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Journal articles on the topic 'Hospital purchasing management'
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1
Burns, Lawton R., and J. Andrew Lee. "Hospital purchasing alliances." Health Care Management Review 33, no. 3 (July 2008): 203–15. http://dx.doi.org/10.1097/01.hmr.0000324906.04025.33.
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Spaulding, Aaron, Nick Edwardson, and Mei Zhao. "Hospital Value-Based Purchasing Performance." Journal of Healthcare Management 63, no. 1 (2018): 31–48. http://dx.doi.org/10.1097/jhm-d-16-00015.
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Haley, D. Rob, Hanadi Hamadi, Mei Zhao, Jing Xu, and Yi Wang. "Hospital Value-Based Purchasing." Health Care Manager 36, no. 4 (2017): 312–19. http://dx.doi.org/10.1097/hcm.0000000000000183.
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Blumenthal, Daniel, and Anupam B. Jena. "Hospital value-based purchasing." Journal of Hospital Medicine 8, no. 5 (April 16, 2013): 271–77. http://dx.doi.org/10.1002/jhm.2045.
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Burns, Lawton R., and Allison D. Briggs. "Hospital purchasing alliances: Ten years after." Health Care Management Review 45, no. 3 (August 6, 2018): 186–95. http://dx.doi.org/10.1097/hmr.0000000000000215.
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Kumar, Sameer, Rebecca A. DeGroot, and Daewon Choe. "Rx for smart hospital purchasing decisions." International Journal of Physical Distribution & Logistics Management 38, no. 8 (September 5, 2008): 601–15. http://dx.doi.org/10.1108/09600030810915134.
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Spaulding, Aaron, Mei Zhao, D. Rob Haley, Xinliang Liu, Jing Xu, and Nicole Homier. "Resource Dependency and Hospital Performance in Hospital Value-Based Purchasing." Health Care Manager 37, no. 4 (2018): 299–310. http://dx.doi.org/10.1097/hcm.0000000000000239.
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Zhao, Mei, D. Rob Haley, Aaron Spaulding, and Holly A. Balogh. "Value-Based Purchasing, Efficiency, and Hospital Performance." Health Care Manager 34, no. 1 (2015): 4–13. http://dx.doi.org/10.1097/hcm.0000000000000048.
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Jang,Ik-Sun and 나정미. "A Study of Recognition of Purchasing Ethics in the Hospital Management." Management & Information Systems Review ll, no. 21 (June 2007): 115–30. http://dx.doi.org/10.29214/damis.2007..21.006.
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Rangnekar, Anooja, Tricia Johnson, Andrew Garman, and Patricia O’Neil. "The Relationship Between Hospital Value-Based Purchasing Program Scores and Hospital Bond Ratings." Journal of Healthcare Management 60, no. 3 (May 2015): 220–31. http://dx.doi.org/10.1097/00115514-201505000-00011.
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Gnanlet, Adelina, and Hyun-cheol Paul Choi. "Impact of non-homogenous distributor's preferred allocation on shortages in hospitals." Management Decision 52, no. 3 (May 13, 2014): 624–41. http://dx.doi.org/10.1108/md-04-2013-0224.
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Purpose – Hospitals procure high volumes of medical supplies through large distributors in order to leverage economies of scale. However, when shortages hit, hospitals incur high penalty costs by purchasing from secondary markets. In this paper, the authors counter the hospital's typical purchasing strategy that a collaborative relationship with a large, Tier I medical supply distributor is beneficial under all conditions. The paper finds that during shortages the more beneficial strategy is for the hospital to add a medium-sized, Tier II distributor who offers a transactional relationship and is willing to provide a “preferred allocation” in return for a pre-committed annual purchase contract. The paper aims to discuss these issues. Design/methodology/approach – The authors assume availability of order volume to be a stochastic process and formulate the problem as a two-stage stochastic programming model, with optimal allocation in the second stage. The authors analyze the first-stage objective function using full-factorial numerical experimentation and perform a complete search for optimal volume mix. In addition, the model accounts for purchasing relationship, shortage cost, and varying price discount schedules. Findings – Under no shortage situation, hospitals purchase its entire order volume from Tier I distributor. However, during shortages, for any increase in preferred allocation from the Tier II distributor, hospitals purchase high volumes from the Tier II distributor except when preferred allocation and availability is high. The paper finds that the average cost savings for the use of preferred allocation is 16.14 percent. Originality/value – Existing purchasing literature focusses on the benefit of using single/multiple homogenous distributors under all conditions. In this paper, the authors examine the benefit of using non-homogenous distributors under conditions of shortage when one of them is willing to provide preferred allocation under varying price discount schedules.
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Gelderman, Cees Johannes, Jelle De Jonge, Jos Schijns, and Janjaap Semeijn. "INVESTIGATING COOPERATIVE PURCHASING PERFORMANCE - A SURVEY OF PURCHASING PROFESSIONALS IN DUTCH HOSPITALS." Central European Review of Economics and Management 2, no. 1 (March 15, 2018): 133. http://dx.doi.org/10.29015/cerem.568.
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Aim: Cooperative purchasing is considered a promising area for lowering the cost in the health care sector, although recent initiatives show mixed results. The purpose of this study is to find a thorough explanation for the performance of cooperative purchasing in healthcare by investigating the role of trust, commitment, organizational factors (i.e. group formality, and IT system effectiveness) and interpersonal skills (i.e. teamwork skills, and communication).Design/research method: A conceptual model for the performance of cooperative purchasing was developed. This model was empirically validated using a survey of 88 Dutch hospital purchasing professionals.Conclusions/findings: Analysis shows a significant impact of trust and commitment in cooperative purchasing groups on performance. Group formality and teamwork skills appear to be essential for achieving trust and cooperative purchasing performance. We also found a positive impact of IT system effectiveness on commitment, not on trust. Positive feelings about the group and positive expectation about the continuity of the group can be stimulated through effective IT systems. Since proper IT support is often neglected in many healthcare organizations, management efforts to improve IT systems could truly facilitate the tactical purchasing process of cooperative purchasing in hospitals.Originality/value of the article: Many cooperative purchasing initiatives suffer from conflicts over the allocation of savings, time, and costs. Despite the growing importance of cooperative purchasing, few empirical studies have explored the effects on hospital performance. Our study extends previous research by investigating the relationships between trust, commitment, and the performance of cooperative purchasing (1) and the impact of organizational factors and interpersonal skills on trust and commitment in purchasing groups within a healthcare context (2).
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Rice, Timothy R. "PRACTITIONER APPLICATION: The Relationship Between Hospital Value-Based Purchasing Program Scores and Hospital Bond Ratings." Journal of Healthcare Management 60, no. 3 (May 2015): 231–32. http://dx.doi.org/10.1097/00115514-201505000-00012.
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Spaulding, Aaron, Hanadi Hamadi, Jing Xu, Aurora Tafili, and Xinliang Liu. "Race to the Top of the Hospital Value-Based Purchasing Program." Journal of Healthcare Management 66, no. 2 (March 2021): 95–108. http://dx.doi.org/10.1097/jhm-d-20-00087.
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Uygun, Meltem. "Purchasing decisions at private hospitals in the framework of resource dependency theory." Independent Journal of Management & Production 8, no. 4 (December 1, 2017): 1400. http://dx.doi.org/10.14807/ijmp.v8i4.634.
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The environment influencing hospitals in the health industry is quite complicated, and despite the high volume of inputs, the functions that occur at purchasing level are very intricate. The reason that the feedback mechanism of health services is not organized completely, and thus another reason that the health system is quite complicated, is diversification of inputs and the consequent rising volume of inputs from the environment, and high dependency on the environment. Governing the demands and pressures of the environmental actors and reorganizing them for its own benefit are only possible for the business, depending on how much power it has in the interdependent relationship. Therefore, it is necessary to clarify the role of power as a concept when analyzing these environmental relationships in order to elucidate the behaviors of organizations. This study addresses power relations in the framework of resource dependency theory. The "power and dependency relationship" of the actors that are influential in purchasing decisions regarding clinics at a private hospital where physicians, who are experts in their field work, is the proposal of this research. The matter of which actors (hospital upper management, purchasing department, relevant expert physicians) have an influence on purchasing decisions and mutual relations are discussed in the context of power.
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Silva-Aravena, Fabián, Irlanda Ceballos-Fuentealba, and Eduardo Álvarez-Miranda. "Inventory Management at a Chilean Hospital Pharmacy: Case Study of a Dynamic Decision-Aid Tool." Mathematics 8, no. 11 (November 5, 2020): 1962. http://dx.doi.org/10.3390/math8111962.
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Pharmacy inventory management is a critical process in healthcare centers. On the one hand, effective drug procurement is fundamental for fulfilling the therapeutic requirements of patients. On the other hand, as hospital pharmacies’ purchasing and storage costs comprise an important share in the hospital budgets, efficient inventory management may play a central role in operational cost containment. Therefore, healthcare centers should design and implement decision-aid strategies for planning the purchase of drugs with the aim of avoiding excessive purchasing volumes and optimizing warehouse capacity, while also meeting forecast demand and ensuring critical stock levels. In this study, we present the methodological features of a decision-aid tool for planning the purchases and inventory levels for the controlled medication pharmacy of the Regional Hospital of Talca, Chile. We report the results obtained after 1 year of operation; these results show that our strategy produced more than 7% savings compared to the regular inventory planning strategy and was more effective in preserving critical stock levels. Furthermore, from a computational point of view, our strategy outperforms a recently published approach for a similar application.
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FRETSCHNER, REINHOLD, WOLFGANG BLEICHER, ALEXANDRA HEININGER, and KLAUS UNERTL. "Patient Data Management Systems in Critical Care." Journal of the American Society of Nephrology 12, suppl 1 (February 2001): S83—S86. http://dx.doi.org/10.1681/asn.v12suppl_1s83.
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Abstract. Electronic patient data management systems (PDMS) were clinically used for the first time in the 1970s. Their purpose was to automatically document vital parameters sampled by monitors and to replace handwritten medical files. Because of the continuous development of computer technology, however, demands on PDMS have increased immensely. PDMS are currently expected to assist clinicians at every level of intensive care, i.e., at the strategic level of physicians' orders and prescriptions, at the operational level, and at the administrative level. In 1994, a PDMS (CareVue; Agilent Technologies) was installed and further developed in the anesthesiologic intensive care unit of the university hospital in Tübingen. The goals of this article were to describe the current demands on PDMS, to communicate our experiences in implementing a PDMS, to list the costs of purchasing and maintaining the system, and to report on the acceptance among physicians and nursing personnel. This article may assist new users in planning for, purchasing, and implementing a PDMS.
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Irianis, Nesya, Warih Puspitasari, and Muhardi Saputra. "How to Create E-Purchasing Based on Open ERP for Integrated Hospital Service System Using Quickstart Methodology." International Journal of Innovation in Enterprise System 4, no. 02 (July 30, 2020): 72–81. http://dx.doi.org/10.25124/ijies.v4i02.78.
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In this research, the researcher carries out the health Industry of public hospitals in Indonesia. One of the main processes in company business processes is the purchasing of goods. One of the problems in purchasing is the absence of the system that Integrates business processes between the Inventory Department and the Purchasing Department. Hence, interfere with daily operational in RSUD XYZ like due to notification’s update delay of the goods causes unavailability stock in the warehouse, so will affect the late purchase of goods at RSUD XYZ. Odoo is a software of Enterprise Resource Planning opensource used by various types of companies. Odoo provides solutions package for Purchase Management to overcome the problem in the company. The researcher used the QuickStart Methodology to implement ERP systems. Odoo implementation with QuickStart needs through five main stages. The result of this research is the design of a planning model for Enterprise Resource Planning system of purchasing in RSUD XYZ. Moreover, Odoo makes business processes in the RSUD XYZ can be automated with real-time information, this automation and real-time data will support the RSUD XYZ to make better decision in the future.
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Liddle, Bart. "PRACTITIONER APPLICATION: Race to the Top of the Hospital Value-Based Purchasing Program." Journal of Healthcare Management 66, no. 2 (March 2021): 109–10. http://dx.doi.org/10.1097/jhm-d-21-00032.
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Brown, Richard L. "The business case for hospital-based Behavioral Screening and Intervention." Journal of Hospital Administration 4, no. 6 (September 27, 2015): 95. http://dx.doi.org/10.5430/jha.v4n6p95.
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Under the Affordable Care Act, hospitals are challenged to avoid growing penalties for adverse outcomes, including readmissions, and to adapt to value-based purchasing, where parent organizations will ultimately regard hospital revenues as costs. Hospitals are responding by implementing quality improvement programs, strengthening coordination of care around and after discharge, and enhancing chronic disease management, but many hospitals continue to suffer penalties. An additional response could be to systematically conduct screening and intervention for “upstream” behavioral risks and disorders – smoking, unhealthy drinking and depression – which are associated with admissions, inferior medical and surgical outcomes, readmissions, and ample costs. By increasing smoking quit rates, reducing binge drinking and enhancing depression outcomes, Behavioral Screening and Intervention (BSI) could improve outcomes for various chronic diseases, prevent acute disease and injury, decrease hospital admissions and readmissions, avert surgical complications, and improve hospitals’ bottom lines. This article discusses how hospitals could implement BSI and potential benefits, barriers and limitations.
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Duque-Uribe, Sarache, and Gutiérrez. "Sustainable Supply Chain Management Practices and Sustainable Performance in Hospitals: A Systematic Review and Integrative Framework." Sustainability 11, no. 21 (October 25, 2019): 5949. http://dx.doi.org/10.3390/su11215949.
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Hospital supply chains are responsible for several economic inefficiencies, negative environmental impacts, and social concerns. However, a lack of research on sustainable supply chain management specific to this sector is identified. Existing studies do not analyze supply chain management practices in an integrated and detailed manner, and do not consider all sustainable performance dimensions. To address these gaps, this paper presents a systematic literature review and develops a framework for identifying the supply chain management practices that may contribute to sustainable performance in hospitals. The proposed framework is composed of 12 categories of management practices, which include strategic management and leadership, supplier management, purchasing, warehousing and inventory, transportation and distribution, information and technology, energy, water, food, hospital design, waste, and customer relationship management. On the other side, performance categories include economic, environmental, and social factors. Moreover, illustrative effects of practices on performance are discussed. The novelty of this document lies in its focus on hospital settings, as well as on its comprehensiveness regarding the operationalization of practices and performance dimensions. In addition, a future research agenda is provided, which emphasizes the need for improved research generalizability, empirical validation, integrative addressing, and deeper analysis of relationships between practices and performance.
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Krempel, George, and Colleen Jarosz. "Transfusion Medicine's Role in Hospital Performance Improvement: An Administrator's View." Archives of Pathology & Laboratory Medicine 123, no. 6 (June 1, 1999): 486–91. http://dx.doi.org/10.5858/1999-123-0486-tmsrih.
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Abstract Historically, hospital administrators have viewed all laboratory sections as cost centers. The major expenses in the transfusion service are those associated with labor and blood products. However, few administrators take the time to look past this cost to see the impact of an active transfusion medicine section in other areas of the hospital. This article examines the impact of inventory management, blood component utilization and waste, group purchasing, and new program implementation on transfusion service expense and revenue.
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Medeiros, Marlene, and Luciano Ferreira. "Development of a purchasing portfolio model: an empirical study in a Brazilian hospital." Production Planning & Control 29, no. 7 (February 19, 2018): 571–85. http://dx.doi.org/10.1080/09537287.2018.1434912.
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Tuncer, A. Murat, Mehtap Tatar, and İsmet Şahin. "University hospitals in Turkey: Structural crisis in financing or consequence of mismanagement?" Journal of Hospital Administration 6, no. 4 (July 25, 2017): 52. http://dx.doi.org/10.5430/jha.v6n4p52.
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University hospitals in Turkey have a prominent role especially in treatment of complex cases and research. However, despite their indispensible place in the health care system, their financial status has long been on the agendas of the Turkish health policy-makers and is seen as a major threat to the financial sustainability of the whole system. It has been reported that the total debt of university hospitals has reached to 4.5 billion TRY (1.1 billion €) in 2016. This debt is to the third parties that provide medical devices, pharmaceuticals or services to these hospitals. There is also an increasing trend in university hospital debts calling for an urgent attention from the government. This article aims at exploring the financial status of university hospitals and showing that with a new management approach focusing on efficiency and effectiveness measures, the problem could be overcome. The example from Hacettepe University Hospital showed that a problem solving management approach and a reformist vision between December 2011-January 2016 has resulted in major improvements in the financial status of the hospital. The debts of the hospital were stabilized in this period by policies focusing on increasing number of patients and procedures, by decreasing the cost of purchasing goods and materials and by following the Social Security Institution’s (SSI) payment procedures. Starting from January 2016 a new management took the office and abandoned the measures taken by the previous administration. This led to an increase in hospital debts again. The article concluded that despite a volatile reimbursement environment, good management practices could help university hospitals to sustain their financial status.
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Lee, Seung Jun, Sriram Venkataraman, Gregory R. Heim, Aleda V. Roth, and Jon Chilingerian. "Impact of the value‐based purchasing program on hospital operations outcomes: An econometric analysis." Journal of Operations Management 66, no. 1-2 (September 16, 2019): 151–75. http://dx.doi.org/10.1002/joom.1057.
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Miranda, Mariana Izelli, Danilo Hisano Barbosa, and Syntia Lemos Cotrim. "An application of fuzzy analytic hierarchy process in a university teaching hospital." Independent Journal of Management & Production 11, no. 7 (December 1, 2020): 2849–71. http://dx.doi.org/10.14807/ijmp.v11i7.1147.
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Supplier’s management plays an important role in cost and quality performance of purchasing companies. This important role has provided the growth of studies on the application of multi-criteria analysis method in manufacturing companies, although, with less impact on the services sector, mainly in the healthcare sector. For that reason, this research aimed to show the results of Fuzzy AHP multi-criteria analysis method application in a university teaching hospital, with the purpose of improving the operation and internal management of pharmacy suppliers. Among the main results and contributions of the research, it is an elaborated description of each step of the method, followed by contextualization of the sector, revealing the application of fuzzy inference in the analysis of variables mostly qualitative in this specific sector. The findings of this study can provide the managers with valuable insights into the dimensions that reflect decision making when choosing suppliers in the setting of a university teaching hospital. By knowing these criteria, hospitals can increase their quality of service by selecting the best supply options for medical and hospital supplies, providing better service to patients.
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Peikanpour, M., J. Babapour, and F. Peiravian. "PHP197 - AN EVALUATION OF THE PERFORMANCE OF HOSPITAL PHARMACIES’ GROUP PURCHASING ORGANIZATION TO PROMOTE HEALTHCARE MANAGEMENT." Value in Health 21 (October 2018): S183. http://dx.doi.org/10.1016/j.jval.2018.09.1091.
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Duran, Antonio, Tata Chanturidze, Adrian Gheorghe, and Antonio Moreno. "Assessment of Public Hospital Governance in Romania: Lessons From 10 Case Studies." International Journal of Health Policy and Management 8, no. 4 (December 22, 2018): 199–210. http://dx.doi.org/10.15171/ijhpm.2018.120.
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Background: The Government of Romania commissioned international technical assistance to help unpacking the causes of arrears in selected public hospitals. Emphases were placed on the governance-related determinants of the hospital performance in the context of the Romanian health system. Methods: The assessment was structured around a public hospital governance framework examining 4 dimensions: institutional arrangements, financing arrangements, accountability arrangements and correspondence between responsibility and decision-making capacity. The framework was operationalized using a 2-pronged approach: (i) a policy review of broader health system governance arrangements influencing hospital performance; and (ii) a series of 10 casestudies of public hospitals experiencing financial hardship. Data were collected during 2016-2017 through key informant interviews with central authorities and hospital management teams, exhaustive semi-structured questionnaires filled in by hospitals, as well as the review of documentary sources where feasible. Results: Overall, the governance landscape of Romanian public hospitals includes a large number of seemingly modern legislative provisions and management instruments. Over the past 30 years substantial efforts have been made to put in place standardised hospital classification, hospital governance structures, management and service purchasing contracts with key performance indicators, modern reimbursement mechanisms based on diagnosis-related groups (DRGs), and regulatory requirements for accountability, including internal and external audit. Nevertheless, their application appears to have been challenging for a range of reasons, pointing to the misalignment between the responsibility and decisionmaking capacity given to hospitals in a questionably conducive context. Incoherent policy design, outdated and often disjointed regulatory frameworks, and cumbersome administrative procedures limit managerial autonomy and obstruct efficiency gains. In a context of chronic insufficient funding, misaligned incentives, and overly rigid service procurement processes, hospitals seem to struggle to adjust service baskets to the population’s health needs or to overcoming financial hardship. External challenges, combined with the limited strategic, operational, and financial management capacity within hospitals, make it difficult to exhibit good financial and general performance. Conclusion: Existing governance arrangements for Romanian public hospitals appear conducive to poor financial performance. The suggested framework for hospital governance assessment has proved a powerful tool for identifying system and hospital-specific challenges contributing to sub-optimal hospital performance.
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Beauvais, Brad, Jason P. Richter, Forest S. Kim, Erin L. Palmer, Bryan L. Spear, and Robert C. Turner. "A reason to renovate: The association between hospital age of plant and value-based purchasing performance." Health Care Management Review 46, no. 1 (October 31, 2018): 66–74. http://dx.doi.org/10.1097/hmr.0000000000000227.
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Carter, John C., and Fred N. Silverman. "Using HCAHPS data to improve hospital care quality." TQM Journal 28, no. 6 (October 10, 2016): 974–90. http://dx.doi.org/10.1108/tqm-09-2014-0072.
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Purpose The purpose of this paper is twofold: to enable hospital administrators to increase reimbursement rates under value-based purchasing (VBP) by understanding the process by which the Centers for Medicare and Medicaid Services (CMS) calculate and use performance scores from the Hospital Consumer Assessment of Healthcare Providers and Systems survey of patient experience; to apply statistical methods to determine what dimensions of patient care have the greatest impact on overall satisfaction scores and thus reimbursement. Design/methodology/approach The expository purpose was met by locating, analyzing and interpreting published CMS documentation related to VBP to explain the complex methods used to convert raw survey data to total patient satisfaction scores on seven dimensions. The raw data on 2,984 hospitals were cleaned and correlation and regression analysis used to measure the relationship between raw survey scores and overall patient satisfaction scores. Finally, Pareto analysis was used to show the relative influence of each dimension on satisfaction performance scores. Findings Nursing communications accounted for 75 percent of the variance in the patient satisfaction domain score in a stepwise regression. Research limitations/implications This research focusses only on the patient satisfaction component of VBP, over which hospital administrators have significant control. Future research could explore how hospital management can improve scores on clinical outcomes, process and efficiency. Practical implications Shows hospital management the most influential methods for improving their patient satisfaction scores and reimbursement under VBP. Originality/value Offers a managerially focussed explanation of how patient satisfaction scores are computed from raw survey data and how statistical analysis of the data can be used to improve quality.
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Costa, Carolina Dorneles Florêncio, and Patricia Guarnieri. "Gestão da aquisição e dos estoques de medicamentos:estudo de caso no Hospital Universitário de Brasília (HUB)." Revista Foco 11, no. 2 (June 17, 2018): 28. http://dx.doi.org/10.28950/1981-223x_revistafocoadm/2018.v11i2.524.
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A profissionalização da logística, principalmente no que tange às compras e administração de estoques, pode ser uma das formas para otimizar recursos na administração hospitalar. O objetivo deste artigo é analisar a gestão de estoques e aquisição de medicamentos do Hospital Universitário de Brasília (HUB) sob o enfoque logístico. Foi realizada uma pesquisa aplicada, descritiva, com abordagem qualitativa, cujo procedimento técnico foi o estudo de caso, a unidade de análise foi a Farmácia Hospitalar do HUB. A coleta de dados ocorreu por meio de entrevistas, análise documental e observação direta. A análise de dados baseou-se na análise categorial temática. Constatou-se que as principais dificuldades referem-se à falta de integração entre os departamentos e às limitações de software de gerenciamento de compras e estoques. Ademais, o cunho público da instituição impede o relacionamento colaborativo com fornecedores e é calcado por restrições orçamentárias que prejudicam a prestação de serviços. The professionalization of logistics, especially in relation to purchasing and inventory management, can be one of the ways to generate the resources otimization in hospital administration. The objective of this article is to analyze stock management and medication acquisition at the Hospital Universitário de Brasília (HUB), under logistics perspective. For this purpose, it was carried out an applied, descriptive research, with qualitative approach. The technical procedure was the case study and the unit of analysis was the Hospital Pharmacy of the HUB. The data collection took place through interviews, documentary analysis and direct observation. The data analysis was based on categorical thematic analysis. As main results we can detach that the main difficulties are related to the lack of integration between departments and the limitations of purchasing and inventory management software. In addition, the public nature of the institution prevents the collaborative relationship with suppliers and is limited by budget constraints that hinder the provision of services.
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Vilela, Flávio Fraga, João Victor Soares do Amaral, Gustavo dos Santos Leal, Gabriel Fernandes de Oliveira, José Arnaldo Barra Montevechi, and Diego Dobscha da Cruz Piedade. "Economic feasibility analysis for co-generation of power by diesel generator at peak time: Monte Carlo simulation approach in a hospital." Acta Scientiarum. Technology 43 (June 14, 2021): e50965. http://dx.doi.org/10.4025/actascitechnol.v43i1.50965.
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The cost of electricity in hospitals represents a significant portion in its context of operating expenses. Therefore, it is important to constantly think about ways to reduce this cost without losing the quality and reliability required for hospital care activity. It is well known, that reducing electricity consumption has a direct impact on the effective management of hospital cash flow, so it is imperative to rationalize this resource. In this context, the objective of this paper focuses on analyzing the economic feasibility of purchasing and using a diesel generator to find the peak hour demand and verifying financial uncertainty by applying a Monte Carlo simulation approach to risk analysis. The target hospital of this research is located in southeastern of Brazil and it is part of a foundation that covers educational and assistance activities, serving the local population and thousands of patients during the year. Finally, the economic risk analysis applied through the Monte Carlo simulation found that the acquisition of the aforementioned diesel generator has a very high probability of viability. Therefore, it is verified that the investment is viable and attractive from the hospital's economic and operational point of view, while the Net Present Value remains positive, with the expected value of R$ 868,358.84, considering the risk and uncertainty analysis having an attractive internal returning rate of 78.76% per year.
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Sumaida, Dalia. "Pharmacy inventory control ordering web application." Journal of Clinical Oncology 30, no. 34_suppl (December 1, 2012): 330. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.330.
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330 Background: Many departments within the hospital system were complaining of errors in the carousel system and the quantity of drugs ordered vs. received. Methods: Development of a communication tool between purchasing, inventory control, materials management, finance and accounts payable to streamline the process of ordering and receiving throughout the hospital system. Results: Communication between the departments in ordering and receiving. Reduction in errors of drug quantities ordered vs drug quantity received. Automating the receiving log system and the packing slip process. The web app cut down the time to process a drug by 50%. Conclusions: The use of IT to reduce waste, increase productivity, and improve quality of the system.
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Ellegård, Lina Maria, and Anna Häger Glenngård. "Limited Consequences of a Transition From Activity-Based Financing to Budgeting: Four Reasons Why According to Swedish Hospital Managers." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 56 (January 2019): 004695801983836. http://dx.doi.org/10.1177/0046958019838367.
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Activity-based financing (ABF) and global budgeting are two common reimbursement models in hospital care that embody different incentives for cost containment and quality. The purpose of this study was to explore and describe perceptions from the provider perspective about how and why replacing variable ABF by global budgets affects daily operations and provided services. The study setting is a large Swedish county council that went from traditional budgeting to an ABF system and then back again in the period 2005-2012. Based on semistructured interviews with midlevel managers and analysis of administrative data, we conclude that the transition back from ABF to budgeting has had limited consequences and suggest 4 reasons why: (1) Midlevel managers dampen effects of changes in the external control; (2) the actual design of the different reimbursement models differed from the textbook design; (3) the purchasing body’s use of other management controls did not change; (4) incentives bypassing the purchasing body’s controls dampened the consequences. The study highlights the challenges associated with improvement strategies that rely exclusively on budget system changes within traditional tax-funded and politically managed health care systems.
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Mobula, Linda Meta, Stephen Sarfo, Lynda Arthur, Gilbert Burnham, Jacob Plange-Rhule, Daniel Ansong, Edith Gavor, and David Ofori-Adjei. "A multi-center prospective cohort study to evaluate the effect of differential pricing and health systems strengthening on access to medicines and management of hypertension and diabetes in Ghana: A study protocol." Gates Open Research 2 (February 7, 2018): 6. http://dx.doi.org/10.12688/gatesopenres.12797.1.
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Background: There is evidence to suggest that the prevalence of non-communicable diseases (NCDs), in particular cardiovascular diseases and diabetes, are being recognized as forming a substantial proportion of the burden of disease among populations in Low- and Middle-Income Countries (LMICs). Access to treatment is likely a key barrier to the control and prevention of NCD outcomes. Differential pricing, an approach used to price drugs based on the purchasing power of patients in different socioeconomic segments, has been shown to be beneficial and leads to improved access and affordability. Methods: This is a quasi-experimental study, with a pragmatic trial design, to be conducted over the course of three years. A mixed methods design will be used to evaluate the effects of health systems strengthening and differential pricing on the management of diabetes, hypertension and selected cancers in Ghana. A public private partnership was established between all sites that will receive multi-level interventions, including health systems strengthening and access to medicines interventions. Study populations and sites: Study participants will include individuals with new or recently diagnosed hypertension and diabetes (n=3,300), who present to two major referral hospitals, Komfo Anokye Teaching Hospital and Tamale Teaching Hospital, as well as three district hospitals, namely Kings Medical Centre, Agogo Presbyterian District Hospital, and Atua Government Hospital. Discussion: The objective of this study aims to test approaches intended to improve access to drugs for the treatment of hypertension and diabetes, and improve disease control. Patients with these conditions will benefit from health systems strengthening interventions (education, counseling, improved management of disease), and increased access to innovative medicines via differential pricing. Pilot programs also will facilitate health system strengthening at the participating institutions, which includes training of clinicians and updating of guidelines and production of protocols for the treatment of diabetes, hypertension and cancer.
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Mobula, Linda Meta, Stephen Sarfo, Lynda Arthur, Gilbert Burnham, Jacob Plange-Rhule, Daniel Ansong, Edith Gavor, and David Ofori-Adjei. "A multi-center prospective cohort study to evaluate the effect of differential pricing and health systems strengthening on access to medicines and management of hypertension and diabetes in Ghana: A study protocol." Gates Open Research 2 (May 3, 2018): 6. http://dx.doi.org/10.12688/gatesopenres.12797.2.
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Background: There is evidence to suggest that the prevalence of non-communicable diseases (NCDs), in particular cardiovascular diseases and diabetes, are being recognized as forming a substantial proportion of the burden of disease among populations in Low- and Middle-Income Countries (LMICs). Access to treatment is likely a key barrier to the control and prevention of NCD outcomes. Differential pricing, an approach used to price drugs based on the purchasing power of patients in different socioeconomic segments, has been shown to be beneficial and leads to improved access and affordability. Methods: This is a quasi-experimental study, with a pragmatic trial design, to be conducted over the course of three years. A mixed methods design will be used to evaluate the effects of health systems strengthening and differential pricing on the management of diabetes, hypertension and selected cancers in Ghana. A public private partnership was established between all sites that will receive multi-level interventions, including health systems strengthening and access to medicines interventions. Study populations and sites: Study participants will include individuals with new or previously diagnosed hypertension and diabetes (n=3,300), who present to two major referral hospitals, Komfo Anokye Teaching Hospital and Tamale Teaching Hospital, as well as three district hospitals, namely Kings Medical Centre, Agogo Presbyterian District Hospital, and Atua Government Hospital. Discussion: The objective of this study aims to test approaches intended to improve access to drugs for the treatment of hypertension and diabetes, and improve disease control. Patients with these conditions will benefit from health systems strengthening interventions (education, counseling, improved management of disease), and increased access to innovative medicines via differential pricing. Pilot programs also will facilitate health system strengthening at the participating institutions, which includes training of clinicians and updating of guidelines and production of protocols for the treatment of diabetes, hypertension and cancer.
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Boiron, Pierre, and Valère Dussaux. "Software Services Delivered from the Cloud." International Journal of Information Systems in the Service Sector 7, no. 1 (January 2015): 22–37. http://dx.doi.org/10.4018/ijisss.2015010102.
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Picture Archiving and Communication Systems (PACS), alongside Radiological Information Systems (RIS) are nowadays widely disseminated, proven useful, hospital information systems components. The “Région Sans Film” (“Filmless Region”) program was launched in 2009 by the French ministry of health in order to help the generalization to all healthcare structures such as hospitals or general physician practices, of PACS, RIS, and archiving of medical images. It is done by means of a mutualized service platform whom building and running has been entrusted to an industrial consortium. This platform implements the latest technologies of medical image processing and of cloud computing. It is built in order to support service-oriented enterprise architecture composed of one main layer of software services. This natively scalable platform is innovative because it is the first one which contains all the materials for the implementation of all services in the cloud. The corresponding SLA are defined in order to be adaptable to the needs of further health structures which could later join the platform by participating in its mutualized purchasing. The goal is not only to share the costs but also to deliver new images sharing services. New business processes/services around sharing of images such as teleradiology or access to the images produced in hospitals to the general practitioners are defined towards the exercise of real filmless radiology.
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Wandira, Bertin Ayu, Ketut Suarayasa, and Kadek Viyan Kristiawan. "Management of Post-Disaster Medicine Logistics at the Pharmacy Installation of Regional Public Hospital Undata of Central Sulawesi Province." Journal La Medihealtico 1, no. 2 (July 20, 2020): 21–25. http://dx.doi.org/10.37899/journallamedihealtico.v1i2.116.
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The purpose of this research is to fine out how the management of post-disaster medicine logistics at the Pharmacy Installation of Regional Public Hospital Undata the research. Method used was qualitative with in-depth interview data cullcolection techniques. Research informants were 6 informants who were determined by purposive sampling technique. The results show that the planning of pharmaceutical supplies at Regional Public Hospital Undata used consumtion methods epidemiology. The obstacles to logistical planning for type medicine, a disease tread is changing. Medicine logistics budget in pharmaceutical installations comes from the state budget and BLUD. Procurement of pharmaceutical supplies using the method of direct purchases and E-purchasing, obstacles in the procurement of medicine logistic are still arrears of payment of medicine to distributors. Slow distribution of medicine from distributors and the emtiness of medicine stocks acceptance of pharmaceutical supplies is carried out by the pharmaceutical installation warehouse staff and reception team, there are still obstacles in receiving the time for quality inspection and quantity of logistical goods wich quite long. Medicine logistics storage is carried out with the FIFO and FEFO systems with alphabetical storage arrangements, constraints in logistics storage, narrow IFRS repositories. Medicine logistics control was done by taking inventory to find out the quality and quantity of medicine as well as the medicine expired date, the obstacles in controlling medicine logistics time to take stock of hospitalization takes a long time.
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Quereshy, Fayez A., and Joseph Milner. "Quantitative Analysis of Operating Room Inventory Management Practices at a Tertiary Cancer Center." Journal of Oncology Practice 8, no. 2 (March 2012): 68–69. http://dx.doi.org/10.1200/jop.2011.000439.
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Purpose: In Ontario, health care spending has grown to 45% of total government expenditures. In a public health care system, changes in demographics and the emergence of innovative technologies challenge our ability to adapt to evolving patient needs. To maintain a high standard of clinical effectiveness, there is a need to identify opportunities to improve health care delivery. This study was structured to meet the following objectives: to understand the operating room (OR) inventory practices at a tertiary academic hospital, to mathematically model this process to ascertain service levels based on changes in inventory and demand, and to define the appropriate level of reusable inventory for open and laparoscopic colorectal surgery. Methods: We retrospectively reviewed OR throughput for all cases of colorectal cancer from January 1, 2010, to January 31, 2011. The process flow of OR instrumentation was studied to understand delays in the provision of inventory. Combining total surgeries performed with surgeon-specific instrument preferences generated daily instrument demand. We fitted parametric demand distributions for two instrument sets for major colon resections. Markovian models were used to estimate the distribution of available inventory and the likelihood of insufficient instruments on any given day. Results: We reviewed 1,458 cases, 39.5% of which involved major open surgery, whereas 26.2% involved laparoscopic surgery. Demand for open and laparoscopic instrument sets was observed to fit binomial (20, 0.15) and Poisson (1.41) distributions, respectively. On the basis of these curves, we estimated the probability distribution of the in-stock inventory and, subsequently, the probability that demand would exceed supply on any given day ( Table 1 ). In particular, with 10 open and six laparoscopic sets currently owned by the institution, the probabilities that there would be insufficient inventory were 3.02% and 2.17%, respectively. [Table: see text] Conclusion: This analysis will guide purchasing decisions based on desired service levels and forecasted changes in demand. Furthermore, by ensuring that demand is being serviced, this analysis will help to curb loss of revenue, decrease wait times, and limit potential patient morbidity. Strategic purchasing can also reduce excessive inventory and therefore minimize shrinkage and obsolescence and increase working capital and institutional flexibility.
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Oliveira, Marcela Macedo de, Edgar De Souza Pandolfi, and Thays Dutra Chiarato. "Padronização no processo de compra." Revista Científica FAEMA 8, no. 1 (July 9, 2017): 60. http://dx.doi.org/10.31072/rcf.v8i1.485.
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O presente estudo aborda através de uma revisão de literatura, de caráter descritivo, a importância do método de padronização no processo de compra, considerando as perceptíveis dificuldades encontradas neste setor, como falta de embasamento técnico quanto aos modelos de compra utilizados, na aquisição de artigos médico-hospitalares, culminando em desperdícios por baixa qualidade, ou ainda por utilização equivocada aliada à falta de treinamento, devido trocas constantes de materiais. Nesse contexto, acrescenta-se o papel do enfermeiro como executor, ressaltando a importância do mesmo na unidade hospitalar. Desta forma, este estudo apresenta ferramentas para contribuir dentro desse cenário, agregando conhecimento teórico, científico e legal, que possa ser utilizado durante o desenvolvimento da atividade em instituições de saúde, visando racionalizar os gastos e aperfeiçoar os recursos e serviços. A realização deste estudo permite compreender a importância da padronização no processo de compra e seus benefícios juntamente com a participação do enfermeiro na aquisição dos materiais para a inserção de qualidade no âmbito hospitalar.
ABSTRACT: The present study addresses, through a literature review of a descriptive character, the importance of the standardization method in the purchase process of nursing materials and equipment, considering the perceived difficulties in this sector, such as the lack of technical purchase for medical and hospital articles, causing waste due to poor quality, misuse due to constant change of models and lack of training to handle them. In this context, it is verified the fundamental role of the nurse as an executor in emphasizing its importance in the hospital unit with tools and theoretical, scientific and legal knowledge for the development of its activities in health institutions, with the objective of rationalizing the expenditures and resources and improve services. Therefore, this study aims to highlight the importance of nurses' standardization and performance in the purchasing process, focusing on the insertion of quality in the hospital context. With the survey carried out, it can be concluded that the participation of the nursing professional in the standardization of the purchasing process, makes the management of medical and hospital resources more efficient by identifying the quantity and quality of materials needed for health professionals to perform their Risk-free activities for you and your patients. As a suggestion for future research, new research on the subject is indicated for the mapping of critical factors of quality success in medical-hospital procedures based on the use of materials and equipment to support the nursing service.
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Fadol, Anecita P., Jean-Bernard Durand, Barbara L. Summers, Myrshia L. Woods, Katie Lewis, Patty Johnston, Nancy Tomczak, Joylynn Mae Estrella, Lisa M. Kidin, and Douglas Browning. "Cancer therapy and heart failure: Successful management through collaborative interdisciplinary practice." Journal of Clinical Oncology 30, no. 34_suppl (December 1, 2012): 123. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.123.
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123 Background: Heart failure (HF) is a clinical problem of emerging importance in cancer care. The advances in cancer detection and complex treatment regimens have resulted in increased cancer treatment induced HF. The literature indicates that more than 50% of all patients exposed to anthracyclines will show some degree of cardiac dysfunction either acutely or 10 to 20 years after treatment, and 5% of those patients will develop overt HF. Successful management requires a collaborative, interdisciplinary approach. The purpose of this presentation is to discuss how the “Heart Success Program” (HSP) resulted in cost effective and clinical quality outcomes in patients with cancer and HF. Methods: The HSP was piloted in the emergency center and telemetry units with high volume admission of HF patients. The HSP includes comprehensive education of patients, families, and health care providers regarding HF management in cancer patients. HSP implementation includes a HF order set, patient education booklet, and educational videotape specific for patients with cancer and HF. Weekly interdisciplinary clinical rounds provide a forum for discussion of identified patient’s problems and formulation of solutions. Endpoint outcomes include compliance with the Center for Medicare and Medicaid Services (CMS) core measures for HF, as well as decreasing HF readmissions. Results: The pilot implementation of the HSP resulted in decreased hospital length of stay by 57%, and average hospital admission cost by 60%. Despite multiple co morbid conditions, patients were discharged with improved functional status and compliance with CMS HF core measures. Conclusions: The findings from this quality improvement project showed significant impact in clinical and cost outcomes for patients with cancer and HF. The multidisciplinary team approach that provided support to patients and their families and allowed for patients to continue their cancer treatment resulting in improved outcomes. As we move toward value-based purchasing, the HSP provides an example of how collaboration and standardized process improvement impacts cost and quality in the oncology population.
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Roy, Ashok, and Stuart Cumella. "Developing local services for people with a learning disability and a psychiatric disorder." Psychiatric Bulletin 17, no. 4 (April 1993): 215–17. http://dx.doi.org/10.1192/pb.17.4.215.
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Recent ministerial statements and health circulars have identified a key role for the NHS in providing services for people with a learning disability who have a mental illness or a severe behaviour disorder (NHS Management Executive, 1992). This is not an insignificant task, given that psychiatric disorders (including both mental illness and/or severe behaviour disorders) occur among approximately 30% of people with a moderate or severe learning disability (Corbett, 1979; Lund, 1985). Patients with psychiatric disorders have proved particularly difficult to resettle from mental handicap hospitals, and form a substantial proportion of the patients who become long-stay residents of mental handicap hospitals despite the development of community-based services. It is therefore essential that each district health authority defines the most appropriate pattern of services for this group of patients, as part of their purchasing strategy for mental health. The type of service required was discussed by the department of Health report Needs and Responses: Services for Adults with Mental Handicap who are Mentally Ill, who have Behaviour Problems, or who Offend. This noted that no consistent pattern of services has yet emerged, and that suitable alternatives included admission to a specialised mental illness unit in a mental handicap hospital, admission to a general psychiatric ward, admission to a small staffed house, or treatment by a community support team.
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Siqueira, Marcelo, Morad Chughtai, Anton Khlopas, Chukwuweike Gwam, Jaydev Mistry, George Yakubek, Ronald Delanois, and Michael Mont. "Does Gender Influence How Patients Rate Their Patient Experience after Total Knee Arthroplasty?" Journal of Knee Surgery 30, no. 07 (May 15, 2017): 634–38. http://dx.doi.org/10.1055/s-0037-1603338.
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AbstractThe Centers for Medicare and Medicaid Services has implemented the Value-Based Purchasing (VBP) score as a pay-for-performance reimbursement model. Patient experience, as measured by the Press Ganey (PG) survey, currently comprises 20% of total VBP score. It is therefore beneficial for the orthopaedist to become familiar with these changes to maximize profits. Currently, a paucity of data exists that elucidates which factors influence PG scores between men and women following total knee arthroplasty (TKA). Therefore, we asked: (1) which PG survey factors most influences hospital ratings among men and women patients post-TKA and (2) is there a significant difference in overall hospital ratings among men and women cohorts post-TKA? We queried the PG database for patients who received a TKA between November 2009 and January 2015, yielding 224 men (mean age 64 years, range: 39–88) and 519 women (mean age 65 years; range, 25–92). A multiple regression analysis was performed for each cohort with overall hospital satisfaction as the dependent variable to assess the influence (β-weight) each PG domain imparted on overall hospital rating. A chi-square analysis and t-test were performed to assess categorical and continuous variables, respectively. For men, communication with nurses (β = 0.408, p = 0.016), followed by communication about medications (β = 0.261, p = 0.032), most influenced overall hospital rating. For women, communication with nurses (β = 0.479, p < 0.001) most influenced overall hospital rating. This was followed by staff responsiveness (β = 0.201, p = 0.046), pain management (β = 0.263, p = 0.015), and communication about medications (β = − 0.152, p = 0.029). It is of great advantage for the orthopaedist to focus on the PG domains most pertinent to each patient gender post-TKA. For both genders, overall hospital rating was significantly influenced by communication with nurses and information about medication. However, staff responsiveness and pain control were of significant importance in determining overall hospital rating for women. Therefore, orthopaedists should consider focusing on these factors depending on the gender of the patient to optimize satisfaction.
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İndelen, Cenk, Yeşim Uygun Kızmaz, Ahmet Kar, Aryeh Shander, and Kaan Kırali. "The cost of one unit blood transfusion components and cost-effectiveness analysis results of transfusion improvement program." Turkish Journal of Thoracic and Cardiovascular Surgery 29, no. 2 (April 26, 2021): 150–57. http://dx.doi.org/10.5606/tgkdc.dergisi.2021.20886.
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Background: This study aims to analyze the cost of the entire transfusion process in Turkey including evaluation of the cost of transfusion from the perspective of hospital management and determination of savings achieved with the transfusion improvement program. Methods: Invoices, labor, material costs were calculated with micro-costing method, while general production expenses were calculated with gross costing method between January 2018 and December 2019. Unit costs for each blood product were calculated separately by collecting unit acquisition costs, material costs, labor costs, and general production expenses and, then, distributed into six different blood products as follows: erythrocyte suspension, fresh frozen plasma, pooled platelet, apheresis platelet, cryoprecipitate, fresh whole blood. The total costs for 2018 and 2019 were calculated and the savings achieved were estimated. The Turkish Lira was converted into the United States Dollar ($) currency using the purchasing power parity. Results: In 2018/2019, the blood component transfusion cost was $240.90/251.18 for erythrocyte suspension, $120.00/128.67 for fresh frozen plasma, $313.50/322.19 for pooled platelet, $314.24/325.73 for apheresis platelet, $104.95/113.99 for cryoprecipitate, and $189.91/209.09 for fresh whole blood. The total transfusion cost was $6,224,208.33 in 2108 and $5,308,148.43 in 2019. As a result of the transfusion improvement program launched in 2019, the amount of blood components decreased by 23.24%, compared to the previous year, and a saving of $916,059.9 was achieved. Conclusion: The transfusion is a burden for both the hospital management systems and the country's economy. To accurately calculate and manage this economic burden is important for sustainable healthcare services.
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Kalankesh, Leila R., Zahra Nasiry, Rebecca Fein, and Shahla Damanabi. "Factors Influencing User Satisfaction with Information Systems: A Systematic Review." Galen Medical Journal 9 (June 26, 2020): 1686. http://dx.doi.org/10.31661/gmj.v9i0.1686.
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User satisfaction has been considered as the measure of information system effectiveness success. User satisfaction is difficult to define but is considered an evaluation construct. Globally health organizations, particularly hospitals, invest a huge amount of money on information system projects. If hospital information systems (HISs) are to be successful, factors influencing or related to user satisfaction should be taken into account at the time of designing, developing or adopting such systems. The current study aimed to provide a comprehensive review of factors related to user satisfaction with information systems. The researchers systematically searched PubMed, Science Direct, and IEEE electronic databases for articles published from January 1990 to June 2016. A search strategy was developed using a combination of the following keywords: “model,” “user satisfaction,” “information system,” “measurement,” “instrument,” and “ tool.” Reported dimensions, factors, and their possible influence on user satisfaction with information systems were extracted from the studies wherever was possible. Overall factors influencing user satisfaction with information systems can be categorized in seven dimensions: Information quality, system quality, vendor support quality, system use, perceived usefulness, user characteristics, and organizational structure& management style. If all these factors are considered properly in the process of developing, designing, implementing, or purchasing information systems, the higher user satisfaction with the system will be likely. Otherwise, it would end up with unsatisfied users that will finally contribute to the system failure. [GMJ.2020;9:e1686]
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Qiu, Yingpeng, Yue Xiao, Kun Zhao, Liwei Shi, and Binyan Sui. "OP91 Health Technology Assessment On The Da Vinci Surgical System Using Real World Data In China." International Journal of Technology Assessment in Health Care 33, S1 (2017): 41. http://dx.doi.org/10.1017/s0266462317001647.
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INTRODUCTION:The Da Vinci surgical system is classified as a type “A” medical device in China; the procurement plan of which is regulated by the National Health and Family Planning Commission (NHFP). Between 2010 to 2015, there were thirty-four Da Vinci surgical robots purchased, and installed in thirty tertiary public hospitals across the country. In order to generate context-specific evidence and support further capital funding decisions, the NHFP commissioned a Health Technology Assessment (HTA) of Da Vinci surgical robots, with a focus on real use of the technology in those tertiary public hospitals.METHODS:Nine hospitals were selected to collect real word data between 2013 to 2015. Using a cross-sectional survey, data of all robotic surgical cases were collected and described. The unit costs of the robotic surgery were estimated from activity based costing. We also collected cases of prostatectomy (427 versus 421) and hysterectomy (247 versus 105) using the robotic system and laparoscope respectively, and then compared hospital fees and effectiveness during hospitalization. Simulation of the budget impact on health insurance in Shanghai City over the next 5 years was also performed.RESULTS:A full HTA was conducted based on real data from nine public hospitals in the central and eastern region. Based on a systematic review methodology, we appraised evidence on safety, effectiveness and cost-effectiveness of the Da Vinci surgical robot. Data on technology use, clinical management, and pricing and payment were collected through a cross-sectional survey and interviews of hospital managers, surgeons and nurses. We designed a cohort study on cost-effectiveness of Da Vinci-assisted prostatectomy and hysterectomy, comparing Da Vinci-assisted and laparoscopic prostatectomy (427 vs 421) and Da Vinci-assisted and laparoscopic hysterectomy (247 versus 105). Ethics and inequity issues were discussed based on patient interviews. A budget impact analysis was performed based on scenario mapping of promoting Da Vinci-assisted prostatectomy in Shanghai City over a 5-year timeline.CONCLUSIONS:Due to a lack of evidence on long-term clinical effectiveness and high impact on public finances, the Da Vinci robotic robot should not be procured in large numbers in China. For equipment purchasing the government should strengthen regulations and require the public hospitals to collect more evidence.
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BARZYLOVYCH, ANASTASIIA, YULIІA URSAKIІ, ALINA NADEZHDENKO, TETIANA MAMATOVA, IRINA CHYKARENKO, and SERGIY KRAVCHENKO. "The Influence of Medical Services Public Management on the Population’ Life Quality." WSEAS TRANSACTIONS ON ENVIRONMENT AND DEVELOPMENT 17 (June 22, 2021): 619–29. http://dx.doi.org/10.37394/232015.2021.17.60.
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The purpose of this article is to study the factors that have a direct impact on improving the quality of life through improving public administration in the field of health care. In the course of our research are considered the following aspects: significant economic and social aspects of the medical sphere that affect the quality of life; a list of public services that are of significant public interest and have the greatest impact on quality of life, methodological approaches to assessing the quality of life, the main problems and possible ways to improve public health policy to improve the quality of life. To achieve the objectives of the study, several statistical indicators were selected and a number of statistical methods of analysis were used: pairwise correlation, regression analysis, methods of comparison, synthesis and comparison. Statistical analysis was conducted according to the countries of the European continent, which belong to different social models. An economic-mathematical model of the dependence of the Quality of Life Index on the factors of public management of medical services has been built, which shows that the increase in the Quality of Life Index by 70.2% is due to the level of state funding, insurance and the number of hospital beds. One of the main conclusions is the fact that the Health Index, along with the Purchasing Power Index, have the greatest positive impact on the quality of life of the population. According to the results of the regression analysis, it was found that that the most statistically and practically significant factor of the linear dependence of the studied indicators of public health services management on the Quality of Life Index is public expenditures in the field of health care. In this context, public policy should be mainly aimed at addressing the problems of efficient allocation of resources and fragmentation of policies and strategies for the development of effective socio-economic systems for providing quality health services to ensure a high level of quality of life.
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Meghzili, Batoul, Esma Foufou, and Abdallah Bouasla. "Impacts of Celiac Disease and the Gluten-Free Diet on the Eating Habits and Quality of Life of Algerian Celiac Patients." Current Developments in Nutrition 5, Supplement_2 (June 2021): 431. http://dx.doi.org/10.1093/cdn/nzab038_043.
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Abstract Objectives Celiac disease is an autoimmune disease with manifestations at different levels. It is a disease developed in people with genetic susceptibility and intolerance to certain protein fractions of gluten, a protein found in all forms of wheat, rye and barley and causing villus atrophy. In Algeria, more than 500 000 people have celiac disease and the only treatment for celiac disease is to follow a strict, lifelong gluten-free diet, the objective of our work is to study the eating habits and gluten-free diet of 109 celiac patients residing in Algeria. Methods We carried out a cross-sectional survey using a questionnaire that has two sections: a section on eating habits, a section on frequencies of food consumption. Results Overall, we found that 67.9% of patients strictly followed their diet which led to difficulty in eating out of home and the need to take food while traveling. The difficulties in purchasing gluten-free foods were also mentioned by most patients. In addition, the gluten-free diet interfered with the patients' ability to work and with their social activities. Regarding the diet of our patients, the main foods consumed were vegetables, fruits, pulses, rice, pancakes, eggs, chicken meat and milk. Conclusions The negative effects of celiac disease and the gluten-free diet on patients can be minimized by better patient management, especially by joining associations. Funding Sources The Institute of Nutrition, Food and Agri-Food Technologies, Hospital-University Center CONSTANTINE Benbadis polyclinic el arbi ben mhidi, Polyclinic Filali, Constantine SIDI MABROUK PIDIATRIC EHS Constantine Hospitals.
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DE SOUZA AMARAL, THAYANE, ARMANDO ARAUJO DE SOUZA JUNIOR, ROSELY COSTA DA SILVA BANDEIRA, and DERCIO LUIZ REIS. "Using the ABC costing system - Activity-based costing to calculate costs in the public sector." International Journal for Innovation Education and Research 8, no. 7 (July 1, 2020): 188–202. http://dx.doi.org/10.31686/ijier.vol8.iss7.2466.
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The calculation of costs in the public sector translates into a way of assessing management efficiency. However, there are great difficulties encountered in implementing this system. With the regulation of the Price Registration System - SRP, there is now the possibility for an agency to buy or contract for its own use and allow other agencies to participate (or ask for a ride) in the same bidding instrument, as long as it is of interest. homogeneous. This article presents a study that measured the cost of purchasing inputs at a university hospital in the city of Manaus by adhering to price registration procedures using the ABC cost. A case study was carried out and the data were collected through documentary research, mapping the acquisition process and unstructured interviews. Subsequently, the ABC costing method was used to measure the cost of the service performed (object of the study) for the acquisition of these inputs. The results of the study indicate that the ABC costing method is the most adequate to measure the costs of services performed in the public sector, since it avoids the arbitrary nature of the apportionment, allocating the values referring to the human and material resources applied in the acquisition process.
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Barden, Stephanie, and Geoff Bick. "Biotronik: bypassing the commodity trap of medical devices in South African healthcare." Emerald Emerging Markets Case Studies 11, no. 1 (February 26, 2021): 1–31. http://dx.doi.org/10.1108/eemcs-04-2020-0111.
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Learning outcomes The learning outcomes of this paper is as follows: to analyse the drivers, mediators and threats of commoditisation. To critically evaluate the merits of different marketing options that may be employed to avoid commoditisation. To critically assess the branding-focussed or customer-focussed strategies that could be used. To develop appropriate strategies for Biotronik SA to counter commoditisation in the future. Case overview/synopsis The case begins with the protagonist and managing director of Biotronik SA, Robbie Nel, brewing over a new industry development. One of the leading private hospital groups has sent an open invitation to medical device suppliers to tender, where the lowest-priced products will win shelf space in their cathlabs. Robbie has to decide whether to sacrifice Biotronik SA’s profit margins to win the tender or risk not being stocked in their cathlabs. Or, he must find an alternative non-price-based strategy to pursue. The medical device industry is facing increasing price pressures from various stakeholders in the device-purchasing process. The decision to purchase is no longer the responsibility of specialist physicians alone. International and local market trends indicate that the medical device industry is threatened by commoditisation. Robbie has to make a decision on changing the Biotronik SA business model and strategy in response to these macro trends. Complexity academic level This teaching case is aimed at postgraduate students, particularly those pursuing MBA, EMBA and Postgraduate Diploma programmes, as well as specialist masters and executive education. The students should have some work experience to comprehend and assess the case from a practical perspective. Supplementary materials Teaching notes are available for educators only. Please contact your library to gain login details or email support@emeraldinsight.com to request teaching notes. Subject code CSS 8: Marketing.