scholarly journals Til tross for økt satsning via Opptrappingsplanen, er produksjonen per fagårsverk marginalt endret innen norsk psykiatri

2014 ◽  
Vol 10 (1) ◽  
pp. 2
Author(s):  
Clas Waagø-Hansen
Keyword(s):  
National Level ◽  
Working Hours ◽  
Point Of View ◽  
Web Based ◽  
Cost Rate ◽  
Face To Face ◽  
Increase In Productivity ◽  
Working Day ◽  
The Cost ◽  
Available Resources

<p class="Toverskrift3">Abstract</p><p><strong><em>Despite an increase in resources through the national psychiatric Escalation plan, Norwegian psychiatry has only seen a marginally change in productivity per clinician</em></strong><em>.</em></p><p><em> </em></p><p><strong><em>Background</em></strong><em>: When an evaluation of the national Norwegian psychiatric Escalation plan was carried out, the conclusion was that the Norwegian Parliaments demand of a 50% increase in productivity had been achieved. The number of treated patients went from 476 000 to 1,1 million a year over a 10 year period. What wasn’t highlighted was the fact that the actual number of clinicians also almost doubled. The purpose of this study was to investigate how the accessible resources within Norwegian psychiatry was utilized, and from a society’s point of view, is it possible to achieve a true increase in productivity through better management of available resources. </em></p><p><strong><em>Method</em></strong><em>: For the analysis of resources used, the cost analytical tool TDABC was chosen. Data used was obtained from The Norwegian Directorate of Health, Statistics Norway and a hospital trust. Clinicians at several sites were interviewed in person, and 235 clinicians completed a web-based survey in order to gain insight in an ordinary clinical working day.</em></p><p><strong><em>Results</em></strong><em>: The findings consistently indicate low productivity on a national level within hospitals. This study investigated 95 062 outpatient consultations in the mentioned Trust, and on average 75% of the working hours were not used on face-to-face patient consultations. Further, available resources were not optimally utilized, patient related outcomes were not used as a tool to adapt/tailor service offered and low productivity has on a national level gained acceptance. The national hospital productivity was on average 38% compared to the productivity by out of hospital practitioners financed by the state. These state financed practitioners have a cost rate of approximately 14%-21% compared to practitioners in hospitals.</em></p><p><strong><em>Implications</em></strong><em>: If the issues highlighted in this study are addressed, the productivity within Norwegian psychiatry should be able to meet and excel the demands set forth by the Norwegian Parliament. Such an outcome would require appropriate management on all levels within the service.</em></p>

DataPro

2021 ◽  
pp. 98-108
Author(s):  
Vala Ali Rohani ◽  
Sedigheh Moghavvemi ◽  
Tiago Pinho ◽  
Paulo Caldas
Keyword(s):  
Artificial Intelligence ◽  
Big Data ◽  
Unemployment Rate ◽  
Recommender System ◽  
Social Problems ◽  
National Level ◽  
Point Of View ◽  
Web Based ◽  
Four Dimensions ◽  
Online Portal

Due to the COVID‐19 pandemic, most countries are exposed to unprecedented social problems in the current global situation. According to the official reports, it caused a dramatic increase of 44% in graduates' unemployment rate in Portugal. Moreover, from the human resource point of view, the whole of Europe is expected to face a shortage of 925,000 data professionals by 2025. Given the existing situations, the DataPro aims to propose a national-level reskilling solution in big data to mitigate both social problems of unemployability and the shortage of data professionals in Portugal. DataPro project consists of four dimensions, including an online portal for the hiring companies and unemployed graduates, along with a web-based analytics talent upskilling (ATU) platform empowered by an artificial intelligence recommender system to match the reskilled data professionals and the hiring companies.

scholarly journals Productivity Losses Due to Migraine in Slovenia: An Analysis of Absenteeism and Presenteeism Costs Based on Administrative and Self-Reported Data

2020 ◽  
Vol 59 (2) ◽  
pp. 75-82
Author(s):  
Aleša Lotrič Dolinar ◽  
Bojana Žvan ◽  
Petra Došenović Bonča
Keyword(s):  
Sick Leave ◽  
Negative Impact ◽  
National Level ◽  
National Registry ◽  
Web Based ◽  
Productivity Costs ◽  
Productivity Losses ◽  
Number Of Patients ◽  
Reported Data ◽  
The Cost

AbstractIntroductionMigraine is associated with significant morbidity and a significantly negative impact on the quality of life. A better understanding of the economic impact of migraine is becoming increasingly important. This paper aims to shed light on absenteeism and presenteeism costs of migraine in Slovenia.MethodsWe use the administrative national-level database on sick leave due to migraine for 2016. The absenteeism cost estimate is based on the number of patients with migraine on physician-determined sick leave and average daily labour costs. We calculate productivity costs from a social perspective regardless of who incurs them. Data from the national registry on sick leave are coupled with data from a web-based self-reported survey to also include the cost of presenteeism. MIDAS and WPAI presenteeism items were used and several different scenarios were designed to assess presenteeism costs.ResultsWe estimated annual absenteeism costs per absentee due to migraine at the amount of EUR 531 in 2016 using the NIPH’s administrative data on sick leave. Annual absenteeism costs per absentee due to migraine based on self-reported data amounted to EUR 626. The estimated annual presenteeism costs per patient range from EUR 344 – 900.ConclusionEstimating the economic burden of a disease is becoming increasingly important. This paper is an insight into the absenteeism and presenteeism costs of migraine in Slovenia.

Societal Acquisition and Preparation Cost of Erythrocyte Concentrate in Sweden.

Blood ◽  
2009 ◽  
Vol 114 (22) ◽  
pp. 4534-4534
Author(s):  
Jorgen Bauwens ◽  
Jorge Alfonso ◽  
Josefine Von Knorring ◽  
Nicholas Holthuis ◽  
Jan-Olof Hildén ◽  
...  
Keyword(s):  
Laboratory Testing ◽  
Unit Cost ◽  
National Level ◽  
Societal Cost ◽  
Direct Production ◽  
Cost Rate ◽  
Activity Rate ◽  
Educational Grant ◽  
The Cost ◽  
Capacity Cost

Abstract Abstract 4534 Introduction The cost and value of blood products is regularly underestimated since the purchase cost does not represent the total cost for obtaining and producing blood components. Historical accounting attempts to assess the cost of erythrocyte concentrate have varied in scope, perspective and methodology. Aim To calculate the societal acquisition and preparation cost of erythrocyte concentrate on a national level in Sweden for 2007. Methodology We derived a time-driven activity-based costing model taking into consideration blood centre costs and donor costs for producing one bag of erythrocyte concentrate. Data for this study is collected in 3 Swedish blood centres of different types and related microbiology laboratories. The following simplified formula illustrates the calculation steps: Societal cost of erythrocyte concentrate = Σ (direct labour time x activity rate x labour capacity cost rate) + Σ (direct equipment time x activity rate x equipment capacity cost rate) + Σ donor time x national value of production + Σ cost donor transport. A weighted average, based on each blood centres' representativeness, results in the cost per unit erythrocyte concentrate for the entire country. Results The societal cost for acquiring and preparing 1 unit of erythrocyte concentrate ready for transfusion in Sweden is € 103,80 (Table 1). In the hospitals, 90% of the societal cost occurs. Of this cost, 94% is situated in the blood centre. Laboratory testing accounts for 5% of the societal cost. Donor costs represent 10% of the societal cost. Of this cost, 68% is due to loss of production, cost for transport represents 28% (Figure 1). More than half of the costs (55%) are generated by quality related processes, 32% is related to direct production and 13% to supportive activities (Figure 2). Discussion The results are most dependent on the time estimates evaluated by transfusion specialists. The blood centre's size and production level have low impact on the unit cost. More than 25% of the cost is occurred when preparing transfusions due to the time consuming process. The low costs of laboratory testing are explained by automated laboratories, minimising potential high labour costs. Several factors could result in a higher cost of erythrocyte concentrate. Not all acquired units are used for transfusion, therefore the cost per unit transfused would be higher than the reported numbers. This study will be expanded to capture the complete transfusion chain from donor to the patient in surgery and oncology. The study should contribute to future cost-effectiveness studies. The applied cost model can be used as an economic decision tool. Conclusion In this study, the calculated societal cost for acquiring and preparing 1 unit erythrocyte concentrate ready for transfusion in Sweden is € 103,80. Disclosures: Bauwens: Vifor Pharma Ltd.: Educational grant. Alfonso:Vifor Pharma Ltd.: Educational grant. Von Knorring:Vifor Pharma Ltd.: Educational grant. Demey:Vifor Pharma Ltd.: Educational grant.

scholarly journals The HLABC Webcasting–Webconferencing Pilot Project

2014 ◽  
Vol 33 (3) ◽  
pp. 127
Author(s):  
Devon Greyson ◽  
Anne Allgaier
Keyword(s):  
Journal Club ◽  
Pilot Project ◽  
Lessons Learned ◽  
Online Journal ◽  
Web Based ◽  
Face To Face ◽  
Final Project ◽  
Web Access ◽  
The Cost ◽  
Improve Access

The purpose of the Health Library Association of British Columbia (HLABC) Webcasting–Webconferencing Pilot Project was to assess the feasibility and value of using Web-based technologies to improve access to continuing education (CE) events and meetings, particularly for our association's rural and remote members. By offering online access to CE events and other Chapter activities, we aimed to facilitate professional development and networking opportunities for our members by enabling those who have previously been unable to attend CE events and meetings to participate online. From June 2010 through May 2011, HLABC offered web access (via WebEx Meeting Centre) to all of our association's events. To assess value and feasibility, we conducted post-event surveys and a whole membership final project evaluation. The overwhelming majority of respondents were enthusiastic about the project's ability to increase event access. Lessons learned from the project include the need for sufficient IT troubleshooting time as well as ways to change meeting culture to better include online attendees within a primarily face-to-face event. An unanticipated benefit to the project was the ability to spontaneously create collaborative new programming, such as an online journal club. At the end of the pilot project, our association resolved to adopt Web delivery as an ongoing strategy, raising member dues a small amount to partly defray the cost of the technology.

Evaluation Of The Functional Of Space-Planning Arrangement Of A Building

2019 ◽  
pp. 4-9
Keyword(s):  
Numerical Simulation ◽  
Life Cycle ◽  
Initial Data ◽  
Objective Assessment ◽  
Objective Evaluation ◽  
Point Of View ◽  
Shopping Centers ◽  
Space Planning ◽  
Planning Decisions ◽  
The Cost

The article focuses on the problem of the lack of objective evaluation of space-planning arrangement of buildings as a creative approach of the architect to the performing of functional tasks by the object. It is proposed to create a methodology for assessing the functional of space-planning solutions of buildings on the basis of numerical simulation of functional processes using the theory of human flows. There is a description of the prospects of using this method, which makes it possible to increase the coefficient of compactness, materials and works saving, more efficient use of space, reduce the cost of the life cycle of the building, save human forces and time to implement the functional of the building. The necessary initial data for modeling on the example of shopping and shopping-entertainment centers are considered. There are three main tasks for algorithmization of the functional of shopping centers. The conclusion is made about necessity of development of a method for objective assessment of buildings from the point of view of ergonomics of space-planning decisions based on the study of human behavior in buildings of different purposes.

PREREQUISITES FOR THE FORMATION OF A MECHANISM FOR STATE REGULATION OF SOCIAL GUARANTEES IN THE REGION

2017 ◽  
Author(s):  
Vitaly Lobas ◽  
◽  
Elena Petryaeva ◽  
Keyword(s):  
Social Protection ◽  
Well Being ◽  
State Regulation ◽  
The State ◽  
Point Of View ◽  
Periodic Review ◽  
Cost Of Living ◽  
Economic Relations ◽  
State Management ◽  
The Cost

The article deals with modern mechanisms for managing social protection of the population by the state and the private sector. From the point of view of forms of state regulation of the sphere of social protection, system indicators usually include the state and dynamics of growth in the standard of living of the population, material goods, services and social guarantees for the poorly provided segments of the population. The main indicator among the above is the state of the consumer market, as one of the main factors in the development of the state. Priority areas of public administration with the use of various forms of social security have been identified. It should be emphasized that, despite the legislative conflicts that exist today in Ukraine, mandatory indexation of the cost of living is established, which is associated with inflation. Various scientists note that although the definition of the cost of living index has a well-established methodology, there are quite a lot of regional features in the structure of consumption. All this is due to restrictions that are included in the consumer basket of goods and different levels of socio-economic development of regions. The analysis of the establishment and periodic review of the minimum consumer budgets of the subsistence minimum and wages of the working population and the need to form state insurance funds for unforeseen circumstances is carried out. Considering in this context the levers of state management of social guarantees of the population, we drew attention to the crisis periods that are associated with the market transformation of the regional economy. In these conditions, there is a need to develop and implement new mechanisms and clusters in the system of socio-economic relations. The components of the mechanisms ofstate regulation ofsocial guarantees of the population are proposed. The deepening of market relations in the process of reforming the system of social protection of the population should be aimed at social well-being.

Marginal assessment of the cost and benefits of aphasia treatment: Evidence from community-based telerehabilitation treatment for aphasia

2021 ◽  
pp. 1357633X2098277
Author(s):  
Molly Jacobs ◽  
Patrick M Briley ◽  
Heather Harris Wright ◽  
Charles Ellis
Keyword(s):  
Cost Effectiveness ◽  
Economies Of Scale ◽  
Reference Group ◽  
Unit Cost ◽  
Community Based ◽  
Face To Face ◽  
Conduction Aphasia ◽  
Aphasia Treatment ◽  
The Cost ◽  
The Relationship

Introduction Few studies have reported information related to the cost-effectiveness of traditional face-to-face treatments for aphasia. The emergence and demand for telepractice approaches to aphasia treatment has resulted in an urgent need to understand the costs and cost-benefits of this approach. Methods Eighteen stroke survivors with aphasia completed community-based aphasia telerehabilitation treatment, utilizing the Language-Oriented Treatment (LOT) delivered via Webex videoconferencing program. Marginal benefits to treatment were calculated as the change in Western Aphasia Battery-Revised (WAB-R) score pre- and post-treatment and marginal cost of treatment was calculated as the relationship between change in WAB-R aphasia quotient (AQ) and the average cost per treatment. Controlling for demographic variables, Bayesian estimation evaluated the primary contributors to WAB-R change and assessed cost-effectiveness of treatment by aphasia type. Results Thirteen out of 18 participants experienced significant improvement in WAB-R AQ following telerehabilitation delivered therapy. Compared to anomic aphasia (reference group), those with conduction aphasia had relatively similar levels of improvement whereas those with Broca’s aphasia had smaller improvement. Those with global aphasia had the largest improvement. Each one-point of improvement cost between US$89 and US$864 for those who improved (mean = US$200) depending on aphasia type/severity. Discussion Individuals with severe aphasia may have the greatest gains per unit cost from treatment. Both improvement magnitude and the cost per unit of improvement were driven by aphasia type, severity and race. Economies of scale to aphasia treatment–cost may be minimized by treating a variety of types of aphasia at various levels of severity.

Developing information literacy courses for students through virtual learning environments in Tanzania: Prospects and challenges

IFLA Journal ◽  
2021 ◽  
pp. 034003522110182
Author(s):  
Evans F Wema
Keyword(s):  
Learning Environments ◽  
Information Literacy ◽  
Teaching And Learning ◽  
Virtual Learning ◽  
Higher Learning ◽  
Virtual Learning Environments ◽  
Web Based ◽  
Face To Face ◽  
Institutions Of Higher Learning ◽  
The Face

This article reviews literature on the use of virtual learning environments by highlighting their potential and the challenges of introducing the same in Tanzania. It introduces the concept of virtual learning environments by demonstrating their applications to support teaching and learning. The article discusses the use of virtual learning environments in teaching information literacy courses by highlighting the success of using such tools in facilitating the teaching of information literacy courses to library users. In this review, special emphasis is placed on attempts by Tanzanian institutions of higher learning to introduce web-based teaching of information literacy and the challenges faced. The review reveals the need for Tanzanian institutions of higher learning to develop virtual learning environments to facilitate the teaching of information literacy courses to students and faculty so as to reach many of those who may not manage to attend the face-to-face information literacy sessions that are offered by librarians on a regular basis.

scholarly journals Access to care and worsening eating disorder symptomatology in youth during the COVID-19 pandemic

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Rebecca Spigel ◽  
Jessica A. Lin ◽  
Carly E. Milliren ◽  
Melissa Freizinger ◽  
Julia A. Vitagliano ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Eating Disorder ◽  
Access To Care ◽  
Treatment Quality ◽  
Related Factors ◽  
Web Based ◽  
Face To Face ◽  
Recovery Study ◽  
And Behaviors

Abstract Background Shelter-in-place orders and social distancing guidelines, in response to the COVID-19 pandemic, have limited traditional face-to-face interactions and led to many clinical providers transitioning to the use of videoconferencing platforms. The present study aims to assess how the COVID-19 pandemic has impacted adolescents’/young adults’ (AYA) eating disorder (ED)-related care, and how access to, changes in, perceived disruptions to, and quality of care are associated with ED thoughts and behaviors. Methods AYA enrolled in the RECOVERY study, a pre-existing web-based longitudinal study, and completed a COVID-19-specific survey (n = 89). We examined bivariate associations of four markers of care: i) access to care, ii) changes in care, iii) perceived disruption to care, and iv) quality of care. Using multiple logistic regression, we examined the associations of pandemic-related markers of care with changes in ED thoughts and behaviors. We excluded those not engaged in treatment pre-pandemic (n = 16). Results In the remaining 73 participants, reported access to care was high, with 92% of respondents continuing care with at least one ED provider during the pandemic; however, 47% stopped some treatment during the pandemic. Nearly one-third (32%) perceived a disruption in treatment. Quality of care remained high with 67% reporting care to be better than or as good as pre-pandemic. Respondents acknowledged heightened symptomatology: 81% reported increased ED thoughts and 81% reported increased ED behaviors due to COVID-19-related factors. However, none of the markers of care described were significantly associated with ED thoughts or behaviors in regression analyses adjusting for demographic variables and baseline characteristics, except our quality of care measure which was approaching significance (p = 0.07). Conclusions Our findings show the majority of AYA who had care prior to the pandemic continued receiving some element of their multi-disciplinary ED treatment and perceived their care as high quality. None of the markers of care described were statistically associated with increased ED thoughts and behaviors.

scholarly journals Inclusionary Housing: An Evaluation of a New Public Rental Housing Governance Instrument in China

Land ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 305
Author(s):  
Juan Yan ◽  
Marietta Haffner ◽  
Marja Elsinga
Keyword(s):  
Housing Market ◽  
Affordable Housing ◽  
Local Governments ◽  
Rental Housing ◽  
Analytical Framework ◽  
Point Of View ◽  
Policy Implications ◽  
Research Approach ◽  
Inclusionary Housing ◽  
The Cost

Inclusionary housing (IH) is a regulatory instrument adopted by local governments in many countries to produce affordable housing by capturing resources created through the marketplace. In order to assess whether it is efficient, scholarly attention has been widely focused on its evaluation. However, there is a lack of studies evaluating IH from a governance perspective. Since IH is about involving private actors in affordable housing production, the governance point of view of cooperating governmental and non-governmental actors governing society to achieve societal goals is highly relevant. The two most important elements of governance—actors and interrelationships among these actors—are taken to build an analytical framework to explore and evaluate the governance of IH. Based on a research approach that combines a literature review and a case study of China, this paper concludes that the ineffective governance of Chinese IH is based on three challenges: (1) The distribution of costs and benefits across actors is unequal since private developers bear the cost, but do not enjoy the increments of land value; (2) there is no sufficient compensation for developers to offset the cost; and (3) there is no room for negotiations for flexibility in a declining market. Given that IH is favored in many Chinese cities, this paper offers the policy implications: local governments should bear more costs of IH, rethink their relations with developers, provide flexible compliance options for developers, and perform differently in a flourishing housing market and a declining housing market.

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