scholarly journals An Approach to Help Identifying Optimized Service Areas of Integrated Continuous Care Teams (ECCI): A Case Study in Alentejo - Portugal

Author(s):  
Henrique Oliveira ◽  
Manuel José Lopes ◽  
César Fonseca ◽  
Margarida Goes ◽  
David Mendes ◽  
...  
2013 ◽  
Vol 20 (4) ◽  
pp. 631-654 ◽  
Author(s):  
Adam D. Chupp ◽  
Amy M. Roder ◽  
Loretta L. Battaglia ◽  
John F. Pagels

2013 ◽  
Vol 726-731 ◽  
pp. 1142-1146
Author(s):  
Shu Kuang Ning ◽  
Ling Cian Huang

Incineration is the main way to dispose the municipal solid waste (MSW) in Taiwan. The amount of MSW is rapidly decreased during recent 10 years due to the policies implementation of waste reduction and resource recycle since 2003. Assessment of incinerator operation stop and transformation therefore becomes an essential issue. An evaluation framework was constructed and put into practice in this research. With the considerations of service status, operation performance, MSW treatment status and the impact level of stopping operation was integrated and assessed in the first stage. An optimal model was built for re-programming the MSW clean strategies of original service areas by taking account of MSW collection distance, design capacity of incinerators and the heating value of solid waste in the second stage. A case study was implemented for four incinerators in Kaohsiung City of southern Taiwan to demonstrate the feasibility of proposed assessment framework.


1988 ◽  
Vol 20 (11) ◽  
pp. 1461-1470 ◽  
Author(s):  
J Malczewski ◽  
W Ogryczak

In this paper the authors present an application of optimization techniques to the real-life problem of the reorganization of health-service areas. The problem is formulated as a linear programming problem with three objective functions. The values of the three objective functions proved to vary significantly depending on the assumed hierarchy of the objectives. Nevertheless, the multiobjective analysis based on parametric techniques was found to provide a compromise solution which implied significant improvement in the performance of the health-care system.


2013 ◽  
Vol 330 ◽  
pp. 1059-1064 ◽  
Author(s):  
Mahdi Kazemi ◽  
Mehmet M. Kunt ◽  
Iman Aghayan ◽  
Reza Jalali Larijani

In this paper, the location selection process related to fire stations in Famagusta city is enhanced by applying Quantum Geographic Information Systems (QGIS) and Python programming language. This procedure leads to obtaining the optimum emergency service location based on the minimization of response time. This study aims to commence service coverage modeling in a consistent demand region, with road availability considerations. In addition, this study focuses on the capability of GIS to create service areas by means of the travel time regions in a facility location model. Another purpose of this research is to maximize the overall service area of the determined number of facilities and to state the capability of GIS for establishing the suitable service areas of fire stations in Famagusta city so as to achievie a maximal overall service area from a specific fire station facility to other locations. The best location for only one fire station is determined which is placed around the signalized intersection joining Mustafa Kemal Boulevard and Topçular Boulevard in Famagusta (node 230).


2019 ◽  
Vol 72 (2) ◽  
pp. 360-366 ◽  
Author(s):  
Ana Cristina Pretto Báo ◽  
Simone Coelho Amestoy ◽  
Gisela Maria Schebella Souto de Moura ◽  
Letícia de Lima Trindade

ABSTRACT Objective: To analyze how nurses recognize and use quality indicators, aimed at contributing to the management of best practices in Health. Method: Case study with a qualitative approach, conducted with twelve nurses from a hospital in southern Brazil from March to May 2016. For data collection, semi-structured interviews and focus groups were used. Data were subjected to content analysis, in the thematic modality. Results: The data showed that quality indicators are regarded as a tool for measuring health care outcomes, promoting the improvement of continuous care, assisting in the clinical decision-making and being present in discussions with the nursing team, in addition to contributing to the management of best practices in Health. Final Consideration: Quality indicator may support improvements in health services and in the nursing work, strengthening health policies.


Processes ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 4
Author(s):  
Nóra Hegedűsné Baranyai ◽  
Henrik Zsiborács ◽  
András Vincze ◽  
Nóra Rodek ◽  
Martina Makai ◽  
...  

In the global transformation of energy systems, solar energy plays a prominent role, since the energy from our star is a limitless and clean resource, which is available practically almost everywhere. In spite of the immense advancements of photovoltaic systems, which utilize this source of energy, no in-depth research has been carried out regarding the present Hungarian status of the small-scale photovoltaic power plants, the most common type of solar power plant in Hungary. The novelty of this study is that it examines the number and power of these small-scale power plants at the settlement level within the service areas of the various distribution companies, by also considering the economic and infrastructural dimensions of the settlements. The paper seeks answers to the questions whether there are any significant relationships between the number and the power of power plants of this type and the indicators of the settlements, and if so, how strong they are. Besides pairwise correlations, the study also involved the analysis of the relationship between the ranking of the settlements based on the settlements’ complex indicators that were created from the settlements’ indicators and the ranking of the settlements according to the number and power of household-sized photovoltaic power plants per 1000 people. In the course of exploring the relationships, a regression model was also devised concerning the number of household-sized photovoltaic power plants and the settlement indicators.


2021 ◽  
Vol 5 (1) ◽  
pp. 01
Author(s):  
Claudio Zanirato

New mobility does not just mean technological innovation, but also a change in lifestyles, modes of transport and services, ways of doing business and governance of the common good, represented by urban space and service infrastructures. Just as the car shaped the city of the 20th century with all its distortions, the new mobility systems of the current millennium could redefine the use of urban space with a new, more balanced footprint. The new mobility could drastically reduce the total number of vehicles in circulation (with their interchange and continuous use) and free up large areas of the city, for example parking spaces, which could be used for other purposes, and car service areas, which could be used as widespread freight delivery hubs.In this scenario, motorway service stations would become more similar to interports, exchange points serving not only travelers but also and primarily segments of metropolitan areas, small cities and territorial areas of influence, creating a system of "cells" of relevance.Today, therefore, there is growing awareness that new mobility also requires a different approach to the city and its design, given that the electrical infrastructure contributes to the (re)definition of urban space.For this reason, cities must change their approach and make use of technology to understand where and how to intervene, with the primary objective of restituting the space taken up by the streets, which were designed for cars, to citizens and their expanded needs. New electric, as well as connected, shared and multimodal mobility is in fact an integral part of the new cities being built.More consolidated cities will also obtain substantial benefits: a case study applied to the entire urban area of Florence demonstrates the potential of this revolution which is already underway. 


Politik ◽  
2014 ◽  
Vol 17 (3) ◽  
Author(s):  
Britt Søvsø Mikkelsen ◽  
Jeppe Agger Nielsen

The idea of measuring results and e ects has gained prevalence in an increasing number of policy areas. e specialised youth area represents one of the „soft“ service areas in which Danish municipalities increas- ingly have introduced performance measurement systems. However, research regarding the bene ts of these systems is scarce. is article therefore examines the challenges of measuring e ects of municipal initiatives in the specialised youth area based on a case study of Aarhus Municipality’s use of result documentation. We demonstrate how result documentation is subject to considerable uncertainty. Accurate measurements are complicated by the character of the area and by the fact that the municipality’s initiatives take place in a context where many simultaneous changes occur. 


2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 75-75
Author(s):  
Alberto Jacobo Cunquero Tomas ◽  
Claudio Dario Avila Andrade ◽  
Ferri Pep ◽  
Lauren Condori Farfan ◽  
Amaya Belen Fernandez Diaz ◽  
...  

75 Background: Comprehensive and continuous care is esential for the correct management of cancer patients. To achieve this, specific programs for early diagnosis and long survivor care are needed. Since 2007, within the project “Oncology beyond the Hospital: Oncologic assistance at the Universitary General Hospital of Valencia”, the Oncologist Liaison was created. Methods: Two tracks were designed: High-resolution track for patients with suspicion of non-diagnosed cáncer; and Oncologist Liaison track, to organize the follow-up of cáncer long survivors. We present a descriptive and retrospective study by reviewing medical records of patients referred to the high-resolution diagnostic consultation; and long survivors followed up by the Oncologist Liaison from May 2007 to September 2015 (2016 data under review). Results: High-resolution track: 1,596 patients with suspected cancer were visited. The mean time between the primary care physician consultation and the oncologist visit was 4.32 days. Main reasons for consultation were: breast disease (25.4%), blood test disorders (16.4%), enlarged lymph nodes (11.1%) and radiological suspicion of tumor (12%). 424 cancers were diagnosed (26.5%) all having been studied in Oncologic Committee: 22.6% lung; 17% lung; 16.2% breast; 11.8% lymphomas; 12.5% superior dighestive tract; and19.8% miscelanea. Long-survivors track: 1406 patienst free from disease were referred for surveillance of recurrence and treatment sequelae: 44% breast; 20% gastrointestinal; 17% gynecological; 7% double neoplasia; 4% of lung cancer and other tumors, 8%. Conclusions: With the integration of the Oncologist Liaison in the continuum of care, we have achieved: Normalization of oncologic approach among patients and primary care physicians; implementation of a fast-track for patients with cancer suspicion: access to the oncologist in less tan a week; case study in the Oncologic Comittee in the following week; and consensus in diagnosis and treatment plan in each case. Ensure control over long-survivors.


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