Base de dados : MEDLINE
Pesquisa : N04.452.540 [Categoria DeCS]
Referências encontradas : 6979 [refinar]
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[PMID]:28722579
[Au] Autor:Chen X; Duan X; Shao Y; Jiang J; Zheng S; Wen H
[Ad] Endereço:Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University, Hangzhou Zhejiang, China.
[Ti] Título:Control of Human Echinococcosis in Xinjiang, China, with 2,544 Surgeries in a Multihospital Network.
[So] Source:Am J Trop Med Hyg;97(3):658-665, 2017 Sep.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Human echinococcosis is a serious parasitic disease threatening public health worldwide especially in Xinjiang, China, an undeveloped farming and pastoral area. A multihospital surgical network was applied to improve human echinococcosis control. An innovative surgery network connected the 28 designated public hospitals, which distributed in a vast land of 1,600,000 m . The surgery network integrated the efficient patient digital information sharing, treatment consulting, patient transfer, and financial support. The 6-year practical outcome of 2,544 surgeries in Xinjiang, China, was retrospectively analyzed. Electronic database and surgery network have been proven especially effective in undeveloped area with vast territory, sparse population, multiple languages, and poor traffic conditions. This network turned out effectively improved patient processing efficiency and decreased the medical cost.
[Mh] Termos MeSH primário: Equinococose/prevenção & controle
Equinococose/cirurgia
Sistemas Multi-Institucionais/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
China/epidemiologia
Equinococose/epidemiologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170720
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.17-0052


  2 / 6979 MEDLINE  
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[PMID]:28403853
[Au] Autor:Jia T; Yuan H
[Ad] Endereço:Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China.
[Ti] Título:The application of DEA (Data Envelopment Analysis) window analysis in the assessment of influence on operational efficiencies after the establishment of branched hospitals.
[So] Source:BMC Health Serv Res;17(1):265, 2017 Apr 12.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Many large-scaled public hospitals have established branched hospitals in China. This study is to provide evidence for strategy making on the management and development of multi-branched hospitals by evaluating and comparing the operational efficiencies of different hospitals before and after their establishment of branched hospitals. METHODS: DEA (Data Envelopment Analysis) window analysis was performed on a 7-year data pool from five public hospitals provided by health authorities and institutional surveys. RESULTS: The operational efficiencies of sample hospitals measured in this study (including technical efficiency, pure technical efficiency and scale efficiency) had overall trends towards increase during this 7-year period of time, however, a temporary downturn occurred shortly after the establishment of branched hospitals; pure technical efficiency contributed more to the improvement of technical efficiency compared to scale efficiency. CONCLUSIONS: The establishment of branched-hospitals did not lead to a long-term negative effect on hospital operational efficiencies. Our data indicated the importance of improving scale efficiency via the optimization of organizational management, as well as the advantage of a different form of branch-establishment, merging and reorganization. This study brought an insight into the practical application of DEA window analysis on the assessment of hospital operational efficiencies.
[Mh] Termos MeSH primário: Eficiência Organizacional/normas
Hospitais Públicos/organização & administração
Sistemas Multi-Institucionais
[Mh] Termos MeSH secundário: Benchmarking/estatística & dados numéricos
China
Eficiência Organizacional/estatística & dados numéricos
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2203-6


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[PMID]:28288076
[Au] Autor:Rinne ST; Elwy AR; Bastian LA; Wong ES; Wiener RS; Liu CF
[Ad] Endereço:*Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial VA Hospital, Bedford †The Pulmonary Center, Boston University School of Medicine ‡Department of Veterans Affairs, VA Boston Healthcare System §Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA ∥Department of Veterans Affairs, Pain Research, Informatics, Multimorbidity and Education Center, VA Connecticut Healthcare System, West Haven ¶Department of Medicine, Yale University, New Haven, CT #Department of Veterans Affairs, Health Services Research and Development Center, VA Puget Sound Health Care System **Department of Health Services, University of Washington, Seattle, WA.
[Ti] Título:Impact of Multisystem Health Care on Readmission and Follow-up Among Veterans Hospitalized for Chronic Obstructive Pulmonary Disease.
[So] Source:Med Care;55 Suppl 7 Suppl 1:S20-S25, 2017 Jul.
[Is] ISSN:1537-1948
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Chronic obstructive pulmonary disease (COPD) is one of the most common causes of readmission at Veterans Affairs (VA) hospitals. Previous studies demonstrate worse outcomes for veterans with multisystem health care, though the impact of non-VA care on COPD readmissions is unknown. OBJECTIVE: To examine the association of use of non-VA outpatient care with 30-day readmission and 30-day follow-up among veterans admitted to the VA for COPD. DESIGN: This is a retrospective cohort study using VA administrative data and Medicare claims. SUBJECTS: In total, 20,472 Medicare-eligible veterans who were admitted to VA hospitals for COPD during October 1, 2008 and September 30, 2011. MEASURES: We identified the source of outpatient care during the year before the index hospitalization as VA-only, dual-care (VA and Medicare), and Medicare-only. Outcomes of interest included any-cause 30-day readmission, COPD-specific 30-day readmission and follow-up visit within 30 days of discharge. We used mixed-effects logistic regression, controlling for baseline severity of illness, to examine the association between non-VA care and postdischarge outcomes. RESULTS: There was no association between non-VA care and any-cause readmission. We did identify an increased COPD-specific readmission risk with both dual-care [odds ratio (OR)=1.20; 95% confidence interval (CI), 1.02-1.40] and Medicare-only (OR=1.41; 95% CI, 1.15-1.75). Medicare-only outpatient care was also associated with significantly lower rates of follow-up (OR=0.81; 95% CI, 0.72-0.91). CONCLUSIONS: Differences in disease-specific readmission risk may reflect differences in disease management between VA and non-VA providers. Further research is needed to understand how multisystem care affects coordination and other measures of quality for veterans with COPD.
[Mh] Termos MeSH primário: Hospitalização
Readmissão do Paciente
Doença Pulmonar Obstrutiva Crônica
Saúde dos Veteranos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Assistência à Saúde
Seres Humanos
Revisão da Utilização de Seguros
Meia-Idade
Sistemas Multi-Institucionais
Readmissão do Paciente/estatística & dados numéricos
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170314
[St] Status:MEDLINE
[do] DOI:10.1097/MLR.0000000000000708


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[PMID]:28165680
[Au] Autor:Morrissey J
[Ti] Título:Violence: A Community Health Approach.
[So] Source:Health Prog;97(4):9-14, 2016 Jul.
[Is] ISSN:0882-1577
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Violence permeates every corner of our society, from trauma within families to abuse of intimate partners to confrontations in schools and neighborhoods. The direct injury is usually evident, often graphic and sometimes sensationalized. But the siege mentality and health consequences stemming from violence experienced, witnessed or feared are wounds in their own right.
[Mh] Termos MeSH primário: Sistemas Multi-Institucionais/organização & administração
Saúde Pública
Violência/prevenção & controle
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Assistência à Saúde
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170314
[Lr] Data última revisão:
170314
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170207
[St] Status:MEDLINE


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[PMID]:27808021
[Au] Autor:Oostrom RV
[Ad] Endereço:Waste management coordinator for Hamilton Health Sciences and has managed the waste programs for their six hospital sites since 2007. Prior to working in healthcare, Rosemary worked for 16 years as an environmental specialist at Ontario Power Generation and 2 years in the waste management industry. Her educational background includes a Bachelor of Science in Agriculture from the University of Guelph, ON.
[Ti] Título:Organic Waste Reduction at Hamilton Health Sciences.
[So] Source:Healthc Q;19(3):33-36, 2016.
[Is] ISSN:1710-2774
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:Hamilton Health Sciences (HHS) cares for the community in many ways. This includes fulfilling responsibilities as an organization to reduce the environmental impact of healthcare waste that is generated on a daily basis. A significant amount of this is food waste generated by hospital kitchens and cafeterias, and has been identified as a waste stream that could be diverted from landfill. This article explores HHS' journey toward the implementation of a cost effective, environmentally sustainable waste stream management system.
[Mh] Termos MeSH primário: Hospitais Comunitários
Eliminação de Resíduos
Resíduos Sólidos
Gerenciamento de Resíduos/métodos
[Mh] Termos MeSH secundário: Sistemas Multi-Institucionais
Estudos de Casos Organizacionais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Solid Waste)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170512
[Lr] Data última revisão:
170512
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:161104
[St] Status:MEDLINE


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[PMID]:27577332
[Au] Autor:Sarazin M; El Merini A; Staccini P
[Ad] Endereço:Départment Information Médicale - Centre Hospitalier - Firminy - France.
[Ti] Título:Impact of a Computer System and the Encoding Staff Organization on the Encoding Stays and on Health Institution Financial Production in France.
[So] Source:Stud Health Technol Inform;228:14-7, 2016.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:In France, medicalization of information systems program (PMSI) is an essential tool for the management planning and funding of health. The performance of encoding data inherent to hospital stays has become a major challenge for health institutions. Some studies have highlighted the impact of organizations set up on encoding quality and financial production. The aim of this study is to evaluate a computerized information system and new staff organization impact for treatment of the encoded information.
[Mh] Termos MeSH primário: Economia Hospitalar
Sistemas de Informação Hospitalar/economia
Recursos Humanos em Hospital
Software
[Mh] Termos MeSH secundário: França
Medicalização
Sistemas Multi-Institucionais
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170427
[Lr] Data última revisão:
170427
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:160901
[St] Status:MEDLINE


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[PMID]:27526489
[Au] Autor:Nid P
[Ti] Título:Largest not-for-profit healthcare systems. Ranked by total operating revenue for 2015.
[So] Source:Mod Healthc;46(25):34, 2016 Jun 20.
[Is] ISSN:0160-7480
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Hospitais Filantrópicos/economia
Renda/estatística & dados numéricos
Sistemas Multi-Institucionais/economia
[Mh] Termos MeSH secundário: Hospitais Filantrópicos/classificação
Sistemas Multi-Institucionais/classificação
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160816
[Lr] Data última revisão:
160816
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160817
[St] Status:MEDLINE


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[PMID]:27526441
[Au] Autor:Murphy D; Herman B
[Ti] Título:High- deductible plans have made IU Health more consumer-conscious.
[So] Source:Mod Healthc;46(22):30-1, 2016 May 30.
[Is] ISSN:0160-7480
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Dedutíveis e Cosseguros
Seguro Saúde/economia
Sistemas Multi-Institucionais/economia
Garantia da Qualidade dos Cuidados de Saúde
[Mh] Termos MeSH secundário: Seres Humanos
Indiana
Objetivos Organizacionais
Estados Unidos
[Pt] Tipo de publicação:INTERVIEW
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160816
[Lr] Data última revisão:
160816
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160817
[St] Status:MEDLINE


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[PMID]:27526436
[Au] Autor:Meyer H
[Ti] Título:For-profit systems blaze separate path to efficiency and quality.
[So] Source:Mod Healthc;46(22):15-9, 2016 May 30.
[Is] ISSN:0160-7480
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Eficiência Organizacional
Hospitais com Fins Lucrativos/organização & administração
Sistemas Multi-Institucionais/organização & administração
Garantia da Qualidade dos Cuidados de Saúde
[Mh] Termos MeSH secundário: Hospitais com Fins Lucrativos/economia
Seres Humanos
Sistemas Multi-Institucionais/economia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160816
[Lr] Data última revisão:
160816
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160817
[St] Status:MEDLINE


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[PMID]:27333708
[Au] Autor:Turkal N; Krein S
[Ti] Título:Partnering with startups can help systems find their entrepreneurial side.
[So] Source:Mod Healthc;46(14):25, 2016 Apr 04.
[Is] ISSN:0160-7480
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Comportamento Cooperativo
Contrato de Risco
Internacionalidade
Sistemas Multi-Institucionais
[Mh] Termos MeSH secundário: Controle de Custos
Estudos de Casos Organizacionais
Garantia da Qualidade dos Cuidados de Saúde
Wisconsin
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160623
[Lr] Data última revisão:
160623
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160624
[St] Status:MEDLINE



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