193,095 research outputs found

    Patient Satisfaction in the Spanish National Health Service: Partial Least Squares Structural Equation Modeling

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    The aim of this article was to determine which key indicators influence patient satisfaction with the Spanish NHS to provide useful information for policy decision-making. A total of 33 variables for each of the 17 Spanish autonomous communities were collected from the statistical portal of the Spanish Ministry of Health, Social Services, and Equality between 2005 and 2016. A cross-sectional study was applied using Partial Least Squares to a Structural Equation Model (PLS-SEM). The influence of expenditures, resource allocation, and safety were hypothesized about patient satisfaction. Gross Domestic Product (GDP) and life expectancy were used as control variables. Moreover, the influence of resource allocation on use was tested. The model explained 57.1% of patient satisfaction with the Spanish NHS. It was positively influenced mainly by resource allocation and expenditures, followed by safety and life expectancy. Additionally, resources directly influenced the level of use. The number of hospital beds, hemodialysis equipment, rate of adverse drug reactions, and expenditure positively influenced patient satisfaction. In contrast, the number of posts in day hospitals, the hospital infection rate, and the percentage of pharmacy spending negatively influenced patient satisfaction

    Framework for Product Lifecycle Management integration in Small and Medium Enterprises networks

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    In order to improve the performance of extended enterprises, Small and Medium Enterprises (SMEs) must be integrated into the extended networks. This integration must be carried out on several levels which are mastered by the Product Lifecycle Management (PLM). But, PLM is underdeveloped in SMEs mainly because of the difficulties in implementing information systems. This paper aims to propose a modeling framework to facilitate the implementation of PLM systems in SMEs. Our approach proposes a generic model for the creation of processes and data models. These models are explained, based on the scope and framework of the modeling, in order to highlight the improvements provided

    Decision Support Tools for Cloud Migration in the Enterprise

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    This paper describes two tools that aim to support decision making during the migration of IT systems to the cloud. The first is a modeling tool that produces cost estimates of using public IaaS clouds. The tool enables IT architects to model their applications, data and infrastructure requirements in addition to their computational resource usage patterns. The tool can be used to compare the cost of different cloud providers, deployment options and usage scenarios. The second tool is a spreadsheet that outlines the benefits and risks of using IaaS clouds from an enterprise perspective; this tool provides a starting point for risk assessment. Two case studies were used to evaluate the tools. The tools were useful as they informed decision makers about the costs, benefits and risks of using the cloud.Comment: To appear in IEEE CLOUD 201
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