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1 – 10 of over 15000
Article
Publication date: 1 February 2004

Tan Xuerui and Li Yuguang

Grey relational analysis (GRA) proposed by Deng Julong is very useful to analyze medical data. The essential thought of GRA is to find a grey relational order, which can…

1826

Abstract

Grey relational analysis (GRA) proposed by Deng Julong is very useful to analyze medical data. The essential thought of GRA is to find a grey relational order, which can be used to describe the relation between the related factors based on data series. The two‐grade difference is a traditional method of GRA and the three‐grade difference is an improved one. The basic steps and formulae of GRA are introduced and GRA is used to analyze the experiment medical data, clinical trial data, data of clinical study and ambulatory and grouping medical data.

Article
Publication date: 14 August 2007

Y. Bajaj, J. Crabtree and A.G. Tucker

Clinical coding is a process of accurate translation of written medical terms into codes. The Payment by Results initiative has focused attention on the quality of…

782

Abstract

Purpose

Clinical coding is a process of accurate translation of written medical terms into codes. The Payment by Results initiative has focused attention on the quality of clinical coded data as all income for in patient services is derived from coded clinical data. The aim of this study was to evaluate the quality of clinical coded data by making comparisons between the information held on the dialect encoder system and the information recorded in the clinical case notes.

Design/methodology/approach

The 50 episodes for this study were randomly selected from a list of all episodes ending August 2005 within the ENT specialty in a teaching hospital.

Findings

There were only 17 (34 per cent) episodes with a structured summary within the case notes. Of the 50 recorded primary diagnoses 42 (84 per cent) were correctly coded. Of the 43 recorded primary procedures, 37 (86 per cent) were correctly coded.

Originality/value

This study promotes a better awareness of the impact of poor coding and gives recommendations that will be helpful to those involved in coding processes.

Details

Clinical Governance: An International Journal, vol. 12 no. 3
Type: Research Article
ISSN: 1477-7274

Keywords

Article
Publication date: 1 June 1997

James L. Price

Addresses the standardization of the measurements and the labels for concepts commonly used in the study of work organizations. As a reference handbook and research tool…

13757

Abstract

Addresses the standardization of the measurements and the labels for concepts commonly used in the study of work organizations. As a reference handbook and research tool, seeks to improve measurement in the study of work organizations and to facilitate the teaching of introductory courses in this subject. Focuses solely on work organizations, that is, social systems in which members work for money. Defines measurement and distinguishes four levels: nominal, ordinal, interval and ratio. Selects specific measures on the basis of quality, diversity, simplicity and availability and evaluates each measure for its validity and reliability. Employs a set of 38 concepts ‐ ranging from “absenteeism” to “turnover” as the handbook’s frame of reference. Concludes by reviewing organizational measurement over the past 30 years and recommending future measurement reseach.

Details

International Journal of Manpower, vol. 18 no. 4/5/6
Type: Research Article
ISSN: 0143-7720

Keywords

Article
Publication date: 24 March 2022

Mahmoud El Samad, Sam El Nemar, Georgia Sakka and Hani El-Chaarani

The purpose of this paper is to propose a new conceptual framework for big data analytics (BDA) in the healthcare sector for the European Mediterranean region. The…

Abstract

Purpose

The purpose of this paper is to propose a new conceptual framework for big data analytics (BDA) in the healthcare sector for the European Mediterranean region. The objective of this new conceptual framework is to improve the health conditions in a dynamic region characterized by the appearance of new diseases.

Design/methodology/approach

This study presents a new conceptual framework that could be employed in the European Mediterranean healthcare sector. Practically, this study can enhance medical services, taking smart decisions based on accurate data for healthcare and, finally, reducing the medical treatment costs, thanks to data quality control.

Findings

This research proposes a new conceptual framework for BDA in the healthcare sector that could be integrated in the European Mediterranean region. This framework introduces the big data quality (BDQ) module to filter and clean data that are provided from different European data sources. The BDQ module acts in a loop mode where bad data are redirected to their data source (e.g. European Centre for Disease Prevention and Control, university hospitals) to be corrected to improve the overall data quality in the proposed framework. Finally, clean data are directed to the BDA to take quick efficient decisions involving all the concerned stakeholders.

Practical implications

This study proposes a new conceptual framework for executives in the healthcare sector to improve the decision-making process, decrease operational costs, enhance management performance and save human lives.

Originality/value

This study focused on big data management and BDQ in the European Mediterranean healthcare sector as a broadly considered fundamental condition for the quality of medical services and conditions.

Details

EuroMed Journal of Business, vol. 17 no. 3
Type: Research Article
ISSN: 1450-2194

Keywords

Open Access
Book part
Publication date: 9 December 2021

Mark Taylor and Richard Kirkham

A policy of surveillance which interferes with the fundamental right to a private life requires credible justification and a supportive evidence base. The authority for…

Abstract

A policy of surveillance which interferes with the fundamental right to a private life requires credible justification and a supportive evidence base. The authority for such interference should be clearly detailed in law, overseen by a transparent process and not left to the vagaries of administrative discretion. If a state surveils those it governs and claims the interference to be in the public interest, then the evidence base on which that claim stands and the operative conception of public interest should be subject to critical examination. Unfortunately, there is an inconsistency in the regulatory burden associated with access to confidential patient information for non-health-related surveillance purposes and access for health-related surveillance or research purposes. This inconsistency represents a systemic weakness to inform or challenge an evidence-based policy of non-health-related surveillance. This inconsistency is unjustified and undermines the qualities recognised to be necessary to maintain a trustworthy confidential public health service. Taking the withdrawn Memorandum of Understanding (MoU) between NHS Digital and the Home Office as a worked example, this chapter demonstrates how the capacity of the law to constrain the arbitrary or unwarranted exercise of power through judicial review is not sufficient to level the playing field. The authors recommend ‘levelling up’ in procedural oversight, and adopting independent mechanisms equivalent to those adopted for establishing the operative conceptions of public interest in the context of health research to non-health-related surveillance purposes.

Details

Ethical Issues in Covert, Security and Surveillance Research
Type: Book
ISBN: 978-1-80262-414-4

Keywords

Article
Publication date: 1 January 1977

A distinction must be drawn between a dismissal on the one hand, and on the other a repudiation of a contract of employment as a result of a breach of a fundamental term…

1830

Abstract

A distinction must be drawn between a dismissal on the one hand, and on the other a repudiation of a contract of employment as a result of a breach of a fundamental term of that contract. When such a repudiation has been accepted by the innocent party then a termination of employment takes place. Such termination does not constitute dismissal (see London v. James Laidlaw & Sons Ltd (1974) IRLR 136 and Gannon v. J. C. Firth (1976) IRLR 415 EAT).

Details

Managerial Law, vol. 20 no. 1
Type: Research Article
ISSN: 0309-0558

Article
Publication date: 3 May 2011

Charu Chandra, Sameer Kumar and Neha S. Ghildayal

Hospital costs in the USA are a large part of the national GDP. Medical billing and supplies processes are significant and growing contributors to hospital operations…

2789

Abstract

Purpose

Hospital costs in the USA are a large part of the national GDP. Medical billing and supplies processes are significant and growing contributors to hospital operations costs in the USA. This article aims to identify cost drivers associated with these processes and to suggest improvements to reduce hospital costs.

Design/methodology/approach

A Monte Carlo simulation model that uses @Risk software facilitates cost analysis and captures variability associated with the medical billing process (administrative) and medical supplies process (variable). The model produces estimated savings for implementing new processes.

Findings

Significant waste exists across the entire medical supply process that needs to be eliminated. Annual savings, by implementing the improved process, have the potential to save several billion dollars annually in US hospitals. The other analysis in this study is related to hospital billing processes. Increased spending on hospital billing processes is not entirely due to hospital inefficiency.

Research limitations/implications

The study lacks concrete data for accurately measuring cost savings, but there is obviously room for improvement in the two US healthcare processes. This article only looks at two specific costs associated with medical supply and medical billing processes, respectively.

Practical implications

This study facilitates awareness of escalating US hospital expenditures. Cost categories, namely, fixed, variable and administrative, are presented to identify the greatest areas for improvement.

Originality/value

The study will be valuable to US Congress policy makers and US healthcare industry decision makers. Medical billing process, part of a hospital's administrative costs, and hospital supplies management processes are part of variable costs. These are the two major cost drivers of US hospitals' expenditures that were examined and analyzed.

Details

International Journal of Health Care Quality Assurance, vol. 24 no. 4
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 1 December 2004

George K. Stylios

Examines the tenth published year of the ITCRR. Runs the whole gamut of textile innovation, research and testing, some of which investigates hitherto untouched aspects…

3116

Abstract

Examines the tenth published year of the ITCRR. Runs the whole gamut of textile innovation, research and testing, some of which investigates hitherto untouched aspects. Subjects discussed include cotton fabric processing, asbestos substitutes, textile adjuncts to cardiovascular surgery, wet textile processes, hand evaluation, nanotechnology, thermoplastic composites, robotic ironing, protective clothing (agricultural and industrial), ecological aspects of fibre properties – to name but a few! There would appear to be no limit to the future potential for textile applications.

Details

International Journal of Clothing Science and Technology, vol. 16 no. 6
Type: Research Article
ISSN: 0955-6222

Keywords

Article
Publication date: 28 September 2012

Yossy Machluf, Avinoam Pirogovsky, Elio Palma, Avi Yona, Amir Navon, Tamar Shohat, Amir Yitzak, Orna Tal, Nachman Ash, Michael Nachman and Yoram Chaiter

As part of the routine work of the medical committees in the Israel Defense Forces, a unique nationwide computerized control system is being implemented to assess and…

1116

Abstract

Purpose

As part of the routine work of the medical committees in the Israel Defense Forces, a unique nationwide computerized control system is being implemented to assess and manage medical processes. The purpose of this paper is to report on that implementation.

Design/methodology/approach

The computerized system consists of three main components: a specific status indicating the processes in each file, an appointment system, and an internal computerized system that uses a magnetic card for the regulation of the local waiting lists.

Findings

The combined computerized system improves the control and management of the medical processes and informatics from the point‐of‐view of both the patients and system operators. Different parameters of quality control regarding the medical and administrative processes are assessed (such as efficiency), and solutions are sought. Computerized system‐based design and re‐allocation of human and medical resources were implemented according to the capacities and limitations of the medical system. A reduction in the daily number of invited recruits improved the quality of the medical encounters. Specific combined status codes were introduced for the efficient planning of the medical encounters. Implementation and automation of medical regulations and procedures within the computerized system make the latter play a key role and serve as a control tool during the decision‐making process.

Originality/value

The computerized system allows efficient follow‐up and management of medical processes and informatics, led to a better utilization of human and medical resources, and becomes a component of the decision making by the system operators and the administrative staff. Such a system could be used with success in clinics, hospitals, and other medical facilities.

Details

International Journal of Health Care Quality Assurance, vol. 25 no. 8
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 19 June 2009

Gregory Gourdin and Rita Schepers

This paper aims to attempt to explore current transformations in hospital governance by tracing the evolution of medical autonomy in the Belgian hospital sector in the…

708

Abstract

Purpose

This paper aims to attempt to explore current transformations in hospital governance by tracing the evolution of medical autonomy in the Belgian hospital sector in the second half of the twentieth century.

Design/methodology/approach

Using published secondary sources and archive data the paper developed a historical approach to the relationship between profession and organisation, asking qualitative questions of the characteristics of professional power and knowledge.

Findings

Since World War II, two important evolutions have occurred: first, the hospital evolved into an organisational entity that is described as a “professional bureaucracy”; second, at the sectoral level the hospital adopted a position that is characterised as a “divisional structure”. Both evolutions are linked by the processes of rationalisation and bureaucratisation. The findings do not support the thesis of an overall loss of autonomy but bring into focus the transformation of medical autonomy. New forms of professional power and knowledge are emerging with the processing (bureaucracy) and pre‐processing (rationalisation) of information on medical work as key elements.

Originality/value

The paper explores the evolution of the medical profession's autonomy in the second half of the twentieth century. It highlights reflexivity in the changing relationship between professions and organisations and how physicians are becoming “managers of expertise” who are important for both the hospital organisation and the state.

Details

Journal of Health Organization and Management, vol. 23 no. 3
Type: Research Article
ISSN: 1477-7266

Keywords

1 – 10 of over 15000