19,352 research outputs found

    Connecting Residents of Subsidized Housing With Mainstream Supportive Services: Challenges and Recommendations

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    Outlines challenges in expanding access to supportive services for older adults and families, including housing providers' lack of capacity or space to deliver services, limited direct funding, and restrictive eligibility rules. Lists HUD policy options

    Efficiency evaluation for pooling resources in health care

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    Hospitals traditionally segregate resources into centralized functional departments such as diagnostic departments, ambulatory care centers, and nursing wards. In recent years this organizational model has been challenged by the idea that higher quality of care and efficiency in service delivery can be achieved when services are organized around patient groups. Examples include specialized clinics for breast cancer patients and clinical pathways for diabetes patients. Hospitals are struggling with the question of whether to become more centralized to achieve economies of scale or more decentralized to achieve economies of focus. In this paper we examine service and patient group characteristics to study the conditions where a centralized model is more efficient, and conversely, where a decentralized model is more efficient. This relationship is examined analytically with a queuing model to determine themost influential factors and then with simulation to fine-tune the results. The tradeoffs between economies of scale and economies of focus measured by these models are used to derive general management guidelines

    Working Report #1: Service Model Accessibility (Service Provider Perspectives)

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    This report examines the differences in service accessibility across central, integrated, and school/community based child welfare service delivery models including geographic proximity to families, acceptability of the setting to families, and accessibility expectations of service providers. Results suggest that accessibility characteristics of the model can make a significant difference to front-line service delivery from the perspective of front-line protection workers. A defining feature of the community and school based child welfare models was increased accessibility for families and workers. Through making themselves more accessible, the community and school based settings had some significant service delivery advantages including more regular, varied, and timely contact with children and families. It seems likely that location along with a culture of accessibility has the potential to contribute to key child protection goals

    A Stochastic Location-Allocation Model for Specialized Services in a Multihospital System

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    Rising costs, increasing demand, wasteful spending, and limited resources in the healthcare industry lead to an increasing pressure on hospital administrators to become as efficient as possible in all aspects of their operations including location-allocation. Some promising strategies for tackling these challenges are joining some hospitals to form multihospital systems (MHSs), specialization, and using the benefits of pooling resources. We develop a stochastic optimization model to determine the number, capacity, and location of hospitals in a MHS offering specialized services while they leverage benefits of pooling resources. The model minimizes the total cost borne by the MHS and its patients and incorporates patient service level, patient retention rates, and type of demand. Some computational analyses are carried out to gauge the benefits of optimally sharing resources for delivering specialized services across a subset of hospitals in the MHS against complete decentralization (CD) and full centralization (FC) policies

    URBAN REGIONAL COOPERATION

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    Community/Rural/Urban Development,

    Factores que afectan la ubicación de los centros médicos en la ciudad de Teherån Estudio de caso: Distrito 1 del municipio de Teherån

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    The historical growth of cities due to the rapid increase of population led to the increased land price in cities and caused problems to theappropriate distribution system as well as the allocation of suitable spaces to some fundamental services like medical centers. Supplyinghealth for all people in every society is one of the basic human rights which should be regarded by governments. The imbalancein fundamental services such as medical care and its imbalanced distribution system cause major challenges expressing themselvesin different economic and skeletal dimensions. In this study which aimed at determining the factors affecting the location of medicalcenters, first the main variables and indicators affecting the location of such centers were extracted and then ranked using the hierarchicalquestionnaire by some relevant experts. After ranking the obtained indicators using the hierarchical method to examine the medicalcenters at district 1 of Tehran and investigating the balance and proportion of medical centers, the location of medical centersin district 1 were examined using the geographical information system by hierarchical model. The obtained results indicated thatthe northeast and east areas of district 1 in Tehran had faced major challenges in terms of the access to medical centers and a specifiedarea in the geographical information system indicated this challenge in the north and northeast areas. The selected point by geographicalinformation system were the areas in this district

    Better Health and Ambient Assisted Living (AAL) from a global, regional and local economic perspective

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    Assisting technologies aim to provide more support in the meeting of one's daily needs and the preservation of one's autonomy and quality of life. Continual developments in medicine, medical equipment, nursing and medical care are assumed to lead to new types of care being created. A high degree of social and economic relevance has been attributed to assisting technologies, as well as information and communication systems, by scientists and politicians alike, particularly in connection with the development, promotion and organization of so-called senior-friendly environments and with ambient assisted living (AAL).economic development; ambient assisted living; health care system; assisting technologies; health care; new technologies; health economy
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