scholarly journals Efficiency Evaluation of Hospitals in the Environment of the Czech and Slovak Republic

2015 ◽  
Vol 63 (6) ◽  
pp. 2109-2118 ◽  
Author(s):  
Stanislav Sendek ◽  
Zuzana Svitálková ◽  
Katarína Angelovičová
Keyword(s):  
Practice Patterns ◽  
Slovak Republic ◽  
Parametric Method ◽  
Data Envelopment ◽  
Output Performance ◽  
Quality Of Patient Care ◽  
The Cost ◽  
Care Costs ◽  
Decision Making Units

The paper applies the Data Envelopment Analysis as a deterministic non-parametric method based on the linear programming, to measure the efficiency of Czech and Slovak hospitals based on input and output performance. Managing physician or hospital practice patterns is an important tool to reduce health care costs. State-run hospitals, as decision-making units working in an operating healthcare system, might have some excess resources in the process of providing care. Ehealth tools are expected to contribute to the cost containment in them, enhancing finally the quality of patient care in the overall assessment.

scholarly journals Efficiency Evaluation of Hospitals in the Environment of the Slovak Republic

2014 ◽  
Vol 62 (4) ◽  
pp. 697-706 ◽  
Author(s):  
Stanislav Sendek
Keyword(s):  
Practice Patterns ◽  
Slovak Republic ◽  
Parametric Method ◽  
Data Envelopment ◽  
Output Performance ◽  
Quality Of Patient Care ◽  
The Cost ◽  
Care Costs ◽  
Decision Making Units

The paper applies the Data Envelopment Analysis as a deterministic non-parametric method based on the linear programming, to measure the efficiency of Slovak hospitals based on input and output performance. Managing physician or hospital practice patterns is an important tool to reduce health care costs. State-run hospitals, as decision-making units working in an operating healthcare system of the country, might have some excess resources in the process of providing care. It is also e-health tools which might contribute to the cost containment in them, enhancing finally the quality of patient care in the overall assessment.

Injuries and the Cost of Falls Among Older Adults—How Pharmacists Can Help

2009 ◽  
Vol 22 (3) ◽  
pp. 344-345 ◽  
Author(s):  
Donald Limona
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Older Adults ◽  
Medical Expenditures ◽  
Public Health Issue ◽  
Considerable Morbidity ◽  
The Cost ◽  
Serious Injuries ◽  
Care Costs

Fall-related injuries are a serious public health issue among older adults. In addition to having a significant impact on our economy, these injuries are associated with considerable morbidity. Each year, 1 out of every 3 adults aged 65 and older fall; of these adults, 10% to 20% sustain serious injuries such as fractures or head traumas. Such injuries account for about 6% of medical expenditures for adults 65 years and older. Pharmacist interventions can prevent falls, thereby improving the quality of life of these older adults, preserving their independence, and significantly reducing health care costs.

Communicating the Financial Burden of Treatment With Patients

2018 ◽  
pp. 524-531 ◽  
Author(s):  
Ryan D. Nipp ◽  
Ellen Miller Sonet ◽  
Gery P. Guy
Keyword(s):  
Cancer Care ◽  
Psychological Symptoms ◽  
Financial Burden ◽  
Patients With Cancer ◽  
Burden Of Treatment ◽  
The Cost ◽  
Care Costs ◽  
Financial Burden Of Cancer ◽  
Patient Concerns

In recent years, high health care costs and the financial burden of cancer care have received increased attention. In response to the financial burden of cancer care, patients may jeopardize their health outcomes by not properly adhering to prescribed therapies or even forgoing and delaying care in an effort to defray costs. In addition, the financial burden experienced by patients with cancer may negatively impact clinical outcomes, such as quality of life, physical and psychological symptoms, and potentially, even survival. Notably, in the current era of targeted treatment and immunotherapies for patients with cancer, the rising costs of cancer continue to remain at the forefront of patient concerns. Therefore, a critical need exists to determine how best to assist patients with the cost burden of cancer diagnosis and treatment

Medical Practice Guidelines as Malpractice Safe Harbors: Illusion or Deceit?

2012 ◽  
Vol 40 (2) ◽  
pp. 286-300 ◽  
Author(s):  
Maxwell J. Mehlman
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Medical Practice ◽  
Medical Errors ◽  
Practice Guidelines ◽  
Practice Patterns ◽  
Institute Of Medicine ◽  
The Face ◽  
Care Costs

The idea that physicians should accept recommendations from learned colleagues on how to practice medicine is probably as old as medicine itself, but beginning around 1990, it took on new urgency in the face of rising health care costs, widespread, unjustifiable variation in practice patterns, concerns about medical errors and quality of care, and what some perceived to be perverse effects of the malpractice system. One solution put forward was practice guidelines, which the Institute of Medicine (IOM) defined as systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.

Making the Case for a Nurse-Led Vascular Access Team Utilizing a Quality Assurance Conceptual Framework

2009 ◽  
Vol 14 (2) ◽  
pp. 77-82 ◽  
Author(s):  
Amanda L. Beerman
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Financial Burden ◽  
Central Venous Access ◽  
Venous Access ◽  
Care Providers ◽  
Quality Of Patient Care ◽  
The Cost ◽  
Venous Access Devices

Abstract The cost of complications of central venous access devices (CVADs) in today's health care setting is creating a financial burden, increasing the expenditures of resources, and consuming the time of health care providers to resolve. As the roles of nurses continue to evolve, nurses may be in a position to recognize and prevent many of these complications. This paper proposes a conceptual model to address the issues related to caring for and monitoring CVADs, while reducing complications and increasing quality of patient care.

scholarly journals Factors Contributing to Rationed Nursing Care in the Slovak Republic—A Secondary Analysis of Quantitative Data

2022 ◽  
Vol 19 (2) ◽  
pp. 702
Author(s):  
Dominika Kalánková ◽  
Daniela Bartoníčková ◽  
Ewelina Kolarczyk ◽  
Katarína Žiaková ◽  
Agnieszka Młynarska
Keyword(s):  
Job Satisfaction ◽  
Clinical Practice ◽  
Patient Care ◽  
Nursing Care ◽  
Slovak Republic ◽  
Secondary Analysis ◽  
Care Quality ◽  
Targeted Interventions ◽  
Quality Of Patient Care

Rationed nursing care is a significant problem in healthcare facilities worldwide. Awareness of contributing factors to rationed care might support the development and implementation of strategies for reducing this phenomenon from clinical practice. The study examined the association between selected hospital, unit, and staff variables and the prevalence of rationed nursing care. Secondary analysis of cross-sectional data collected between December 2017 and July 2018 from 895 registered nurses in seven acute care hospitals in the Slovak Republic was performed. Data were collected using the questionnaire Perceived Implicit Rationing of Nursing and analyzed by descriptive and inferential statistics in the statistical program SPSS 25.0. Statistically significant associations were found between rationed nursing care and unit type, education, shift type, nurses’ experience in the current unit, overtime hours, missed shifts, intention to leave the position, perceived staff adequacy, quality of patient care, and job satisfaction. Differences in rating rationed nursing care, quality of patient care, and job satisfaction were identified based on hospital type. Together with top hospital management, nurse managers should develop targeted interventions focusing on mitigating rationed nursing care from the clinical practice with a focus placed on university hospitals. Quality and safe care might be ensured through constant monitoring of the quality of patient care and job satisfaction of nurses as these factors significantly predicted the estimates of rationed nursing care.

Cost-effectiveness of pedometer-based versus time-based Green Prescriptions: the Healthy Steps Study

2012 ◽  
Vol 18 (3) ◽  
pp. 204 ◽  
Author(s):  
William Leung ◽  
Toni Ashton ◽  
Gregory S. Kolt ◽  
Grant M. Schofield ◽  
Nicholas Garrett ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Community Care ◽  
Cost Effective ◽  
Quality Adjusted Life Year ◽  
Related Quality ◽  
Health Related ◽  
The Cost ◽  
Care Costs ◽  
Quality Adjusted Life

This paper reports on the cost-effectiveness of pedometer-based versus time-based Green Prescriptions in improving physical activity and health-related quality of life (EQ-5D) in a randomised controlled trial of 330 low-active, community-based adults aged 65 years and over. Costs, measured in $NZ (NZ$1 = A$0.83, December 2008), comprised public and private health care costs plus exercise-related personal expenditure. Based on intention-to-treat data at 12-month follow up, the pedometer group showed a greater increase in weekly leisure walking (50.6 versus 28.1 min for the time-based group, adjusted means, P = 0.03). There were no significant between-group differences in costs. The incremental cost-effectiveness ratios, for the pedometer-based versus time-based Green Prescription, per 30 min of weekly leisure walking and per quality-adjusted life year were, (i) when including only community care costs, $115 and $3105, (ii) when including only exercise and community care costs, $130 and $3500, and (iii) for all costs, −$185 and −$4999, respectively. The cost-effectiveness acceptability curves showed that the pedometer-based compared with the time-based Green Prescription was statistically cost-effective, for the above cost categories, at the following quality-adjusted life year thresholds: (i) $30 000; (ii) $30 500; and (iii) $16 500. The additional program cost of converting one sedentary adult to an active state over a 12-month period was $667. The outcomes suggest the pedometer-based Green Prescription may be cost-effective in increasing physical activity and health-related quality of life over 12 months in previously low-active older adults.

The Effect of Algorithms on the Cost and Quality of Patient Care

Medical Care ◽  
1983 ◽  
Vol 21 (2) ◽  
pp. 157-167 ◽  
Author(s):  
Jane M. Orient ◽  
Louis J. Kettel ◽  
Harold C. Sox ◽  
Carol H. Sox ◽  
Helen J. Berggren ◽  
...  
Keyword(s):  
Patient Care ◽  
Quality Of Patient Care ◽  
The Cost

scholarly journals Pengukuran Efisiensi Organisasi Pengelola Zakat Dengan Metode Data Envelopment Analysis

2019 ◽  
Vol 4 (1) ◽  
pp. 25-44
Author(s):  
Aulia Zahra ◽  
Prayogo P. Harto ◽  
Ahmad Bisyri ASH
Keyword(s):  
Data Envelopment Analysis ◽  
Parametric Method ◽  
Data Envelopment ◽  
Personnel Costs ◽  
Management Organization ◽  
Input Variables ◽  
Using Data ◽  
The Cost ◽  
Better Than ◽  
Production Approach

This study aims to determine the level of efficiency of Zakat Management Organization period 2012-2014 using Data Envelopment Analysis (DEA) method with the production approach. Data Envelopment Analysis (DEA) is a non-parametric method used to measure the efficiency level of Decision Making Units (DMU). This method measures the ratio between output and input which are compared between the studied Zakat Management Organization. Output variables used are fund collected and channeled fund. While input variables used are personnel costs, socialization costs, and other operational costs. The results of this study show that the efficiency of Zakat Management Organization in the year 2013 is still better than in 2012 and 2014, both technically (93,50%), scale (73,28%), and overall (70,54%). Calculation of 7 Zakat Management Organization in 2013 with the assumption of Constant Return to Scale (CRS), shows only 3 Zakat Management Organization efficient, that is YBM BRI, BSM Ummat, and BAMUIS BNI. The main cause of inefficiency from the output oriented measures is channeled fund and fund collected, which is equal 49,23% and 48,13%. While the input oriented measures states that the source of inefficiency is the personnel costs (33,42%), the socialization costs (33,72%), and the cost of other operational (32,29%).

scholarly journals The Operational Efficiency of Public Higher Vocational Schools in the Lubelskie Voivodeship

2020 ◽  
Vol 13 (1) ◽  
pp. 115-125
Author(s):  
Mariusz Pyra
Keyword(s):  
Data Envelopment Analysis ◽  
Performance Assessment ◽  
Parametric Method ◽  
Operational Efficiency ◽  
Vocational Schools ◽  
Data Envelopment ◽  
Dea Model ◽  
The Public ◽  
Source Data

SummarySubject and purpose of work: This paper aims to assess the operational efficiency of public higher vocational schools in the Lublin Region.Materials and methods: The assessment was based on the non-parametric method of data envelopment analysis (DEA) using the standard CCR-O model.Results: In most of the analysed models (E, N, O series), the public higher vocational schools in the Lublin Region were found to have improved their efficiency in 2019 relative to 2017.Conclusions: E-series models are very susceptible to changes, both in terms of inputs and effects. This gives the possibility of a significant impact on the increase in the assessment of the effectiveness of investigated units DMUs. N-series models demonstrate the importance of aggregation and quality of source data for the results of performance assessment. Class O models justify the need to look for and compare the use of other DEA model variants in the study of the effectiveness of public higher vocational schools.

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