the study provides a clear justification and indication from a theoretical point of view and empirical evidence from the facilities managers perspective of the significance of KM initiatives in delivering PFI-FM healthcare services in the UK. Furthermore, recommendations have been made to improve and enable comprehension of the framework application and facilitate its implementation in the construction industry.
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Tamersoy, Acar. "Graph-based algorithms and models for security, healthcare, and finance." Diss., Georgia Institute of Technology, 2016. http://hdl.handle.net/1853/54986.
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Graphs (or networks) are now omnipresent, infusing into many aspects of society. This dissertation contributes unified graph-based algorithms and models to help solve large-scale societal problems affecting millions of individuals' daily lives, from cyber-attacks involving malware to tobacco and alcohol addiction. The main thrusts of our research are: (1) Propagation-based Graph Mining Algorithms: We develop graph mining algorithms to propagate information between the nodes to infer important details about the unknown nodes. We present three examples: AESOP (patented) unearths malware lurking in people's computers with 99.61% true positive rate at 0.01% false positive rate; our application of ADAGE on malware detection (patent-pending) enables to detect malware in a streaming setting; and EDOCS (patent-pending) flags comment spammers among 197 thousand users on a social media platform accurately and preemptively. (2) Graph-induced Behavior Characterization: We derive new insights and knowledge that characterize certain behavior from graphs using statistical and algorithmic techniques. We present two examples: a study on identifying attributes of smoking and drinking abstinence and relapse from an addiction cessation social media community; and an exploratory analysis of how company insiders trade. Our work has already made impact to society: deployed by Symantec, AESOP is protecting over 120 million people worldwide from malware; EDOCS has been deployed by Yahoo and it guards multiple online communities from comment spammers.
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Chaudhuri, Shomesh Ernesto. "Financial signal processing : applications to asset-market dynamics and healthcare finance." Thesis, Massachusetts Institute of Technology, 2018. http://hdl.handle.net/1721.1/117839.
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Thesis: Ph. D., Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science, 2018.This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.
Cataloged from student-submitted PDF version of thesis.
Includes bibliographical references (pages 139-144).
The seemingly random fluctuations of price and value produced by information flow and complex interactions across a diverse population of stakeholders has motivated the extensive use of stochastic processes to analyze both capital markets and the regulatory approval process in healthcare. This thesis approaches the statistical analysis of such processes through the lens of signal processing, with a particular emphasis on studying how dynamics evolve over time. We begin with a brief introduction to financial signal processing in Part I, before turning to specific applications in the main body of the thesis. In Part II, we apply spectral analysis to understand and quantify the relationship between asset-market dynamics across multiple time horizons, and show how this framework can be used to improve portfolio and risk management. Using the Fourier transform, we decompose asset-return alphas, betas and covariances into distinct frequency components, allowing us to identify the relative importance of specific time horizons in determining each of these quantities. Our approach can be applied to any portfolio, and is particularly useful for comparing the forecast power of multiple investment strategies. Part III addresses the growing interest from the healthcare industry, regulators and patients to include Bayesian adaptive methods in the regulatory approval process of new therapies. By applying sequential likelihood ratio tests to a Bayesian decision analysis framework that assigns asymmetric weights to false approvals and false rejections, we are able to design adaptive clinical trials that maximize the value to current and future patients and consequently, public health. We also consider the possibility that as the process unfolds, drug sponsors might stop a trial early if new information suggests market prospects are not as favorable as originally forecasted. We show that clinical trials that can be modified as data are observed are more valuable than trials without this flexibility.
by Shomesh Ernesto Chaudhuri.
Ph. D.
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Yan, Qing. "Inequity of Chinese healthcare system." Thesis, University of Macau, 2015. http://umaclib3.umac.mo/record=b3258539.
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康詠儀 and Wing-yee Veronica Hong. "A comparative study of healthcare financing systems in US, UK and HK." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B41709858.
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Chater, Rachel. "Social entrepreneurship in Kenya: understanding models, drivers, constraints and opportunities for enhanced impact in healthcare." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/29013.
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Social entrepreneurship is a rising field, gaining momentum and recognition. With the impact it is already having plus its substantial scope for further growth and influence, it is important to understand the dynamics that drive and affect it as well as the ecosystem it sits within. At present, there is very limited research available on social entrepreneurship in a developing country setting and even less on its application within the health sector. Hence, the purpose of this study is to understand the objectives, operations, and challenges of social enterprises in Kenya, with a specific focus on the health sector. As an exploratory study, an open, grounded theory, qualitative approach was adopted to allow the generation of insight into this little understood context. This research presents a set of emerging themes and propositions that answers the primary research question: What drives and affects innovation among social enterprises in Kenya's health sector? Ultimately it provides a theoretical framework that addresses the core concern of establishing a social enterprise that has impact in a developing country's health sector. The themes that emerged from the data throughout the study support the following main conclusions: 1) The character, perspective and experience of the social entrepreneur(s) in combination with the identified needs (opportunities) drive innovation in Kenya's health sector and 2) Challenges, enablers and environmental influencers (infrastructure, regulatory/ political, support and operational) affect the operation and innovation of social enterprises in Kenya's health sector.
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Jaafaripooyan, Ebrahim. "Contextual approach to the performance analysis of Iran's national accreditation programme for healthcare organisations." Thesis, University of Southampton, 2011. https://eprints.soton.ac.uk/210549/.
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The importance of focusing on performance measurement systems (PMSs) in the public sector has increased following the introduction of new public management (NPM) initiatives, which placed a greater emphasis on organisational accountability and performance measurement. PMSs have always been a key player in ensuring accountability and improvement in the practices of public sector (e.g. healthcare) organisations. Critical features of the health sector have particularly warranted the application of various internal or external PMSs in this area as well as the regular assessment of their own performance. This is crucial in terms of both maintaining their alignment with the initially determined objectives and improving their merits and capabilities to continuously detect the deficiencies and malpractices in healthcare organisations (HCOs). Iran’s national accreditation programme for healthcare organizations (NAPH) has served as the sole element of macro control and regulation in the country’s health sector at national level. It has been set up to reflect, operationalise and guarantee the intentions of the government for promoting quality and safety in the local HCOs, mainly hospitals, across the country. Despite the NAPH’s importance and vital position in the country’s health system and its long-time implementation, the contextual effects of this evaluator mechanism on the individual hospitals have not been empirically researched in current organizational context; i.e. there is a lack of empirical evidence in the literature on how this macro PMS impacts in practice on the hospitals at local level. Accordingly, this study aims to render a contextual evaluation of the performance of this evaluatory system. A middle-range thinking (MRT) research approach has informed the study. Drawing on this approach, Broadbent and Laughlin’s theoretical framework was adopted to both guide the empirical work and help with the analysis and interpretation of the empirical data. The findings of the study showed that it was mainly the financial benefits rather than the quality improvement merits of the current hospital accreditation and evaluation programme that were apparently the main rationale behind the conformity of the hospitals. Both dysfunctional and beneficial consequences were associated with the NAPH by the hospitals’ members. In addition, the hospitals showed different reactions including rejection and gaming as well as absorption to achieve the beneficial gains of the programme. However, they also adopted some requirements of the NAPH exclusively in view of its perceived merits and some other contextual factors. Changes in the hospitals as a result of the programme occurred mostly in the early years following its introduction or modification. This study further provides both theoretical and practical research implications for policy and practice for the improvement of this evaluation mechanism
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Geue, Claudia. "Population ageing in Scotland - implications for healthcare expenditure." Thesis, University of Glasgow, 2012. http://theses.gla.ac.uk/3370/.
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POPULATION AGEING IN SCOTLAND - IMPLICATIONS FOR HEALTHCARE EXPENDITURE Population ageing is a major concern for developed countries in terms of public expenditure required to pay for health care (HC). The broad aim of this thesis is to contribute to and expand the debate on the independent effects that population ageing and the time immediately before death (TTD) have on HC expenditure in Scotland. This study analyses, for the first time in Scotland, how HC expenditure projections are influenced through the application of two approaches; the first only accounting for an increasing proportion of the elderly population, and the second also implementing a TTD component. Several issues that are under-researched or have not been addressed in TTD studies previously, are explored and alternative approaches are presented. Utilising two large linked datasets this thesis addresses important methodological issues. Alternative methods to cost inpatient hospital stays are examined as this has pivotal implications for any analysis undertaken to estimate the independent effect of TTD and age on HC expenditure. Explanatory variables that have previously not been considered, such as health risk and health status measures at baseline, are included in these analyses. The issue of sample selection, arising through the inclusion/exclusion of survivors in a TTD study is investigated and the impact of individuals’ socio-economic status on costs is examined. The analysis of alternative costing methods clearly showed that any inference that can be made from econometric modelling of costs, where the marginal effect of explanatory variables is assessed, is substantially influenced by the chosen costing method. The application of a Healthcare Resource Group (HRG) costing method was recommended. This study found that TTD, age and the interactions between these two factors were significant predictors for HC expenditure. The analysis further identified some of the health status and health risk measures to be important predictors of future HC expenditure. An examination of how sample selection impacts on estimated costs at the end of life showed that if survivors were excluded from the analysis, costs might be overestimated. Drawing on a representative sample of the Scottish population, the investigation of the association that the socio-economic status had with HC costs suggested that less is spent on individuals from more deprived areas. This might partly be explained through the decreased probability of accessing hospital services for individuals from more deprived areas. Furthermore, results showed that projected HC expenditure for acute inpatient care for the year 2028 was overestimated by ~7% when an approach that only accounts for the higher proportion of elderly people in a population in the future is being used as compared to an approach that also accounts for the effect that remaining TTD has on costs.
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Chen, Yan, and 陈龑. "Health care financing in China : what lessons China can learn from other countries on healthcare reform?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193770.
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Background
China never stops taking effort to reform its health care system. Health care financing, which is one of the essential control knobs to health care system, has significant influences on the sustainability of the health system, the quality of services it delivers, the health status of the population as well as the success of the whole health care reform process.
Objectives
This article aims to summarize the evolution of China’s health care financing system, its current situation and challenges, discuss what lessons China can learn from the successful experiences or unsuccessful pitfalls of others countries on its health care financing reform.
Methods
Articles were searched through PubMed and CNKI. Further relevant articles were identified by searching the citations listed in retrieved articles manually. 96 articles were reviewed. Statistics about China’s health care system were mainly from government white paper, SHA technical paper, Chinese government websites and WHO website. The information about the performance of health care systems in other countries was mainly from OECD database and WHO website.
Results
In China, insufficient government expenditure and high out-of-pocket payments; social health insurance providing limited risk protection, with low-level risk pooling; escalation of costs; inefficient financing resources allocation in providers; disparities among regions and provinces all lead to the inequity and inefficiency of the health care financing system and create heavy financial burden on patients. Based on experiences from other countries, the total health expenditure in China could take an even larger proportion of GDP in the future; it is reasonable to increase general government expenditure to further reduce the household out-of-pocket payment and provide financial protection and ensure equity; expanding services coverage and proportion of the costs covered, gradually merging the risk-pool units and different schemes can make social health insurance a more powerful tool to make sure people’s access to basic health care; a new payment mechanism and stricter supervision on supply side can effectively contain the escalation of the costs; government should inject more funding to front-line institutions and the function of primary care in China can be stimulated by a good primary health care delivery system, in which the role of primary care provider is clearly defined as the gatekeeper of the health care system, with a proper referral mechanism; more responsibility should be taken by central government to allocate financing resources based on the fiscal capability of local governments; Chinese government should foresee the demand of aging population and take actions before it is too late.
Conclusion
It is consensus that China’s health care reform is heading at the right direction. However, there are a lot of problems in China health care financing system remaining to be solved. Health care financing system varies greatly in each country and there is no perfect health care financing system in the world. Thus no single country can be one hundred percent copied by China. But general principles and one or some most successful and advanced portions of other countries’ health care financing systems can still be used as references by China after further assessment. Unsuccessful oversea experiences are also precious lessons for preventing Chinese government from making same mistakes. A good health care financing system should be designed on the basis of a systematic review of all domestic financing policy and previous international experiences.published_or_final_version
Public Health
Master
Master of Public Health
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Pelletier, Justin M. "Effects of Data Breaches on Sector-Wide Systematic Risk in Financial, Technology, Healthcare and Services Sectors." Thesis, Capella University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10615009.
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This research informs an ongoing debate regarding a firm’s incentives to invest in information security. Previous research reported that data breaches have had a decreasing impact on a company’s stock price over time, leading researchers to conclude that market-based incentives are decreasingly effective. Some information security economists also suggested that further regulation is necessary because they found that capital market participants poorly accounted for the spillover effects of a breach—the effects of a breach that are external to the breached company. However, some studies indicate that sector-wide systematic risk could measure spillover effects and that the effects of a data breach on systematic risk may have changed over time. The purpose of this study was to quantitatively describe the relationship between the data breach of a firm and changes to the systematic risk of that firm’s sector. This dissertation used event studies of sector-wide systematic risk within American stock markets to measure the external effects of breaches that occurred in companies within the financial, technology, healthcare and services sectors. The use of a repeated measures analysis of variance between those event studies allowed examination of longitudinal changes to sector-wide systematic risk between 2006 through 2016. This analysis found that the breach of an individual company had a significant impact on the systematic risk for that company’s entire sector (1.08% in 2016) and that these impacts have increased over time (p = 0.015). The results were consistent across all measured sectors, without any significant correlation attributable to the scope of the breach. Together, these findings suggest that market forces are increasingly incentivizing sector-wide investment in information security. Further research should consider the potential for government enforced meta-regulation of sector defined information security standards.
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Lech, Patricia Griffith. "The Increase in Disabled Workers and Healthcare Provider Incentives." Fogler Library, University of Maine, 2009. http://www.library.umaine.edu/theses/pdf/LechPG2009.pdf.
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Medel, Anthony N. "Accounts Receivable Management Strategies to Ensure Timely Payments in Rural Clinics." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6798.
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Healthcare business leaders in a rural clinic setting can enhance profitability by implementing strategies to ensure timely payments. The purpose of this multiple case study was to examine strategies applied by healthcare leaders in rural clinics to improve profitability. The population included 10 rural clinic managers and billing staff from 5 rural clinics in the southwestern region of the United States. The conceptual framework for this study was Wernerfelt's resource-based value theory. Implementing Yin's multiple-step data analysis process, data from semistructured interviews were transcribed, coded, and analyzed to identify strategies used by rural clinic managers and billing staff to enhance profitability. Four primary themes emerged regarding revenue cycle management that could increase profitability, including developing effective communication between medical providers and billing staff, implementing payment plan strategies, ensuring accuracy of billing claims, and consistently reviewing open receivable accounts. The implications of this study for positive social change include insights for clinic managers in the development of strategies to increase cash from accounts receivables, which may contribute to the financial stability of the clinic and improve the provision of healthcare for citizens of the southwestern region of the United States.
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Yeung, Yee-hung Stella, and 潘怡紅. "Sustainable healthcare delivery in Hong Kong: organizational initiatives and strategic financing." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B3196669X.
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Schöner, Manuela Maria [Verfasser]. "Essays on Economic Questions in the Healthcare and Energy Sector / Manuela Maria Schöner ; Frankfurt School of Finance & Management gGmbH." Frankfurt am Main : Frankfurt School of Finance & Management gGmbH, 2019. http://d-nb.info/1196655987/34.
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Kuglerová, Kateřina. "Analýza financování zdravotnictví v Pardubickém kraji." Master's thesis, Vysoká škola ekonomická v Praze, 2012. http://www.nusl.cz/ntk/nusl-149829.
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At present, the promotion of health in significant changes. In my work I try to find out how the financing of health care facilities, respectively. hospitals in the Czech Republic, especially in the Pardubice region. The work shows how to manage individual county hospital and the problems they face. To fulfill its objective, it is used the most recent literature, legislation and financial statements hospitals. The main contribution of this work is a complete analysis of five acute care hospitals in the Region, as yet arisen document, which would thus comprehensively evaluate the economic situation of hospital care in this region. Based on the findings is then in the final part of the thesis evaluates the real state management of five acute care hospitals. Outlines the major problems in hospitals and nejich possible solution.
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Gambrel, Michael Steven. "Diabetic Caregiver Finance Education and Resulting Stress: A Quantitative Correlational Study." Franklin University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=frank1626087352819533.
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Byington, Randy Lee. "Healthcare Strategic Management: The Impact of State and Federal Funding Levels on the Implementation of Strategic Plans at Tennessee Hospitals." [Johnson City, Tenn. : East Tennessee State University], 2003. http://etd-submit.etsu.edu/etd/theses/available/etd-0819103-152940/unrestricted/ByingtonR090203f.pdf.
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Thesis (Ed. D.)--East Tennessee State University, 2003.Title from electronic submission form. ETSU ETD database URN: etd-0819103-152940. Includes bibliographical references. Also available via Internet at the UMI web site.
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Andrulienė, Danutė. "Kardiologinės pagalbos valdymas Šiaulių apskrityje." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2008. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2008~D_20080929_100101-06005.
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Magistro darbe yra analizuojamas sergamumas širdies ir kraujagyslių ligomis, ligonių, sergančių nestabilia krūtinės angina ir ūmiu miokardo infarktu, srautai į Šiaulių apskrities gydymo įstaigas, įvertintos Šiaulių teritorinės ligonių kasos lėšos, skirtos šių įstaigų stacionarinių ir ambulatorinių kardiologinių paslaugų apmokėjimui, numatytas lėšų poreikis 2010 m. Išsamiai pateikti finansinio sveikatos priežiūros strateginio valdymao principai, Lietuvos nacionalinė sveikatos politika širdies ir kraujagyslių ligų atžvilgiu bei širdies ir kraujagyslių sistemos ligų paplitimo ir jų pasekmių mažinimo strateginės nuostatos Šiaulių apskrityje.
Kardiologinės pagalbos situacija Šiaulių apskrityje apibūdinama teiginiais: Šiaulių apskrities ligoninėse stacionarinis sergamumas nestabilia krūtinės angina ir ūmiu miokardo infarktu bei ligonių srautai į šias ligonines turi tendenciją didėti; intervencinės kardiologinės pagalbos apimtis Šiaulių apskrities ligoninėje didėja ir turi poreikį didėti; visose Šiaulių apskrities ligoninėse lėšos, skirtos vienam NKA ir ŪMI atvejui gydyti, didėjo, tačiau neproporcingai atskiroms ligoninėms.
Kardiologinę pagalbą Šiaulių apskrityje galima tobulinti šiomis priemonėmis: Šiaulių apskrities gydytojo tarnyba turi parengti apskrities sveikatos programą su prioritetine širdies ir kraujagyslių ligų sritimi, kurioje būtų numatyti veiksmai ir priemonės sergamumo ir mirtingumo mažinimui, kardiologinės pagalbos struktūros ir organizavimo tobulinimui; didesnį... [toliau žr. visą tekstą]In the present work different characteristics of patients with instable ischemic hearth disease and acute myocardial infarction in Hospitals of Siauliai County are analyzed. Additionally, the financial resources expenses for inpatient and outpatient and the predicted asset allocation (up to year 2010) for healthcare services devoted for cardiovascular patient are calculated. In addition, the present work deals with principles of financial healthcare management, the national Lithuanian healthcare politics and strategic directions for cardiovascular disease epidemiology and consequences in Šiauliai County. Not only the number of patients with cardiovascular complaints associated to ischemic hearth disease but also necessity for interventional cardiology procedures exhibits a clear tendency to increase. Consecutively, the money spend on a single case of acute ischemic hearth disease per patient has also increased. However, there were differences of expenses per patient among single hospitals within the County. Here presented data points to several opportunities for optimization of the treatment of cardiovascular patients in Šiauliai County. First, the committee of physicians of Šiauliai County should prepare a healthcare program that treats the cardiology aid as a first priority field and defines specific actions to reduce the morbidity and mortality of cardiovascular disease. In addition, the structure and organization of cardiology aid should be improved by redirecting most... [to full text]
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Handlon, Lauree E. "The Relationship of the Financial Condition of a Healthcare Organization and the Error Rate of Potentially Missed Coding/Billing of Select Outpatient Services." The Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=osu1204650548.
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Leger, John Michael, and Janne Dunham Taylor. "Financial Management for Nurse Managers: Merging the Heart with the Dollar." Digital Commons @ East Tennessee State University, 2017. https://www.amzn.com/1284127257.
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Financial Management for Nurse Managers: Merging the Heart with the Dollar, Fourth Edition is a unique text that addresses the financial management issues faced by nurse leaders in a variety of settings, including hospitals, ambulatory/outpatient clinics, long-term care facilities, and home care. With an evidence-based and practical approach, it covers a wide-range of financial information, including healthcare finance, economics, budgeting, reimbursements, accounting, and financial strategies. Completely updated and revised, the Fourth Edition features a new, streamlined structure that concentrates on core financial management topics while condensing supplemental material. As a result, the text is organized into three parts: * Healthcare, the Economy, and Value-Based Purchasing * Budget Principles * Financial Strategies and Accounting Issues The Fourth Edition also focuses on bringing financial concepts to life for students with real-life applications in nursing practice. For instructors, it offers invaluable resources, such as staffing and budgeting practice activities.Completely updated and revised, the Fourth Edition features a new, streamlined structure that concentrates on core financial management topics while condensing supplemental material. As a result, the text is organized into three parts: Healthcare, the Economy, and Value-Based Purchasing Budget Principles Financial Strategies and Accounting Issues
The Fourth Edition also focuses on bringing financial concepts to life for students with real-life applications in nursing practice. For instructors, it offers invaluable resources, such as staffing and budgeting practice activities. Applicable Courses
Nursing: Financial Management, Finance, Budgeting, and Financehttps://dc.etsu.edu/etsu_books/1139/thumbnail.jpg
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RICCI, ALBERTO. "Collaborazioni pubblico-privato in sanità: classificazione, misurazione della performance, impatti ad ampio raggio." Doctoral thesis, Università Cattolica del Sacro Cuore, 2016. http://hdl.handle.net/10280/10587.
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In un periodo di risorse pubbliche scarse e bisogni collettivi complessi, le collaborazioni (o partenariati) pubblico-privato (PPP) rappresentano un’opzione preziosa per i decisori pubblici e una fonte di crescente interesse per gli studiosi. In tali collaborazioni, il privato viene coinvolto in scelte che, spesso, hanno un notevole impatto sugli interessi pubblici. Tuttavia, i fini istituzionali dei partner continueranno ad essere diversi e dunque a generare delle tensioni. In questo contesto, la ricerca di efficaci forme di accountability (rendicontazione in senso ampio, trasparenza) riveste grande importanza. I tre articoli della tesi dottorale si concentrano sulle PPP in ambito sanitario e socio-sanitario; si ricollegano al tema della valutazione, anche preventiva, delle PPP come strumento per rispondere adeguatamente ai bisogni pubblici.
Il primo articolo rifinisce e allarga le attuali classificazioni delle possibili forme di governance delle PPP. Sul piano teorico, il lavoro mostra un’associazione tra alcune classiche determinanti dell’esternalizzazione dei servizi pubblici (misurabilità e contendibilità) e tratti come la forma giuridica, la natura dei partner, gli obiettivi strategici. Il secondo articolo approfondisce le caratteristiche contingenti dei PPP che possono orientare l’elaborazione di efficaci sistemi di performance measurement. Come contributo teorico, il lavoro presenta un modello per regolare il grado di disclosure economica della collaborazione nei confronti del pubblico e i trade off tra fattibilità e ricchezza della misurazione. Il terzo articolo approfondisce l’impatto delle PPP per il rinnovamento infrastrutturale e la gestione di servizi di supporto in ambito ospedaliero, focalizzandosi su alcuni aspetti non finanziari di valutazione: la coerenza delle caratteristiche quali-quantitative dell’infrastruttura con i desiderata aziendali (alla consegna e nel tempo); la flessibilità di adeguamento a potenziali cambiamenti nei bisogni epidemiologici; il contributo alla riduzione della complessità del cambiamento interno (organizzativo) ed esterno (stakeholder management). Sul piano teorico, l’articolo identifica le PPP come mezzo per conservare autonomia strategica a livello meso (regione) e micro (azienda), anche se gli impatti globali sono molto influenzati dalle economie di esperienza.In times of resource scarcity and swift change in collective needs, public authorities are making increasing use of public - private partnerships (PPPs) to reshape day-by-day delivery of public services or to renovate infrastructure. In PPPs, the private partners become involved in government decision-making and program delivery; however, those partners maintain their own long-term institutional objectives, which naturally diverge from public ones. The three papers of the dissertation relate to the application of the accountability issue to PPPs, with different sub-themes, drawn from Forrer et al. (2010): characteristics and classification of the partnership; performance measurement and management; social and political impacts. The first paper aims to refine the governance taxonomy of PPPs focusing on public service provision. Considering the levels of service contestability and measurability, which were drawn from the literature on public service outsourcing, the study identified four clusters of partnerships. With each of these clusters, I associated some relevant governance features: legal form, institutional aim of the partners, and strategic goal of the PPP. Indeed, higher levels of measurability appear to be associated with contractual (non-organizational) forms of partnerships, whereas higher contestability with corporate forms involving for profit partners. The second paper draws on the consolidated literature on performance management and contingency theory to identify appropriate Key Performance Measures (KPM) for service-focused PPPs. The work provides a model drawing on the integration with the public system to regulate the degree of economic disclosure; while it draws on the degree of specialization to solve the trade-off between measurement feasibility and richness. The third paper focuses on the specific impact of a PPP-DBFO (Design, Build, Finance, Operate) operation on three non-financial issues: building’s compliance to public partner’s desiderata, infrastructure’s flexibility and project’s governance complexity. PPPs appear to help policymakers and managers to maintain the possibility of making strategic choices. If the public partner is experienced enough to cope with a laborious practice, the PPP can help to reach notable social and political achievements; however, costs remain higher compared to the public finance alternative.
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Kerns, Elizabeth E. "A Study on the Efficacy of the Medicare Bundled Payments for Care Improvement Initiative at a Large Community Hospital in the Southeast United States." Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/7044.
Full textAbstract:
In 2013, Medicare launched the Bundled Payments for Care Improvement (BPCI) Initiative which linked payments for multiple services for a complete episode of patient care. With this innovative reimbursement model, hospitals accepted fixed target payments for certain types of clinical diagnoses that were intended to support better care coordination and better outcomes for patients at lower cost to Medicare. This was one of many programs aimed at addressing the serious challenges facing United States healthcare, including costs that are skyrocketing to unsustainable levels and lack of coordination of care across venues.
Preliminary Medicare results showed that bundled payments might lead to lower costs and higher quality of care, however, this idea comes from a relatively small sample size and limited run time of the program. This study examined one large community hospital in the southeast part of the United States participating in the BPCI Initiative. Patient level data was retrospectively analyzed using statistical techniques to determine if financial, operational and clinical outcomes improved as result of the BPCI program compared to similar patient data before the program.
The results were mixed. Financial outcomes did not change significantly, and remained higher than the CMS targets. Length of stay decreased significantly, as anticipated. The 30-day readmissions was statistically unchanged. This study illuminated both challenges and strategies in implementing bundled payments to achieve positive financial, operational, and clinical outcomes.
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Bertoli, Paola <1982>. "Medical Malpractice in Public Healthcare Systems: An Empirical Investigation of Scheduled Damages." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2014. http://amsdottorato.unibo.it/6690/.
Full textAbstract:
In the last decades, medical malpractice has been framed as one of the most critical issues for healthcare providers and health policy, holding a central role on both the policy agenda and public debate. The Law and Economics literature has devoted much attention to medical malpractice and to the investigation of the impact of malpractice reforms. Nonetheless, some reforms have been much less empirically studied as in the case of schedules, and their effects remain highly debated. The present work seeks to contribute to the study of medical malpractice and of schedules of noneconomic damages in a civil law country with a public national health system, using Italy as case study. Besides considering schedules and exploiting a quasi-experimental setting, the novelty of our contribution consists in the inclusion of the performance of the judiciary (measured as courts’ civil backlog) in the empirical analysis. The empirical analysis is twofold. First, it investigates how limiting compensations for pain and suffering through schedules impacts on the malpractice insurance market in terms of presence of private insurers and of premiums applied. Second, it examines whether, and to what extent, healthcare providers react to the implementation of this policy in terms of both levels and composition of the medical treatments offered. Our findings show that the introduction of schedules increases the presence of insurers only in inefficient courts, while it does not produce significant effects on paid premiums. Judicial inefficiency is attractive to insurers for average values of schedules penetration of the market, with an increasing positive impact of inefficiency as the territorial coverage of schedules increases. Moreover, the implementation of schedules tends to reduce the use of defensive practices on the part of clinicians, but the magnitude of this impact is ultimately determined by the actual degree of backlog of the court implementing schedules.
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Oganesyan, Ani. "Les réformes du système de santé en France et leurs impacts." Thesis, Nice, 2016. http://www.theses.fr/2016NICE0005/document.
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La thèse porte sur les aspects théoriques des réformes de santé des pays développés. Elle a pour objectif d'identifier les mécanismes d'optimisation des dépenses de santé en garantissant l'accès et la qualité des services de soins. A travers l'analyse complète des réformes du système de santé en France, elle vise à identifier les mécanismes efficaces de régulation du système de santé et proposer des dispositions originales pour la réforme su système de santé en Russie, en tenant compte des spécificités du paysThe thesis provides an overview of theoretical approaches to health care systems reforming. It is aimed to solve the contradictions in the reduction and optimization of total expenditure on health and the increase in life expectancy and also the quality of life with an comprehensive analysis of main tools of reforming in health care system in France, as welle as to make the proposals using constructive French experience in reforming teh economic ans asministrative mechanisms of teh health care system in Russia
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Pathak, Amit. "Forecasting Models to Predict EQ-5D Model Indicators for Population Health Improvement." Ohio University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1480959312370497.
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Perraudin, Clémence. "Analyse économique et évaluation des pratiques du pharmacien d'officine : Application au dépistage d'une maladie chronique : Le syndrome d'apnées du sommeil." Phd thesis, Université Paris Sud - Paris XI, 2013. http://tel.archives-ouvertes.fr/tel-01003945.
Full textAbstract:
Face aux problématiques d'accès, de désertification médicale et de qualité des soins, la loi " Hôpital, Patients, Santé, Territoires " (HPST), votée en 2009, représente un socle pour la réorganisation des soins primaires en France. L'accent est mis sur la collaboration entre les professionnels de santé et l'optimisation des compétences de chacun. Le pharmacien d'officine se trouve au coeur de cette loi. Grâce à son accessibilité, sa formation et sa proximité avec les patients sains comme malades, il voit l'opportunité d'étendre ses pratiques au-delà de la simple dispensation des médicaments en fournissant directement des soins au patient. Cette proposition n'est pas une exception française mais s'inspire des expériences internationales et du concept de " soins pharmaceutiques ". Le pharmacien écossais peut désormais être payé à la capitation pour délivrer des consultations pharmaceutiques lors du renouvellement d'ordonnance au patient atteint de maladie chronique; le pharmacien anglais peut prescrire des médicaments dans le cadre d'un plan de gestion clinique et recevoir un honoraire de dispensation; le pharmacien suisse peut organiser des réunions de discussion avec les médecins; et le pharmacien portugais peut vacciner son patient au sein de l'officine. Les illustrations de la diversification des pratiques du pharmacien d'officine sont donc variées et se replacent dans leur contexte national. L'enjeu est aujourd'hui de comprendre les conditions et les effets d'un ensemble d'innovations techniques, organisationnelles et sociales qui pourraient être en faveur du développement des soins pharmaceutiques en France. Ce travail de thèse a pour objectif de nourrir les débats autour de cette problématique. Un état des lieux de la profession en France et une enquête d'opinion auprès des futurs pharmaciens montrent que le contexte sanitaire, professionnel, économique est propice au développement des pratiques du pharmacien et que l'avenir des soins pharmaceutiques trouve un écho favorable auprès des pharmaciens de demain. Cependant, nombreux sont les facteurs qui peuvent constituer des obstacles à leur diffusion (Chapitres 1 et 2). D'un point de vue économique, d'après une revue de littérature systématique sur l'efficience des soins pharmaceutiques en Europe, les services de surveillance médicamenteuse, de médication officinale, de collaboration entre les professionnels de santé et de promotion de la santé pourraient être, dans certaines conditions, des interventions coût-efficaces d'un point de vue collectif (Chapitre 3). Mais qu'en est-il en France ? On ne dispose pas de travaux sur le sujet. Deux travaux originaux - une étude de cohorte (exposés/non exposés) et une analyse coût-efficacité -, que nous avons menés, se focalisant sur l'implication du pharmacien d'officine dans le dépistage d'une maladie chronique (le syndrome d'apnées du sommeil) montrent que les coûts engendrés par la mise en place d'une telle intervention sont sous certaines conditions compensés par les gains générés, et les résultats sont en faveur de l'implantation du service en pratique de routine (Chapitre 4).
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Cavalcante, Aguilar Paulo Armando. "Réseaux Évidentiels pour la fusion de données multimodales hétérogènes : application à la détection de chutes." Phd thesis, Institut National des Télécommunications, 2012. http://tel.archives-ouvertes.fr/tel-00789773.
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Ces travaux de recherche se sont déroulés dans le cadre du développement d'une application de télévigilance médicale ayant pour but de détecter des situations de détresse à travers l'utilisation de plusieurs types de capteurs. La fusion multi-capteurs peut fournir des informations plus précises et fiables par rapport aux informations provenant de chaque capteur prises séparément. Par ailleurs les données issues de ces capteurs hétérogènes possèdent différents degrés d'imperfection et de confiance. Parmi les techniques de fusion multi-capteurs, les méthodes crédibilistes fondées sur la théorie de Dempster-Shafer sont actuellement considérées comme les plus adaptées à la représentation et au traitement des informations imparfaites, de ce fait permettant une modélisation plus réaliste du problème. En nous appuyant sur une représentation graphique de la théorie de Dempster-Shafer appelée Réseaux Évidentiels, nous proposons une structure de fusion de données hétérogènes issues de plusieurs capteurs pour la détection de chutes afin de maximiser les performances de détection chutes et ainsi de rendre le système plus fiable. La non-stationnarité des signaux recueillis sur les capteurs du système considéré peut conduire à une dégradation des conditions expérimentales, pouvant rendre les Réseaux Évidentiels incohérents dans leurs décisions. Afin de compenser les effets résultant de la non-stationnarité des signaux provenant des capteurs, les Réseaux Évidentiels sont rendus évolutifs dans le temps, ce qui nous a conduit à introduire les Réseaux Evidentiels Dynamiques dans nos traitements et à les évaluer sur des scénarios de chute simulés correspondant à des cas d'usage variés
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Benjamin, Laure. "Rôle de la tarification de l'activité des établissements de santé dans l'accès des patients aux traitements anticancéreux oraux : exemple du cancer du sein métastatique HER2+." Phd thesis, Université René Descartes - Paris V, 2012. http://tel.archives-ouvertes.fr/tel-00790326.
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Depuis le début des années 2000, les traitements anticancéreux oraux (TAO) sont en développement croissant, notamment dans le cancer du sein. Ils permettent aux patients la prise de comprimés par voie orale à domicile améliorant la qualité de vie. On estime que 10 à 34% des tumeurs du sein sur-expriment la protéine HER2 (HER2+) qui augmente le risque de métastases. Deux thérapies ciblées anti-HER2 sont actuellement disponibles : le trastuzumab, anticorps monoclonal administré par voie intraveineuse et le lapatinib, inhibiteur de tyrosine kinase administré par voie orale. D'après les recommandations de l'Agence Nationale d'Accréditation et d'Evaluation en Santé (ANAES, 2003), les TAO devraient être privilégiées par rapport aux formes intraveineuses prises à l'hôpital lorsque leur efficacité est équivalente. Dans la pratique courante des oncologues, les TAO semblent néanmoins sous-utilisées dans certains cas. En plus des freins médicaux connus (adhésion thérapeutique, gestion des effets indésirables), les TAO induisent une consommation de ressources hopitalières supplémentaires qui n'est pas valorisée dans le modèle de tarification à l'activité (T2A) des établissements hospitaliers, lequel repose sur la nature et la quantité d'activité médicale réalisée. Nous supposons que le modèle de T2A représente un frein économique à l'utilisation des TAO entrainant une disparité d'accès entre les traitements anticancéreux oraux et intraveineux. L'objectif de ce travail de thèse était donc de déterminer le rôle de la T2A dans l'accès des patients aux TAO au moyen d'une évaluation médico- économique de l'impact économique et organisationnel des TAO sur le système de soins. Une revue de littérature a permis de mettre en évidence le rôle du mode de financement des soins sur l'accès aux TAO en France et aux Etats-Unis. L'analyse des bases de données nationales hospitalières du Programme Médicalisé des Systèmes d'Information (PMSI) a permis de quantifier l'enjeu économique de la chimiothérapie pour les établissements de soins et qui représente la deuxième activité des hôpitaux en volume après l'hémodialyse. Le bénéfice lié aux séances de chimiothérapie a ainsi été estimé à 108 millions d'Euros en 2010 pour l'ensemble des établissements publics et privés en France. L'analyse a également permis de simuler le transfert d'allocation de ressources de l'hôpital vers les soins de ville induit par la substitution des séances de chimiothérapie par l'utilisation des TAO. Un modèle comparant le coût du traitement intraveineux (trastuzumab) aux TAO (lapatinib et capécitabine) dans le cancer du sein métastatique HER2+ a confirmé des coûts moindres pour les TAO (17 165€ versus 36 077€ par an et par patient) liés à une économie sur les transports médicalisés mais surtout sur les consommations hospitalières et ce, malgré un coût d'acquisition plus élevé des TAO. Malgré cet impact budgétaire négatif pour les hôpitaux, une étude de préférences (Méthode des Choix Discrets) conduite auprès d'un échantillon de 203 médecins hospitaliers et libéraux a montré que l'efficacité d'un traitement anticancéreux restait le déterminant principal de la décision thérapeutique (β=2,214, p<0,0001). L'étude a toutefois révélé que, aux stades avancés du cancer, la voie d'administration et son coût étaient également associés au choix du traitement (β=0,612, p=0,035 ;β=0,506, p<0,0001). Les résultats montrent donc que le modèle de financement de l'activité hospitalière influence le choix des modalités de traitement même si les critères d'ordre médicaux et environnementaux du patient demeurent des déterminants essentiels dans le choix du recours aux TAO (profil clinique du patient, adhésion thérapeutique, préférences du patient, environnement familial et socio-économique, conditions d'accès à l'offre de soins)
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Freire, Andreia Tavares. "Operational Risk Management in Post-Acquisition Integration Process: Finance Integration: A Healthcare Company Case Study." Master's thesis, 2020. http://hdl.handle.net/10362/109739.
Full textAbstract:
Dissertation presented as the partial requirement for obtaining a Master's degree in Statistics and Information Management, specialization in Risk Analysis and ManagementInvestment and disinvestment operations are gaining importance in a high economic restructuring era. Post-acquisition integration, according to some authors, is one of the critical phases of every strategic acquisition and determines the outcome of the whole acquisition. Researchers have found out that as much as one half to two-thirds of mergers and acquisitions are economically unsuccessful. Main contributing factors are attributed to late and inadequate execution of the post-acquisition. Although much has been written regarding the critical factors to successful integration after a merger or acquisition, very little research has focused on the associated risk management and its mitigation. To fill this shortage, the objective of the present dissertation is to identify and study the problems at procedure level in a post-acquisition process, thus contributing to operational risks and provide a systematised information support to assist organisations in making decisions regarding operational risk management in post-acquisition financial integration processes. The research methodology used is based on the literature review and the conduct of a case study focused on an acquisition carried by a multinational healthcare company. In the case study, interviews were carried out with professionals from the company directly involved in the finance integration of the acquired company. Based on the results of the interviews and articulating them with the theoretical assumptions presented in the literature review, a matrix of operational risk management in finance integration process was then constructed, which identifies the main risk factors and the risks associated, controls, mitigation measures and impacts associated with each factor.
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Woleli, Melkie Assefa. "The delivery of comprehensive healthcare services by private health sector in Amhara region, Ethiopia." Thesis, 2019. http://hdl.handle.net/10500/27835.
Full textAbstract:
The purpose of this study was to investigate the health service delivery by private health
sector and develop guidelines to enhance provision of health service so as to increase
their contribution in the country’s health system. Interviews with 1112 participants were
conducted in phase I. Descriptive statistics, chi square tests and logistic regression
analysis were used for analysis.
Private health facilities (30.5%) were providing healthcare services in their own buildings
that were constructed for that purpose while others work in a rented houses built for
residence or others. Some facilities (11.7%) received loan services from financial
institutions in the region. A significant association was found between obtaining loan and
owning building for healthcare services delivery (x2=13.99, p<0.001).
Private health facilities were mainly engaged in profit driven and curative services while
their participation in the promotive and preventive services like FP, ANC HIV test, TB and
malaria prevention and control was not minimal. Majority, 247 (96.5%) provide services
for extended hours out of normal working time such as evening, weekends and holidays.
Physicians, more than other professionals were found practicing part time work (dual
practice).
Service consumers of the private health sector were urban dwellers 417 (71.6%) and 165
(28.4%) rural residents. Nearly three-fourth (73.0%) of study participants had a history of
multiple visits to both public and private health facilities for current medical condition.
Median payment of patients in a single visit including diagnosis and medicine was 860
birr ($30.85) (IQR = 993 ($35.62). Only 2.1% have paid through insurance services while
others through out of pocket payments. Price of services delivered in private health
facilities were set mainly by owners’ will (91.4%) while others with established team.
Satisfaction on the fairness of prices to services obtained from each facility were reported
by 63.1% service consumers. Those patients without any companion (AOR=1.83, 95%
CI=1.16-2.91) and no history of visit to other facilities (AOR=1.97, 95% CI=1.24-3.12)
were more likely to be satisfied than those coming with companions and those with history
of visit. In addition, as age of consumers increase, satisfaction to services prices tend to
decline (AOR=0.97, 95% CI=0.96-0.99).
Uncomplimentary regulatory system to private health facilities, lack of training and
continuing education for health professionals, unavailability of enough health workforce
in the market and shortage of supplies to private facilities were among main gaps
disclosed. Based on findings, five guidelines were developed to enhance health services
delivery in the private health sector, namely, increase facilitation for financial access to
actors in the sector, increase facilitation to access regular updating trainings and
continuing education for healthcare workers, enhance and scale up the capability of
existing association in the private health sector, strengthen and support working for
extended hours to promote user friendly services and accessibility of healthcare services
for the poor through community based health insurance and exemption. Therefore, these
recommendations to help enhance the private health sector for better performance and
contribution.Health Studies
D.Lit.Phil (Health Studies
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Kreuzer, Martin. "Equity valuation of Gerresheimer AG." Master's thesis, 2019. http://hdl.handle.net/10400.14/29314.
Full textAbstract:
This master thesis performs an equity valuation of Gerresheimer AG, a global manufacturer for the pharma and healthcare industry, and determines its ordinary share price as of 30.11.2018. The state-of-the-art valuation approaches are presented and the industry- and macroeconomic environment of Gerresheimer is analyzed. Afterwards, the equity value of Gerresheimer is determined using the sum of the parts DCF approach, combined with a relative valuation consisting of trading multiples. The Advanced Technologies division of Gerresheimer is valued based on the fair market value of the purchase price. The author issued a buy recommendation with a target price of 78€ as of Nov 30, 2018, with an upside potential of 24% compared to a share price of 63€ as of Nov 30, 2019. The results are subject to a sensitivity analysis, consisting of different scenarios and variations of Gerresheimer´s expected operating performance, completed with a Monte Carlo analysis. Finally, the methodologies and results are compared to the equity report provided by Credit Suisse, a leading multinational investment bank.A problemática da presente Tese de Mestrado consiste na avaliação do capital próprio da empresa Gerresheimer AG que, sendo um produtor a nível global, atua nas indústrias Farmacêutica e de Saúde. O preço das ações ordinárias da referida empresa é infra determinado à data de 30.11.2018. Distintas metodologias de avaliação são apresentadas, bem como uma análise da indústria e do ambiente macroeconómico em que se insere a Gerresheimer. Seguidamente, o valor do capital próprio da empresa é calculado através da combinação de duas abordagens: DCF (soma das partes) e avaliação relativa recorrendo a múltiplos de transação. O valor da divisão de Tecnologias Avançadas da Gerresheimer é determinado com base no justo valor de mercado do preço de aquisição. O autor apresenta uma recomendação de compra a um preço-alvo de 78€ à data de 30.11.2018, com um potencial de retorno de 24% comparativamente com o preço por ação de 63€ a 30 de novembro de 2018. Os resultados obtidos foram sujeitos a uma análise de sensibilidade relativa a diferentes cenários expectáveis da performance operacional da Gerresheimer, análise essa que é complementada com uma análise Monte Carlo. Finalmente, as metodologias e resultados são comparados ao relatório de capital próprio da Gerresheimer AG emitido pela Credit Suisse, um banco de investimentos líder multinacional.