4,298 research outputs found
The Case for Developing and Deploying an Open Source Electronic Logistics Management Information System
Summarizes efforts to strengthen health information systems in low- and lower-middle-income countries, including development of common requirements. Outlines models for collaboration among stakeholders, national leaders, and health information users
CERN openlab Whitepaper on Future IT Challenges in Scientific Research
This whitepaper describes the major IT challenges in scientific research at CERN and several other European and international research laboratories and projects. Each challenge is exemplified through a set of concrete use cases drawn from the requirements of large-scale scientific programs. The paper is based on contributions from many researchers and IT experts of the participating laboratories and also input from the existing CERN openlab industrial sponsors. The views expressed in this document are those of the individual contributors and do not necessarily reflect the view of their organisations and/or affiliates
Baystate Medical Practices Annual Report - 2019
https://scholarlycommons.libraryinfo.bhs.org/bmpannual_report/1004/thumbnail.jp
Baystate Medical Practices Annual Report - 2018
https://scholarlycommons.libraryinfo.bhs.org/bmpannual_report/1003/thumbnail.jp
Partnering for a healthy world
On cover: Partnering for a healthy world.Subjects:Accident Prevention--United States.2009Other681
Effects of Patient-Centered Medical Home model on primary care
The Patient-Centered Medical Home (PCMH) model has been touted as one of the most promising reform efforts of the largely inefficient U.S. healthcare system. In comparison to the current primary care system, the PCMH is a care delivery model that is based on the principles of care-coordination, enhanced access, and team-based collaboration as a means of providing comprehensive, patient-centered medical care.
The current literature contains a limited number of review articles synthesizing the data of numerous PCMH outcome studies. Even a smaller number draws definitive conclusions as to whether PCMH is a viable model upon which to reform the US healthcare system.
This literature review will examine the available results of PCMH studies in light of their ability to 1) decrease the overall cost of healthcare 2) increase the efficiency of the continuity of care and 3) to increase positive patient outcomes through proactive patient care. Additionally, these results will be examined in regard to their longevity as a viable model of reform and specifically as it compares to the current US healthcare system.
This review will determine whether there is statistical evidence that the Patient-Centered Medical Home is a successful model to decrease healthcare costs, increase healthcare efficiency as well as increasing positive patient outcomes. In addition, this review hopes to point to ways in which the model could be improved in order to more completely achieve the goals listed above
Annual Report 2020
https://digitalcommons.memphis.edu/govpubs-tn-dept-human-services-annual-report/1001/thumbnail.jp
Providing Language Services in Small Health Care Provider Settings: Examples From the Field
Assesses recent innovations in language service programs and activities at healthcare provider settings with ten or fewer clinicians. Includes an eight-step plan to help providers develop a strategy to meet the needs of their patients
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A feature-based comparison of the centralised versus market-based decision making under lens of environment uncertainty: Case of the mobile task allocation problem
This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.Decision making problems are amongst the most common challenges facing managers at different management levels in the organisation: strategic, tactical, and operational. However, prior reaching decisions at the operational level of the management hierarchy, operations management departments frequently have to deal with the optimisation process to evaluate the available decision alternatives. Industries with complex supply chain structures and service organisations that have to optimise the utilisation of their resources are examples. Conventionally, operational decisions used to be taken centrally by a decision making authority located at the top of a hierarchically-structured organisation. In order to take decisions, information related to the managed system and the affecting externalities (e.g. demand) should be globally available to the decision maker. The obtained information is then processed to reach the optimal decision. This approach usually makes extensive use of information systems (IS) containing myriad of optimisation algorithms and meta-heuristics to process the high amount and complex nature of data. The decisions reached are then broadcasted to the passive actuators of the system to put them in execution. On the other hand, recent advancements in information and communication technologies (ICT) made it possible to distribute the decision making rights and proved its applicability in several sectors. The market-based approach is as such a distributed decision making mechanism where passive actuators are delegated the rights of taking individual decisions matching their self-interests. The communication among the market agents is done through market transactions regulated by auctions. The system’s global optimisation, therefore, raise from the aggregated self-oriented market agents. As opposed to the centralised approach, the main characteristics of the market-based approach are the market mechanism and local knowledge of the agents.
The existence of both approaches attracted several studies to compare them in different contexts. Recently, some comparisons compared the centralised versus market-based approaches in the context of transportation applications from an algorithm perspective. Transportation applications and routing problems are assumed to be good candidates for this comparison given the distributed nature of the system and due to the presence of several sources of uncertainty. Uncertainty exceptions make decisions highly vulnerable and necessitating frequent corrective interventions to keep an efficient level of service. Motivated by the previous comparison studies, this research aims at further investigating the features of both approaches and to contrast them in the context of a distributed task allocation problem in light of environmental uncertainty. Similar applications are often faced by service industries with mobile workforce. Contrary to the previous comparison studies that sought to compare those approaches at the mechanism level, this research attempts to identify the effect of the most significant characteristics of each approach to face environmental uncertainty, which is reflected in this research by the arrival of dynamic tasks and the occurrence of stochasticity delays. To achieve the aim of this research, a target optimisation problem from the VRP family is proposed and solved with both approaches. Given that this research does not target proposing new algorithms, two basic solution mechanisms are adopted to compare the centralised and the market-based approach. The produced solutions are executed on a dedicated multi-agent simulation system. During execution dynamism and stochasticity are introduced.
The research findings suggest that a market-based approach is attractive to implement in highly uncertain environments when the degree of local knowledge and workers’ experience is high and when the system tends to be complex with large dimensions. It is also suggested that a centralised approach fits more in situations where uncertainty is lower and the decision maker is able to make timely decision updates, which is in turn regulated by the size of the system at hand
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