scholarly journals Analyzing Main and Interaction Effects of Length of Stay Determinants in Emergency Departments

2019 ◽  
Author(s):  
Gorkem Sarıyer ◽  
Mustafa Gökalp Ataman ◽  
İlker Kızıloğlu
Keyword(s):  
Length Of Stay ◽  
Emergency Departments ◽  
Secondary Data ◽  
The Elderly ◽  
Interaction Effects ◽  
Urban Hospital ◽  
Main Effect ◽  
High Acuity ◽  
Main Determinants ◽  
Ed Operations

Background: Measuring and understanding main determinants of length of stay (LOS) in emergency departments (EDs) is critical from an operations perspective, since LOS is one of the main performance indicators of ED operations. Therefore, this study analyzes both the main and interaction effects of four widely-used independent determinants of ED-LOS. Methods: The analysis was conducted using secondary data from an ED of a large urban hospital in Izmir, Turkey. Between-subject factorial analysis of variance (ANOVA) was used to test the main and interaction effects of the corresponding factors. P values <.05 were considered statistically significant. Results: While the main effect of gender was insignificant, age, mode of arrival, and clinical acuity had significant effects, whereby ED-LOS was significantly higher for the elderly, those arriving by ambulance, and clinically-categorized high-acuity patients. Additionally, there was an interaction between the age and clinical acuity in that, while ED-LOS increased with age for high acuity patients, the opposite trend occurred for low acuity patients. When ED-LOS was modeled using gender, age, and mode of arrival, there was a significant interaction between age and mode of arrival. However, this interaction was not significant when the model included age, mode of arrival, and clinical acuity. Conclusion: Significant interactions exist between commonly used ED-LOS determinants. Therefore, interaction effects should be considered in analyzing and modelling ED-LOS.

scholarly journals Main Effects and Interaction Effects of Bank Ownership Types and Bank Core Capital Category to the Bank NPL Performance

2021 ◽  
Vol 5 (1) ◽  
pp. 39-50
Author(s):  
Fongnawati Budhijono
Keyword(s):  
Financial Services ◽  
Secondary Data ◽  
Interaction Effects ◽  
Financial Reports ◽  
Management Capability ◽  
Main Effect ◽  
Bank Ownership ◽  
Asset Quality ◽  
Main Effects ◽  
Ownership Types

Credit management capability is seen as a crucial aspect for banks sustainability. The variable that is directly related to bank credit risk is a non-performing loan (NPL) which is commonly used to assess the asset quality of a bank. The purpose of this research is to analyze main effects and interaction effects of  bank ownership types and bank core capital category (BUKU) to the bank NPL performance. The study was conducted using secondary data obtained from bank quarterly reports from the Financial Services Authority (OJK) through the website ojk.go.id, bank financial reports, and infobank magazine. Bank’s performance in the classification of bank ownership types and bank core capital category were evaluated with respect to bank’s  NPL which in this case is used as  indicator of the bank’s performance. Tests were performed using TWO WAY ANOVA and  Post Hoc Test. The findings of this study found that the main effect type of bank ownership had a significant effect on the performance of NPL management, the main effect of banks’ BUKU had no significant effect on the performance of NPL management and the interaction effect of bank type and banks’ BUKU had a significant effect on the performance of NPL management.  

Use of data mining techniques to classify length of stay of emergency department patients

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Görkem Sariyer ◽  
Ceren Öcal Taşar ◽  
Gizem Ersoy Cepe
Keyword(s):  
Length Of Stay ◽  
Regression Tree ◽  
Secondary Data ◽  
Classification And Regression Tree ◽  
Urban Hospital ◽  
Data Set ◽  
Random Forest Classification ◽  
Forest Classification ◽  
High Level ◽  
Sensitivity Specificity

Abstract Emergency departments (EDs) are the largest departments of hospitals which encounter high variety of cases as well as high level of patient volumes. Thus, an efficient classification of those patients at the time of their registration is very important for the operations planning and management. Using secondary data from the ED of an urban hospital, we examine the significance of factors while classifying patients according to their length of stay. Random Forest, Classification and Regression Tree, Logistic Regression (LR), and Multilayer Perceptron (MLP) were adopted in the data set of July 2016, and these algorithms were tested in data set of August 2016. Besides adopting and testing the algorithms on the whole data set, patients in these sets were grouped into 21 based on the similarities in their diagnoses and the algorithms were also performed in these subgroups. Performances of the classifiers were evaluated based on the sensitivity, specificity, and accuracy. It was observed that sensitivity, specificity, and accuracy values of the classifiers were similar, where LR and MLP had somehow higher values. In addition, the average performance of the classifying patients within the subgroups outperformed the classifying based on the whole data set for each of the classifiers.

scholarly journals Correlates of Length of Stay and Boarding in Florida Emergency Departments for Patients With Psychiatric Diagnoses

2016 ◽  
Vol 67 (11) ◽  
pp. 1169-1174 ◽  
Author(s):  
Joseph L. Smith ◽  
Alessandro S. De Nadai ◽  
Eric A. Storch ◽  
Barbara Langland-Orban ◽  
Etienne Pracht ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Emergency Departments ◽  
Psychiatric Diagnoses

Political embeddedness and multi-layered interaction effects on the performance of private enterprises: lessons from China

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Eli Gimmon ◽  
Ying Teng ◽  
Xiaobin He
Keyword(s):  
Transition Economy ◽  
Economic Transition ◽  
Secondary Data ◽  
Interaction Effects ◽  
Positive Influence ◽  
Business Owners ◽  
Private Enterprises ◽  
Firm Level ◽  
Content Type ◽  
Personal Level

Purpose This study aims to present multi-layered embeddedness and explore the main and interaction effects of political embeddedness on the performance of private enterprises in China. This study tests multi-layered embeddedness through interaction effects between three layers, namely, political, territorial and inter-firm embeddedness. Political embeddedness is related at the personal and the firm levels. Design/methodology/approach The authors used secondary data of four non-panel waves (2002, 2008, 2010 and 2016) of large samples having identical questions based on the Chinese private enterprises’ survey. The accumulated number of business owners’ responses is a total of 10,686. Findings The main effects of each of the layers of embeddedness showed a positive influence on enterprise performance consistently and unchanged over time which fits the Chinese Guanxi regardless of the immense macro-economic transition. However, unexpectedly some interactions showed negative significant effects on performance. Practical implications First, business owners should be aware of the specific contribution to the performance of political embeddedness at both the firm level and the personal level. Second, the pursuit of exercising simultaneously several layers of embeddedness may be detrimental to company performance. This study provides generalizable lessons regarding different embeddedness layers beyond the context of China’s transition economy. Originality/value First, the authors extend political embeddedness to the firm level whilst in previous research this construct had been mostly related to the personal level. Second, building on the resource-based view and redundant resources the authors present the disadvantage of “over-embeddedness” as related to multi-layered embeddedness which has been understudied.

University social responsibility and empathy in organizations during COVID-19 pandemic in Brazil

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mariane Lemos Lourenço ◽  
Mara Rosalia Ribeiro Silva ◽  
Rafael Santana Galvão Oliveira
Keyword(s):  
Social Responsibility ◽  
Secondary Data ◽  
The Elderly ◽  
Online Classes ◽  
Case Study Methodology ◽  
Content Type ◽  
Study Methodology ◽  
Psychological Assistance ◽  
The Relationship

Purpose The purpose of this paper is to analyze the relationship between empathy and social responsibility (SR) practices in a university organization in Brazil during the COVID-19 pandemic in 2020. Design/methodology/approach The research was qualitative, using case study methodology. The case study was about the Brazilian organization Ânima Educação, which is the greatest among the five largest publicly traded education companies in Brazil. Secondary data collection and content analysis was carried out. Findings As emotional response toward the problems caused by the pandemic, the company's leadership adopted an empathic behavior, allowing traces of its empathic culture to emerge. Empathy was expressed through the implementation of SR practices aimed at workers (policy of not firing in the first two months of the pandemic), at students (provision of technological apparatus, online classes, physical/psychological assistance and negotiation of late fees) and at the society (assistance to the elderly). Originality/value It was concluded that empathy can be taken as the emotional motivator for companies to engage in SR practices, especially in extreme circumstances in society, as the economic and health challenges that the world is experiencing with the COVID-19 pandemic nowadays. SR practices, in turn, can foster even more empathy in organizations, mobilizing leaders and their respective groups in the creation and implementation of new practices, thus demonstrating that the relationship between empathy and SR practices is a “two-way street.”

Evaluasi Program Bantuan Pembangunan Rumah Layak Huni (Baperlahu): Studi Pada Kabupaten Mesuji Tahun 2019

2021 ◽  
Vol 3 (2) ◽  
pp. 175-184
Author(s):  
Maharani Karin ◽  
◽  
Eko Budi Sulistio ◽  
Ita Prihantika ◽  
◽  
...  
Keyword(s):  
Low Income ◽  
Community Involvement ◽  
Development Assistance ◽  
Development Program ◽  
Secondary Data ◽  
The Elderly ◽  
Housing Development ◽  
The Political ◽  
Assistance Program ◽  
Safe Environment

The Livable of Housing Development Assistance Program (BAPERLAHU) is a government facility to independently support the implementation of proper housing construction in a healthy and safe environment. The implementation of the housing development assistance program requires community involvement to achieve its main goal, namely to provide habitable housing for low-income people (MBR), the elderly or with disabilities. The purpose of this research is to evaluate how the results of the implementation of the Assistance for the Construction of Livable Houses (BAPERLAHU) program in Mesuji Regency in 2019 and to find out what factors affect the implementation of the program. The research method uses qualitative research, the types of data used are primary and secondary data where data collection uses documentation, observation and interview techniques. The results of the study show that the evaluation of the Livable Housing Development program (BAPERLAHU) in Mesuji Regency in 2019 has been going quite well. In 2019 the Livable Housing Development Assistance (BAPERLAHU) program succeeded in completing 322 unfit for habitation houses (RTLH) in Mesuji Regency. However, there are several factors that affect the implementation of the program, such as the political atmosphere, limited funds allocated, the lack of Community Assistants (TPM), and lack of supervision by the Housing and Settlement Area Office of Mesuji Regency.

scholarly journals Ill, Itinerant, and Insured: The Top 20 Users of Emergency Departments in Baltimore City

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Barbara Y. DiPietro ◽  
Dana Kindermann ◽  
Stephen M. Schenkel
Keyword(s):  
Emergency Departments ◽  
Social Factor ◽  
Homeless People ◽  
Chronic Illnesses ◽  
Limb Pain ◽  
Baltimore City ◽  
Administrative Records ◽  
Immunodeficiency Virus ◽  
High Acuity ◽  
Alteration Of Consciousness

The purpose of this study was to document the clinical and demographic characteristics of the 20 most frequent users of emergency departments (EDs) in one urban area. We reviewed administrative records from three EDs and two agencies providing services to homeless people in Baltimore City. The top 20 users accounted for 2,079 visits at the three EDs. Their mean age was 48, and median age was 51. Nineteen patients visited at least 2 EDs, 18 were homeless, and 13 had some form of public insurance. The vast majority of visits (86%) were triaged as moderate or high acuity. The five most frequent diagnoses were limb pain (n=9), lack of housing (n=6), alteration of consciousness (n=6), infection with human immunodeficiency virus (HIV) (n=5), and nausea/vomiting (n=5). Hypertension, HIV infection, diabetes, substance abuse, and alcohol abuse were the most common chronic illnesses. The most frequent ED users were relatively young, accounted for a high number of visits, used multiple EDs, and often received high triage scores. Homelessness was the most common characteristic of this patient group, suggesting a relationship between this social factor and frequent ED use.

scholarly journals Power, Legitimacy, and Urgency of Community-Based Tourism Stakeholders in Northeastern Thailand

2017 ◽  
Vol 13 (4) ◽  
pp. 104
Author(s):  
Mattara Sripun ◽  
Sekson Yongvanit ◽  
Richard Pratt
Keyword(s):  
Dynamic Range ◽  
Secondary Data ◽  
Archaeological Site ◽  
The Elderly ◽  
Functional Differentiation ◽  
Stakeholder Salience ◽  
Community Based ◽  
Doctoral Research ◽  
Stakeholder Groups ◽  
Northeastern Thailand

This paper examines the dynamics of Community-Based Tourism (CBT) stakeholder salience namely; power, legitimacy and urgency. Data is drawn from a doctoral research fieldwork, undertaken from 2013-2016 in two long running CBT villages in Northeastern Thailand which are Ban Prasat; an archaeological site in Nakhon Ratchasima province, and the ethnic Phu Tai cultural village of Ban Khok Kong in Kalasin province. Instruments include secondary data, participatory and non-participatory observations, and in-depth interviews using semi-structured questions with 53 key informants selected from 5 pre-defined stakeholder groups. Content analysis is employed using a modified stakeholder salience framework. The paper is structured into four main parts; an introduction to the theoretical foundations of the research, the examination of “legitimate” stakeholder groups and their dynamic relations, the discussion of stakeholder salience’s fundamental concepts of “who and what really matters”, and the limitations of applying a stakeholder approach in the CBT context. Findings unfold subtle but complex layers of process dynamics and stakeholder relationship. Women and the elderly are the backbone of a CBT process. Stakeholders play various roles based on group member skills. Roles and responsibilities are contingent, inclusive, and non-hierarchical. Functional differentiation serves as a management parameter and determines stakeholder urgency. Though CBT is managed through a participatory decision making process, the leaders are the most powerful stakeholder groups controlling tourism resources and regulations. CBT stakes are collective benefits. Normative legitimacy is found to be the most critical aspect. Interest overlap and the dynamic range of the stakeholder interrelations found in both CBT communities are too contingent and transitory for a unified thought on CBT management. Stakeholder interrelations transit as the setting evolves and the stakeholders themselves make decisions or change their opinions. This subjective element highlights moral essentiality and leadership dependence. Legitimacy is inevitably another form of power.

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