The Hare Question in Assurance Games: Practical Problems and Insights From Robotic Surgery

2017 ◽  
Vol 63 (1) ◽  
pp. 18-30
Author(s):  
Roger Lee Mendoza
Keyword(s):  
Health Care ◽  
Robotic Surgery ◽  
Theory And Practice ◽  
Canonical Model ◽  
Health Care Economics ◽  
Robotic Technology ◽  
Cooperative Action ◽  
Game Theoretic ◽  
Assurance Game ◽  
Practical Implications

We examine in this article a frequently overlooked, if not ignored, premise underlying the canonical assurance game model: Hunters could potentially bag more than a single hare (or two) in place of the prized stag. Whether a risk-dominant equilibrium is necessarily inefficient or inferior to one that is assumed to be payoff-dominant is the question we seek to address. In doing so, we suggest plausible variations of the model with different game-theoretic realizations. Single-play illustrations drawn from robotic surgery underscore their practical implications for health care economics and management. The robotic technology revolution amplifies the rational and interactive choices available to players under conditions of risk and uncertainty. Like the canonical model, our illustrations involve insulated, self-interested actions arising from the presence or absence of trust and coordination among players. They differ from the canonical model by allowing for multiple, potentially cooperative equilibrium payoffs. Any cooperative action can be considered optimal if players coordinated on it, taking fully into account the quantifiable and multiplicable value of their second best strategies. Nonetheless, we suggest that any dominant solution/s should accommodate best evidence in health care to provide patients with the most suitable treatments and services. There lies the challenge in reconciling theory and practice in health economics. JEL Classifications: C70, C71, I11, I12

Robot technology in the Italian Health-care system: Cost-efficacy economic analysis

2012 ◽  
Vol 79 (2) ◽  
pp. 69-80 ◽  
Author(s):  
Gaetano Gulino ◽  
Michele Antonucci ◽  
Giuseppe Palermo ◽  
Daniele D'Agostino ◽  
Alessandro D'Addessi ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Robotic Surgery ◽  
Economic Analysis ◽  
Health Care System ◽  
Health Technology ◽  
Public Health Care ◽  
Public Health Care System ◽  
Robotic Technology ◽  
Care System

Background Robotic technology is used in multiple fields of surgery, especially radical prostatectomy in patients with prostate cancer. The purpose of this study was to evaluate the introduction of robotic technology in the Italian Public Heath-care context, from the perspective of the Health Technology Assessment (HTA). An economic analysis that compares the costs and effectiveness of the method was developed. Data were compared with those of the most important international literature, analyzing structural and organizational problems related to the method. Materials and Methods A systematic review of literature on tertiary literature (Health Technology Assessment reports) and secondary (systematic reviews) published since 2002 was conducted. The review was also conducted on more recent primary literature regarding the clinical effectiveness and the economic analysis in the fields of surgery where da Vinci® robot is most promising. Results 18 studies were selected out of a total of 65 evaluated. The “Break-Even Point” (BEP) is the minimum number of cases needed to be treated in order to achieve a balance between costs and revenues, below which the system is losing money. It was calculated that the total fixed costs are € 378,000 and variable costs are € 3,810 per surgery. Considering that the current value of DRG (Diagnosis-Related Group) refunded by the public Health-care system is actually € 4,553, the BEP would be achieved performing 508 surgeries, so that the robotic technology does not generate neither profit nor loss. Conclusions It is not possible to demonstrate the superiority of robotic surgery in terms of efficacy. The robotic surgery is safe and effective only if performed by surgical teams with relevant experience. Considering the reported case of an Italian University Hospital with public Health-care system refund, the BEP target of 508 radical prostatectomies could be achieved after a few years. The use of the robot in multiple fields on one hand shortens recovery time costs, but on the other hand increases costs due to organizational issues. The value of the DRG refund does not appear adequate to new robotic technology.

Health Care Economics Committee Update

ASHA Leader ◽  
2003 ◽  
Vol 8 (13) ◽  
pp. 3-3
Author(s):  
Nancy Swigert
Keyword(s):  
Health Care ◽  
Health Care Economics

Universal Health Coverage

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Health Care ◽  
Universal Health Coverage ◽  
Poor Quality ◽  
Theory And Practice ◽  
Health Coverage ◽  
Quality Health Care ◽  
The Sustainable Development ◽  
Quality Health ◽  
The Right ◽  
Universal Health

This chapter explores the seminal topic of Universal Health Coverage (UHC), an objective within the Sustainable Development goals. It reviews the theory and definitions that shape the current conversation on UHC. The movement from selective primary health care to UHC demonstrates a global commitment to the progressive realization of the right to health. However, access to UHC is limited by barriers to care, inadequate provision of care, and poor-quality services. To deliver UHC, it is critical to align inputs in the health system with the burden of disease. Quality of care must also be improved. Steady, sufficient financing is needed to achieve the laudable goal of UHC.This chapter highlights some important steps taken by countries to expand access to quality health care. Finally, the chapter investigates the theory and practice behind a morbidity-based approach to strengthening health systems and achieving UHC.

Dave Snowden on KM and big data/analytics: interview with David J. Pauleen

2017 ◽  
Vol 21 (1) ◽  
pp. 12-17 ◽  
Author(s):  
David J. Pauleen
Keyword(s):  
Big Data ◽  
Data Analytics ◽  
Big Data Analytics ◽  
Theory And Practice ◽  
Content Type ◽  
Face To Face ◽  
The Relationship ◽  
A Company ◽  
Practical Implications ◽  
Scientific Officer

Purpose Dave Snowden has been an important voice in knowledge management over the years. As the founder and chief scientific officer of Cognitive Edge, a company focused on the development of the theory and practice of social complexity, he offers informative views on the relationship between big data/analytics and KM. Design/methodology/approach A face-to-face interview was held with Dave Snowden in May 2015 in Auckland, New Zealand. Findings According to Snowden, analytics in the form of algorithms are imperfect and can only to a small extent capture the reasoning and analytical capabilities of people. For this reason, while big data/analytics can be useful, they are limited and must be used in conjunction with human knowledge and reasoning. Practical implications Snowden offers his views on big data/analytics and how they can be used effectively in real world situations in combination with human reasoning and input, for example in fields from resource management to individual health care. Originality/value Snowden is an innovative thinker. He combines knowledge and experience from many fields and offers original views and understanding of big data/analytics, knowledge and management.

scholarly journals Maintaining fair and efficient health care during the COVID-19 pandemic: Theoretical context and practical implications

2021 ◽  
Vol 24 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Charalampos Milionis ◽  
Maria Ntzigani ◽  
Stella Olga Milioni ◽  
Ioannis Ilias
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Systems ◽  
Human Life ◽  
Health Coverage ◽  
Maximum Benefit ◽  
Community Health Systems ◽  
Health Care Efficiency ◽  
Universal Health ◽  
Practical Implications

Coronavirus disease 2019 is a respiratory infection that has evolved to a pandemic with an enormous burden both on human life and health care. States throughout the world have pursued strategies to restrict the transmission of the virus in the community. Health systems have a crucial dual role as they are at the frontline of the fight against the pathogen and at the same time they must continue to offer emergency and routine health services. The provision of health care in the context of the COVID-19 pandemic finds certain barriers. The simultaneous protection of both universal health coverage and health care efficiency is a difficult task due to conflicting challenges of these two goals. Key actions need to be decided and implemented in the fields of health policy, operation of health services, and clinical interaction between health personnel and patients, so that health care continues to perform its mission in a sustainable manner. As the scientific community prepares for the widespread production and application of effective protective and therapeutic agents against COVID-19, it is vital for the general population to remain safe and for the health systems to survive. Allocation of resources and priority setting need to be applied fairly and efficiently for the achievement of the maximum benefit.

To the question of studying the biology and pathology of race

1930 ◽  
Vol 26 (11) ◽  
pp. 1165-1166
Keyword(s):  
Health Care ◽  
Theory And Practice ◽  
Care Theory ◽  
Letter To The Editor ◽  
Production Labor

(Letter to the editor in response to comrade D. Pravdin). The magazine "Varnitso" (No. 3/4) published an article by com. D. Pravdin "Among scientific workers", which mentioned my name. The paragraph in which my surname appears is literally the following: The authors of the Problems of Biology and Pathology of Jews collection set themselves an equally ungrateful task of supplementing the party's policy in the field of health care theory and practice with a correction for racial pathology (see especially the editorial of the first Collection and an article by Prof. Grahn in the second Collection), which discovered, regardless of the conditions of production, labor, class (italics ours), a special racial pathology of the Jews. Not wanting to suspect the "purity" of the scientific intentions of individual participants in the Collections, we cannot fail to note that such quasi scientific excursions serve objectively as water for very dubious "mills", with which most of the participants in the Collections would probably not want to have anything in common ".

Striving for inclusion: evidence from China using a latent profile approach

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jiaojiao Qu ◽  
Shuming Zhao ◽  
Yixuan Zhao
Keyword(s):  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Theory And Practice ◽  
Organizational Leaders ◽  
Content Type ◽  
Highly Educated ◽  
Starting Point ◽  
Profile Approach ◽  
Practical Implications ◽  
Latent Profile

Purpose This study aims to identify profiles of inclusion in the workplace to provide evidence-based guidance to build an inclusive organization. Design/methodology/approach Latent profile analysis (LPA), a person-centred classification analytical tool, was applied to determine the subtypes of inclusion with Mplus 7.4, using two-wave data collected from 368 employees in 8 Chinese companies. Findings Three subgroups were identified: identity inclusion group (the highest level of inclusion, 34.0%), value inclusion group (the moderate level of inclusion, 47.5%) and low inclusion group (the lowest level of inclusion, 18.5%). The findings indicate that groups with male, aged and highly educated members, as well as members from developed areas generally tend to feel more included and greater inclusion relates to more favourable outcomes and fewer detrimental consequences. Research limitations/implications As this study was conducted only in China, the results may not be generalizable to non-Chinese contexts. Practical implications The results may help organizational leaders develop a deeper understanding of the significance and the crux of inclusion. To address the duality of workforce diversity, managers can take initiatives to create an inclusive organization. To achieve inclusion, managers should pay attention to ways of improving the perceptions of inclusion among all employees. Originality/value This is among the first studies to identify the variants in inclusion in China using LPA. It reveals the subtypes and characteristics of inclusion and can serve as a starting point to explore how to realize organizational inclusion in theory and practice.

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