Relevant bibliographies by topics / Healthcare system

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Healthcare system'

Author: Grafiati
Published: 4 June 2021
Last updated: 16 November 2024

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Journal articles on the topic "Healthcare system"

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Nabariya, Mr Kunal, Miss Dnyanashree Patil, and Miss Prachi Solanki. "Healthcare System." IJARCCE 8, no. 5 (May 30, 2019): 33–37. http://dx.doi.org/10.17148/ijarcce.2019.8508.

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Frolova, Elena. "Icelandic Healthcare System." Spravočnik vrača obŝej praktiki (Journal of Family Medicine), no. 6 (June 1, 2020): 72–77. http://dx.doi.org/10.33920/med-10-2006-10.

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Today the whole world continues to look at the surrounding reality through the prism of the coronavirus. A few months ago, in our relatively prosperous life without quarantine, the world-famous Bloomberg agency compiled another rating of countries according to the health index, on top of which were Spain and Italy. When compiling this rating, the average life expectancy of the population, the level of economic development, geographical location, prevalence of bad habits, the availability of clean drinking water, etc. were taken into account. The combination of these indicators provides data for the formation of a health index, which in Spain amounted to 92.8, and in Italy - 91.6. It is believed that the main factor contributing to the high health index in these countries is the favorable climate and the ability to keep to the Mediterranean diet, which is based on olive oil, seafood and a large amount of fruits and vegetables. However, as the tragic reality shows, countries with the best organization of the healthcare system in the world were not able to withstand the epidemic. What is the situation in the country that is the third of the top three in the ranking compiled by Bloomberg - Iceland? There is neither a favourable climate, nor olive oil, nor fresh shrimps, and the average temperature in the summer months there is +10°C. Nevertheless, in terms of life expectancy, this country left behind all the Scandinavian countries and came close to Singapore and Japan. And if we talk about the prevalence of coronavirus, then as of early April, as a result of testing of 4.7% of the population 1364 cases were found in the country, and the number of deaths was only 4. A mass examination of citizens, notably free of charge for everyone, immediate tracking of the routes of infection and isolation of the ill allowed the Icelandic authorities to take control of the situation from the very beginning of the epidemic, even without the introduction of strict restrictive measures [1].
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Frolova, Elena. "Belgium Healthcare System." Spravočnik vrača obŝej praktiki (Journal of Family Medicine), no. 10 (September 27, 2020): 65–73. http://dx.doi.org/10.33920/med-10-2010-10.

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Belgium is a small country in northwestern Europe, with a population of 11.4 million people. The country has a very high level of urbanization; up to 97% of the population lives in cities and towns. About 10% of GDP is spent annually on the development of healthcare, which, technically, corresponds to the average European indicators. Based on the results of work in 2018, the Belgian medical care delivery system was recognized as the “most generous healthcare system in Europe”, however, it was rated much lower in terms of quality than the countries that took first places in the ranking. The country has a public and private healthcare system, and both of them are paid. 99% of the population is covered by medical insurance, and children under the age of 18 are covered by parental insurance. All officially employed Belgians and self-employed persons operating in the country must be registered and make contributions to the Belgian Health Insurance Fund. The amount of the monthly contribution to the Health Insurance Fund is fixed, it amounts to 7.35% of the salary.
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Mohapatra, Nijhum, and Dr Bhuvana J. "Online HealthCare System." International Journal for Research in Applied Science and Engineering Technology 10, no. 2 (February 28, 2022): 1459–61. http://dx.doi.org/10.22214/ijraset.2022.40538.

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Abstract: Today`s technology offers many online services in almost every field. From those fields Healthcare is one of them. However, in this pandemic it is very difficult to obtain the consultation with the doctor for every health problem so to overcome this problem the Online Healthcare System can be implemented. This Web application contains features like manage patient details, doctor`s detail, schedule appointments, view reports, online payment and some additional features like videos for “yoga and exercise” and a “Chatbot”, Which is a type of software that used to redirect the conversation between human beings and users which will help people to provide details according to their queries in a productive way.
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&NA;. "Oakwood Healthcare System." American Journal of Nursing 96 (January 1996): 106. http://dx.doi.org/10.1097/00000446-199601001-00089.

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&NA;. "Presbyterian Healthcare System." American Journal of Nursing 96 (January 1996): 126. http://dx.doi.org/10.1097/00000446-199601001-00117.

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&NA;. "Memorial Healthcare System." American Journal of Nursing 96 (January 1996): 129. http://dx.doi.org/10.1097/00000446-199601001-00120.

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Anders, Robert L. "Japan's Healthcare System." JONA: The Journal of Nursing Administration 30, no. 4 (April 2000): 169–72. http://dx.doi.org/10.1097/00005110-200004000-00006.

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Cankar, Stanka Setnikar, and Veronika Petkovsek. "Improving The Slovenian Healthcare System By Examining Other European Healthcare Systems." American Journal of Health Sciences (AJHS) 3, no. 4 (September 21, 2012): 229–38. http://dx.doi.org/10.19030/ajhs.v3i4.7315.

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This paper focuses improving the Slovenian healthcare system by comparing it with the systems in place in the UK, Denmark, and France. The aim of the paper is to find and present the solutions required if the healthcare system in Slovenia is to be improved. Changes need to be made to the organisation, management, and financing of the Slovenian healthcare system in response to demographic changes and changes to the age structure of the population, the rapid development of new medical technologies, drugs, treatments, and globalisation. The paper outlines the main features of the Slovenian healthcare system and compares the structure of public and private expenditure and resources with the structures in place in the UK, Denmark, and France. Public and private healthcare providers and public-private partnerships in Slovenian healthcare are also presented and compared. An insight is given at the end of the paper into the current state of the Slovenian healthcare system and the required changes, with solutions proposed for improvements and reform. The proposed solutions include redefinition of an insured person’s status, changes to the insurance basis and rates, a redefinition of the basic basket of healthcare rights, the integration and networking of public healthcare institutions, and the separation of public and private healthcare providers.
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Ashutosh, Karve, Bhor Ashwini, Pangavhane Viraj, Sangale Vaishnavi, and Dr R. M. Gawande. "Smart Hospital and Healthcare System Using Blockchain." International Journal of Research Publication and Reviews 5, no. 4 (April 2024): 2703–7. http://dx.doi.org/10.55248/gengpi.5.0424.0973.

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Dissertations / Theses on the topic "Healthcare system"

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Opper, Scott. "Redesigning the American healthcare system." Honors in the Major Thesis, University of Central Florida, 2000. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/400.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
Bachelors
Health and Public Affairs
Social Work
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Yan, Qing. "Inequity of Chinese healthcare system." Thesis, University of Macau, 2015. http://umaclib3.umac.mo/record=b3258539.

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Jaishankar, Gayatri, and Matthew Tolliver. "Navigating the Complex Healthcare System." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/8872.

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Chaudhary, Anjali S. M. Massachusetts Institute of Technology. "System dynamics approach to healthcare affordability in India." Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/105305.

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Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, Engineering Systems Division, 2015.
Cataloged from PDF version of thesis.
Includes bibliographical references (pages [66]-[67]).
Affordability of healthcare is a growing concern across the world. For India, with a population of over 1.2 billion people and one third of world's poorest, to provide affordable and sustainable healthcare to all its citizens becomes even more challenging. The country faces the triple burden of controlling communicable diseases, managing non communicable diseases, and limiting the deaths from injury and mental health. The public healthcare system is underfunded and underutilized while the private facilities are unregulated and unaccountable for quality and cost of care. The high reliance of the population on the private facilities, low insurance coverage, and high emphasis on curative care than the preventive care is further making the cost prohibitive for the general population. There is a lot to be desired in the areas of Pharmaceuticals, Medical Devices, and Research and Development for a holistic development of healthcare system in India. This thesis attempts to model the current healthcare system and how different entities of the system interact to influence the affordability. The simulation of the model projects the affordability in the next 50 years. The study also checks the impact of three different policies on the affordability of care.
by Anjali Chaudhary.
S.M. in Engineering and Management
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Chung, Kristie (Kristie J. ). "Applying systems thinking to healthcare data cybersecurity." Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/105307.

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Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, Engineering Systems Division, 2015.
Cataloged from PDF version of thesis.
Includes bibliographical references (pages 85-90).
Since the HITECH Act of 2009, adoption of Electronic Health Record (EHR) systems in US healthcare organizations has increased significantly. Along with the rapid increase in usage of EHR, cybercrimes are on the rise as well. Two recent cybercrime cases from early 2015, the Anthem and Premera breaches, are examples of the alarming increase of cybercrimes in this domain. Although modem Information Technology (IT) systems have evolved to become very complex and dynamic, cybersecurity strategies have remained static. Cyber attackers are now adopting more adaptive, sophisticated tactics, yet the cybersecurity counter tactics have proven to be inadequate and ineffective. The objective of this thesis is to analyze the recent Anthem security breach to assess the vulnerabilities of Anthem's data systems using current cybersecurity frameworks and guidelines and the Systems-Theoretic Accident Model and Process (STAMP) method. The STAMP analysis revealed Anthem's cybersecurity strategy needs to be reassessed and redesigned from a systems perspective using a holistic approach. Unless our society and government understand cybersecurity from a sociotechnical perspective, we will never be equipped to protect valuable information and will always lose this battle.
by Kristie Chung.
S.M. in Engineering and Management
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Liang, Xiaojie. "Exercise Monitor on E-healthcare System." Thesis, Mittuniversitetet, Institutionen för informationsteknologi och medier, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-16590.

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With the rapid development of terminal hardware, mobile users and network environments, the scale of the mobile Internet appears to be catching up with the desktop Internet. Positioning System, phone sensors and applications which are able to be used anywhere have caused the arrival and increase in usage of the smart phone, and the world has become mobile-first. Within medical fields, the smart phone is also regarded as an acceptableassistant for nurses and patients as based on the advantages of mobile Internet. It is possible for healthcare personnel to assign tasks for the patients from a different place if there is a computer connected to the Internet. In addition,the smart phones is able to act as a nurse and remind the patients to complete their tasks. Accordingly, it has become a necessity to achieve this electronic healthcare system for hospitals. The objective of this research project is to summarize the procedures of this development, and release the relevant software based on an Android platform. Additionally, a corresponding website is to be designed so that healthcare personnel are able to sign in in order to deal with the tasks. The entire system has been tested in real scenarios, at this point only by the authorbut has still not been used by other organizations. The final part of the report involves the conclusions drawn and provides suggestions for further work about the whole project.
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Mahmood, Ashrafullah Khalid. "Information Security Management of Healthcare System." Thesis, Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-4353.

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Information security has significant role in Healthcare organizations. The Electronic Health Record (EHR) with patient’s information is considered as very sensitive in Healthcare organization. Sensitive information of patients in healthcare has to be managed such that it is safe and secure from unauthorized access. The high-level quality care to patients is possible if healthcare management system is able to provide right information in right time to right place. Availability and accessibility are significant aspects of information security, where applicable information needs to be available and accessible for user within the healthcare organization as well as across organizational borders. At the same time, it is essentials to protect the patient security from unauthorized access and maintain the appropriate level in health care regarding information security. The aim of this thesis is to explore current management of information security in terms of Electronic Health Records (EHR) and how these are protected from possible security threats and risks in healthcare, when the sensitive information has to be communicated among different actors in healthcare as well as across borders. The Blekinge health care system was investigated through case study with conduction of several interviews to discover possible issues, concerning security threats to management of healthcare. The theoretical work was the framework and support for possible solutions of identified security risks and threats in Blekinge healthcare. At the end after mapping, the whole process possible guidelines and suggestions were recommended for healthcare in order to prevent the sensitive information from unauthorized access and maintain information security. The management of technical and administrative bodies was explored for security problems. It has main role to healthcare and in general, whole business is the responsibility of this management to manage the sensitive information of patients. Consequently, Blekinge healthcare was investigated for possible issues and some possible guidelines and suggestions in order to improve the current information security with prevention of necessary risks to healthcare sensitive information.
muqadas@gmail.com
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Yesmin, Sabina. "Mobile Application for Secure Healthcare System." Thesis, KTH, Skolan för informations- och kommunikationsteknik (ICT), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-127456.

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Usage of mobile applications and wireless networks is growing rapidly at different sectors in the world. Mobile healthcare application is devotedly accepted by the healthcare organizations and also by patients. The reasons behind accepting mobile healthcare applications are as user friendly, reliable, low cost, time efficient, mobility etc. Though the use of mobile applications is rising day by day in the healthcare sectors still those applications are not completely secure to prevent disclosure and misuse of patient’s sensitive data. However, security issues in healthcare applications get attention by many organizations. In this thesis we have presented an integrated architecture for secure mobile healthcare system. This application provides management of patient medical records in a regional environment. Our mobile application is developed for Android platform. This solution is secure enough, because it fulfills important security requirements: integrity, confidentiality and availability.
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Gautam, Sanjay Kumar S. M. Massachusetts Institute of Technology. "Healthcare market outlook and emerging technologies in India." Thesis, Massachusetts Institute of Technology, 2014. http://hdl.handle.net/1721.1/100375.

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Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, February 2015.
Cataloged from PDF version of thesis.
Includes bibliographical references (page 77).
Usage in information technology (IT) have improved efficiency and quality in many industries. Healthcare has not been one of them. Although some administrative IT systems, such as those for billing, scheduling, and inventory management, are already in place in the healthcare industry, little adoption of clinical IT, such as Electronic Medical Record Systems (EMR-S) and Clinical Decision Support tools, has occurred. India's healthcare information technology market is slow with technology adoption but there is little traction shown in last couple of years. This growth is expected to hit US $1.45 billion in 2018, more than three times the US $381.3 million reached in 2012. The increase in adoption of electronic health records, mHealth, telemedicine, and Web-based services has made electronic patient data expand, necessitating the implementation of robust IT systems in Indian healthcare institutions. Information technology (IT) has the potential to improve the quality, safety, and efficiency of health care. Diffusion of IT in health care is generally low (varying, however, with the application and setting) but surveys indicate that providers plan to increase their investments. Drivers of investment in IT include the promise of quality and efficiency gains. Barriers include the cost and complexity of IT implementation, which often necessitates significant work process and cultural changes. Given IT's potential, both the private and public sectors have engaged in numerous efforts to promote its use within and across health care settings. Delivering quality health care requires providers and patients to integrate complex information from many different sources. Thus, increasing the ability of physicians, nurses, clinical technicians, and others to readily access and use the right information about their patients should improve care. The purpose of this thesis is to assess the current state of healthcare in India and specifically look into the emerging technology trends in healthcare IT. During analysis secondary data has been used. Various articles and research papers published in national and international journals are used. India is hub of IT and its use is increasing in health sector.
by Sanjay Kumar Gautam.
S.M. in Engineering and Management
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Ren, Haiying S. M. Massachusetts Institute of Technology. "Transition to cloud computing in healthcare information systems." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/76507.

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Thesis (S.M. in Engineering and Management)--Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, 2012.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 60-63).
This thesis is a study on the adoption of cloud computing in healthcare information technology industry. It provides a guideline for people who are trying to bring cloud computing into healthcare information systems through the use of a framework of tools and processes to overcome both technical and business challenges.
by Haiying Ren.
S.M.in Engineering and Management
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Books on the topic "Healthcare system"

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Gupta, S. D., ed. Healthcare System Management. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-3076-8.

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Balogun, Joseph Abiodun. The Nigerian Healthcare System. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-88863-3.

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Burns, Lawton Robert, and Gordon G. Liu, eds. China's Healthcare System and Reform. Cambridge: Cambridge University Press, 2016. http://dx.doi.org/10.1017/9781316691113.

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Hall, Randolph, ed. Handbook of Healthcare System Scheduling. Boston, MA: Springer US, 2012. http://dx.doi.org/10.1007/978-1-4614-1734-7.

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Commission on the Future of Health Care in Canada. and Canadian Health Services Research Foundation., eds. Globalization and Canada's healthcare system. Ottawa: Commission on the Future of Health Care in Canada, 2002.

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Orosz, Éva. The healthcare system in Hungary. Paris, France: OECD, 2000.

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Orosz, Eva. The healthcare system in Hungary. Paris: O.E.C.D., 2000.

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Bertrand, Lefebvre, and France. Ambassade (India). Centre for Human Sciences, eds. Contextualizing the urban healthcare system: Methodology for developing a geodatabase of Delhi's healthcare system. New Delhi: Centre De Sciences Humaines, 2005.

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Chapelet, Pierre. Contextualizing the urban healthcare system: Methodology for developing a geodatabase of Delhi's healthcare system. New Delhi: Centre De Sciences Humaines, 2005.

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Bradley, Barry J. Access HealthMax: The total healthcare system. [S.l.]: Access Healthcare, 1996.

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Book chapters on the topic "Healthcare system"

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Zayoud, Maha. "Healthcare System." In Process Mining Techniques for Managing and Improving Healthcare Systems, 1–12. Boca Raton: CRC Press, 2023. http://dx.doi.org/10.1201/9781003366577-1.

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Maxwell, Elaine, Lesley Baillie, and Jerusha Murdoch-Kelly. "System Improvement." In Improving Healthcare, 35–52. Abingdon, Oxon ; New York, NY : Routledge/Taylor & Francis Group, 2017.: Routledge, 2017. http://dx.doi.org/10.1201/9781315151823-3.

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Mehta, Seema. "Healthcare Marketing." In Healthcare System Management, 239–60. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-3076-8_10.

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Mold, James W. "The Healthcare System." In Fundamentals of Clinical Practice, 239–70. Boston, MA: Springer US, 1997. http://dx.doi.org/10.1007/978-1-4615-5849-1_11.

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Raja, Rakesh, Indrajit Mukherjee, and Bikash Kanti Sarkar. "Healthcare Recommendation System." In Lecture Notes in Electrical Engineering, 451–58. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-5546-6_38.

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Yoo, Jerald, and Hoi-Jun Yoo. "Wearable Healthcare System." In Bio-Medical CMOS ICs, 339–70. Boston, MA: Springer US, 2010. http://dx.doi.org/10.1007/978-1-4419-6597-4_10.

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Wilson, Brian, and Kees Van Haperen. "A Healthcare System." In Soft Systems Thinking, Methodology and the Management of Change, 75. London: Macmillan Education UK, 2015. http://dx.doi.org/10.1007/978-1-137-43269-8_7.

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Rosery, Hubertus, and Tonio Schönfelder. "Healthcare System Stakeholders." In White Paper on Joint Replacement, 91–104. Berlin, Heidelberg: Springer Berlin Heidelberg, 2018. http://dx.doi.org/10.1007/978-3-662-55918-5_4.

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Khayal, Inas S., and Amro M. Farid. "Healthcare System Design." In Design Engineering and Science, 543–62. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-49232-8_19.

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Radu, Catalin-Mihai, Irina Mocanu, and Oana Cramariuc. "Smart Healthcare System." In IFMBE Proceedings, 253–61. Cham: Springer Nature Switzerland, 2024. http://dx.doi.org/10.1007/978-3-031-62502-2_29.

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Conference papers on the topic "Healthcare system"

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P, Kumar, and Yashini P. "Machine Learning-Based Healthcare Guidance System." In 2024 Second International Conference on Advances in Information Technology (ICAIT), 1–6. IEEE, 2024. http://dx.doi.org/10.1109/icait61638.2024.10690330.

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Valarmathi, K., Muneeshwar M, P. A. Mathina, S. Mahalakshmi, and R. Vinoth. "Secure Social Healthcare System Over Cloud." In 2024 7th International Conference on Circuit Power and Computing Technologies (ICCPCT), 592–99. IEEE, 2024. http://dx.doi.org/10.1109/iccpct61902.2024.10673258.

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Wickramasinghe, Nilmini, Suresh Chalasani, Rajendra V. Boppana, and Asad M. Madni. "Healthcare System of Systems." In 2007 IEEE International Conference on System of Systems Engineering. IEEE, 2007. http://dx.doi.org/10.1109/sysose.2007.4304283.

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Kirci, Pinar, Ugur Alan, Vahap Biyik, and Zeynel A. Samak. "Healthcare navigation system." In 2015 Science and Information Conference (SAI). IEEE, 2015. http://dx.doi.org/10.1109/sai.2015.7237174.

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Korade, Sarika A., V. C. Kotak, and Asha Durafe. "Modern Healthcare System." In 2019 IEEE Pune Section International Conference (PuneCon). IEEE, 2019. http://dx.doi.org/10.1109/punecon46936.2019.9105708.

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Perez, Mario Nava, Francisco J. Alvarez Mata, Victor M. Zamudio Rodriguez, and Shumei Zhang. "Pervasive Healthcare Monitoring System." In 2015 IEEE 12th Intl. Conf. on Ubiquitous Intelligence and Computing, 2015 IEEE 12th Intl. Conf. on Autonomic and Trusted Computing and 2015 IEEE 15th Intl. Conf. on Scalable Computing and Communications and its Associated Workshops (UIC-ATC-ScalCom). IEEE, 2015. http://dx.doi.org/10.1109/uic-atc-scalcom-cbdcom-iop.2015.311.

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Yeh, Shih-Ching, Wu-Yuin Hwang, Tzu-Chuan Huang, and Wen-Kang Liu. "U-healthcare System Deployment." In Bioengineering (BIBE). IEEE, 2011. http://dx.doi.org/10.1109/bibe.2011.30.

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Lodha, Gauri, Manu Pillai, Ankit Solanki, Sarvesh Sahasrabudhe, and Ashwini Jarali. "Healthcare System Using Blockchain." In 2021 5th International Conference on Intelligent Computing and Control Systems (ICICCS). IEEE, 2021. http://dx.doi.org/10.1109/iciccs51141.2021.9432157.

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Kumari, Tanuja, Rekha Kumari, Neha Devi, and Bharti Sharma. "Personalized Healthcare Monitoring System." In 2021 5th International Conference on Trends in Electronics and Informatics (ICOEI). IEEE, 2021. http://dx.doi.org/10.1109/icoei51242.2021.9453056.

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Touati, Farid, Nabil Hamza, and Lazhar Khriji. "Wireless healthcare monitoring system." In 2009 4th International Design and Test Workshop (IDT). IEEE, 2009. http://dx.doi.org/10.1109/idt.2009.5404164.

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Reports on the topic "Healthcare system"

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Lucas, Kenneth W., and Gary R. Gilbert. Secure Wireless Military Healthcare Telemedicine Enterprise System. Fort Belvoir, VA: Defense Technical Information Center, September 2002. http://dx.doi.org/10.21236/ada408778.

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Smith, Georgia. South Korea's healthcare system gets a checkup. East Asia Forum, July 2024. http://dx.doi.org/10.59425/eabc.1721685600.

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Tomich, Nancy E. Weaving a National Surveillance System - The Role of Federal Healthcare. Fort Belvoir, VA: Defense Technical Information Center, January 2003. http://dx.doi.org/10.21236/ada413073.

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Yamada, Tetsuji, Tadashi Yamada, Chang Gun Kim, and Haruko Noguchi. Effectiveness of Government Policy: An Experience from a National HealthCare System. Cambridge, MA: National Bureau of Economic Research, June 1994. http://dx.doi.org/10.3386/w4786.

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Samochowiec, Jakub, and Andreas Müller. Are Smartwatches Eroding Solidarity? – Scenarios for a data-driven healthcare system. Gdi-verlag, Gottlieb Duttweiler Institute, 2021. http://dx.doi.org/10.59986/jtwo8035.

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6

Wang, Zhen, Colin P. West, Brianna E. Vaa Stelling, Bashar Hasan, Suvyaktha Simha, Samer Saadi, Mohammed Firwana, et al. Measuring Documentation Burden in Healthcare. Agency for Healthcare Research and Quality (AHRQ), May 2024. http://dx.doi.org/10.23970/ahrqepctb47.

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Background. The 2009 enactment of the Health Information Technology for Economic and Clinical Health (HITECH) Act and the wide adoption of electronic health record systems (EHR) have ushered an increasing documentation burden, frequently cited as a key factor affecting the work experience of healthcare professionals and a contributor to burnout. Purpose. This Technical Brief aims to identify: (1) measures of documentation burden, including evaluation of validity evidence, strengths, and weaknesses; (2) different perspectives on the appropriateness of different measures of documentation burden; and (3) perceptions of documentation burden from people in different clinical roles including patients/caregivers. The targeted audiences of this Technical Brief are clinicians, researchers, healthcare system leaders, policymakers, and electronic health record (EHR) vendors. Methods. We integrated discussions with Key Informants and synthesis of evidence from a comprehensive search of the literature, including Embase®, Epub Ahead of Print, In-Process & Other Non-Indexed Citations, MEDLINE® Daily, MEDLINE®, Cochrane Central Registrar of Controlled Trials, Ovid® Cochrane Database of Systematic Reviews, Scopus®, and select gray literature from January 2010 to December 2023. Findings. We identified 135 articles about measuring documentation burden. We identified 11 categories of measures for documentation burden: overall time spent in EHR, activities related to clinical documentation, inbox management, time spent in clinical review, time spent in orders, work outside work/after hours, administrative tasks (billing and insurance related), fragmentation of workflow, measures of efficiency, EHR activity rate, and usability. The most common source of data for most measures was EHR usage logs. Direct tracking such as through time–motion analysis was fairly uncommon. We found that measures have been developed and applied across a diverse range of settings, populations, and uses, with physicians and nurses in the United States being the most frequently represented groups. Evidence of validity of these measures was limited and incomplete. Published information on the appropriateness of measures in terms of scalability, feasibility, or equity across various contexts was limited. Physician perspective on documentation burden was the most robustly captured in the literature than other stakeholders and focused on increased stress and burnout due to documentation burden, satisfaction with EHR and its usability, EHR-associated workload, and impact on teaching. Conclusion. The current literature on documentation burden measures offers a wide range of measures, yet with serious limitations that must be remedied to further inform practical solutions. Greater diversity of settings and perspectives is needed for future development of valid measures. Identifying measurement gaps of documentation burden should serve as the basis for developing interventions and solutions, and benchmarking progression of mitigating documentation burden.
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Cohen, Deborah J., Annette M. Totten, Robert L. Phillips, Jr., Yalda Jabbarpour, Anuradha Jetty, Jennifer DeVoe, Miranda Pappas, Jordan Byers, and Erica Hart. Measuring Primary Healthcare Spending. Agency for Healthcare Research and Quality (AHRQ), May 2024. http://dx.doi.org/10.23970/ahrqepctb44.

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Background. Policy leaders and researchers have identified a range of primary care spending conceptualizations, developed frameworks and methods for measuring primary care spending, and documented the pros and cons of different approaches. However, these efforts have not been comprehensive, particularly as the number of estimates has grown. We continue this work by identifying the definitions, data sources, and approaches used to estimate primary care spending in the United States. Our objective was to identify where there is and is not consensus across methods, and how initial steps toward a standardized approach to estimating primary care spending might be achieved. We approached this comparison from a societal economic perspective. Methods. Searches were conducted in Ovid MEDLINE® and Cochrane CENTRAL databases (inception to May 2, 2023), and were supplemented by manual reviews of reference lists, Scopus searches of key articles, gray literature searches of State and organization websites, and responses to a Federal Register Notice, as well as recommendations from Key Informants. Websites of States and organizations that produced reports were reviewed in November 2023 to identify updates. Publicly available estimates and reports of methods were supplemented by discussions with experts who have supported States’ estimates. Findings. We identified 67 primary care spending estimates for 2010 to 2021: 42 of these were produced by 11 State Governments for their State, 2 were published by the Veterans Health Administration, and 23 were published by researchers or other organizations, which include foundations and policy organizations. Forty-four estimates reported on primary care spending for a single State, one estimate reported spending for the New England States, and 22 reported national spending. To date, 13 State Governments have developed and/or are implementing measurements of primary care spending. When State Governments measure primary care spending, they produce regular, often yearly, estimates. States have produced one to eight estimates, demonstrating some States have more experience with this task than others. Primary care spending estimates in our sample ranged from 3.1 to 10.3 percent. These estimates started with definitions of primary care, which are often labeled narrow or broad. Estimates may use these same labels to mean different things. Narrow definitions of primary care usually include fewer providers, locations, or service types, while broad definitions include more. State, regional, or national estimates are either reported as two estimates, one using a narrow and one using a broad definition of primary care, or as a single estimate labeled neither narrow nor broad. Variations in what providers, services, and locations are included in definitions of primary care are significant and likely contribute to variation in primary care spending estimates. However, it is difficult to distinguish differences in definitions and measurement from differences in actual primary care spending. Conclusions. While there are some core similarities in how primary care spending is measured across State, regional, and national estimates, there are more differences. While there may be rationale behind some of these variations, this variation limits comparisons and what could be understood about the impact of policies. Furthermore, lack of clear, detailed reporting of methods can obscure precisely how and why estimates differ. Research is needed that quantifies the impact different decisions and measurement methods have on spending estimates. To assure the validity and reliability of estimates of primary care spending, and facilitate comparisons and links to health outcomes, Federal, State, and policy leaders need to: (1) collaborate to create a primary care clinician database that can function as a public utility for States to allow for more precise identification of primary care clinics and clinicians, and reduce reliance on Current Procedural Terminology/Healthcare Common Procedure Coding System codes; (2) develop a template for transparent reporting of methods used to estimate primary care spending; (3) foster collaboration among Federal agencies and State leaders to develop a consensus definition of primary care and process for estimating primary care spending, with consideration of methods that are easy to understand and transparent; and (4) support the development and ongoing maintenance of State All-Payer Claims Databases, expand to include nonclaims payments, and supply Medicare and Medicaid estimates for every State.
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Rauch, Nathan C. Business Case Analysis: Reconfiguration of the Frederick Memorial Healthcare System Courier Service. Fort Belvoir, VA: Defense Technical Information Center, May 2008. http://dx.doi.org/10.21236/ada493596.

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9

Frandsen, Brigham, Michael Powell, and James Rebitzer. Sticking Points: Common-Agency Problems and Contracting in the U.S. Healthcare System. Cambridge, MA: National Bureau of Economic Research, February 2017. http://dx.doi.org/10.3386/w23177.

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Cawthra, Jennifer, Bronwyn Hodges, Jason Kuruvilla, Kevin Littlefield, Bob Niemeyer, Chris Peloquin, Sue Wang, Ryan Williams, and Kangmin Zheng. Securing Picture Archiving and Communication System (PACS) Cybersecurity for the Healthcare Sector. National Institute of Standards and Technology, December 2020. http://dx.doi.org/10.6028/nist.sp.1800-24.

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