Articles de revues : « Hospital activity »

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Hegji, Charles E. « Hospital Activity and Hospital Profits ». Journal of Hospital Marketing & ; Public Relations 17, n^o 2 (9 octobre 2007) : 3–11. http://dx.doi.org/10.1300/j375v17n02_02.

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Magee, H. F. « The Hospital Data Project : Comparing hospital activity within Europe ». European Journal of Public Health 13, Supplement 1 (1 septembre 2003) : 73–79. http://dx.doi.org/10.1093/eurpub/13.suppl_1.73.

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Magee, H. F. « The Hospital Data Project : comparing hospital activity within Europe ». European Journal of Public Health 13, suppl 3 (1 septembre 2003) : 73–79. http://dx.doi.org/10.1093/eurpub/13.suppl_3.73.

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Williams, D. R. R. « Hospital Admissions of Diabetic Patients : Information from Hospital Activity Analysis ». Diabetic Medicine 2, n^o 1 (janvier 1985) : 27–32. http://dx.doi.org/10.1111/j.1464-5491.1985.tb00588.x.

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Stovban, M. P., V. M. Mikhalchuk, O. K. Tolstanov et Z. V. Gbur. « Hospital Districts : Modern Issues of Activity ». Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 5, n^o 5 (1 novembre 2020) : 229–35. http://dx.doi.org/10.26693/jmbs05.05.229.

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The article examines the state of development of hospital districts. According to the results of the research, the urgency of solving the issue of improving the regulatory framework governing the activities of hospital districts was determined. Today, health care is the most pressing issue at the global level and affects the whole society, and the issue of ensuring the right to health care for everyone is enshrined at different levels: internationally, it is declared in the WHO statute; also reflected in the regulatory framework of regional organizations, the constitution of the European Union, enshrined in the national constitutions of all countries. Ukraine is currently in the active stage of reforming the health system and its acute issue in the context of decentralization reform is the formation and operation of hospital districts, the logic of which is based on the territorial availability of quality health care. Given the social significance of hospital districts, the topic of problems of their activities and the development of solutions for their leveling is in demand. Ukraine today has one of the most inefficient hospital systems in the world, the problems of which are the lack of a hospital planning system and the practice of cooperation between local communities and the authorities that represent them. Therefore, an important part of medical reform in terms of reforming and streamlining the network of health care facilities was the approval of the Procedure for the establishment of hospital districts. The study examined the foreign experience of organizing hospital districts, in particular the district of Roth (Bavaria, Germany). A study of the definition of "hospital districts" and identified its main characteristics: the association of health care facilities; providing secondary medical care; clear definition of territory and consumers of services. The mechanism of functioning of the hospital district is considered, its tasks are defined. The principles of work of the main governing body of the hospital district - the hospital council, which is an advisory body and includes representatives of state bodies, local governments, enterprises, institutions and organizations. The purpose and powers of the hospital council are determined. Hospital districts that should operate in the regions of the country are considered. Conclusion. We revealed the main problems in the activity of hospital districts: inconsistency and lack of sufficient regulatory framework on the issue of the process of creating hospital districts; lack of methodological recommendations in the formation of hospital districts on the list of functions of a multidisciplinary hospital and the types of its departments that should operate within it; lack of attention to the assessment of regional features during the formation of hospital districts; unresolved personnel problem; unresolved issues of public access to medical services. We also suggested the ways to solve them

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Hansell, A., A. Bottle, L. Shurlock et P. Aylin. « Accessing and using hospital activity data ». Journal of Public Health 23, n^o 1 (1 mars 2001) : 51–56. http://dx.doi.org/10.1093/pubmed/23.1.51.

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Sanchez, D., M. Tentori et J. Favela. « Activity Recognition for the Smart Hospital ». IEEE Intelligent Systems 23, n^o 2 (mars 2008) : 50–57. http://dx.doi.org/10.1109/mis.2008.18.

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Haq, Fahmy Abdul, Firman Pribadi et Akrom Akrom. « Elective caesarean section cost efficiency with time-driven activity-based costing ». International Journal of Public Health Science (IJPHS) 12, n^o 1 (1 mars 2023) : 155. http://dx.doi.org/10.11591/ijphs.v12i1.21963.

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Hospitals compete to increase the value of services, one of which is cost-efficiency. The complexity of the service process and many resources in health services make calculating costs difficult. Time-driven activity based costing (TDABC) can identify specific cost drivers so that it has the potential to help identify inefficient processes. This study analyzes the cost efficiency of caesarean section with the TDABC. This study uses a qualitative research design with a case study method at one of the hospitals in Bantul, Yogyakarta, Indonesia. Primary data was taken from direct observation and interviewing hospital staff. Secondary data were obtained from hospital annual report 2019, hospital financial reports 2019, and patient medical records. The cost of a caesarean section was calculated and analyzed using the seven-step TDABC model with one-year hospital 2019 data. The cost of an elective caesarean section with the TDABC method is IDR 4,576,182.72. Hospitals can reduce postoperative costs by 25% by reducing the use of medicine and antibiotics. Based on the research results, TDABC can properly analyze costs based on services and identify inefficient processes.

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Kim, Doh Yeon, et Myonghwa Park. « Analysis of Nursing Activity in General Hospital Using Hospital Information System ». Journal of Korean Society of Medical Informatics 14, n^o 2 (2008) : 169. http://dx.doi.org/10.4258/jksmi.2008.14.2.169.

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Setyorini, Ari, et Masulah Masulah. « Peningkatan Kemampuan Bercerita Tenaga Medis Sebagai Bentuk Profesionalisme Pelayanan Terhadap Hospitalisasi Pasien Anak ». AKSIOLOGIYA : Jurnal Pengabdian Kepada Masyarakat 1, n^o 1 (13 décembre 2016) : 66. http://dx.doi.org/10.30651/aks.v1i1.308.

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This article aims at describing the story telling training process for the medical professionals in Muhammadiyah Hospital of Surabaya and Siti Khodijah Hospital of Sidoarjo. Based on the preliminary study, the training is one of the best solutions to enhance the hospiltals’ professional service since the hospitals face similar problem of hospitalization. Other than that, the service is particularly for the pediatric patients who suffer psychological trauma of hospitalization. The training was carried out through three stages of pre-activity, activity, and evaluation. Through the comparison between pre and post-training test toward the trained pediatric nurses of Muhammadiyah Hospital of Surabaya, the result confirmed that the mean of the post-training score was increased significantly from 55.8(pre-training score) to 84 (post-training score). The second result which is got from the pediatric nurses of Siti Khodijah Hospital shows the sharp increase. The mean of pre-training score was 39.9, and the mean of the post-training score was 88.8. Through interviewing with the participants and the managements of both hospitals, it can be concluded that the training gained positive responses from the hospital management, the pediatric nurses and the patients as well.

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Jun, So, Jaewon Kim, Hyehoon Choi, Joon Kim, Seong Lim, Bomi Sul et Bo Hong. « Physical Activity of Workers in a Hospital ». International Journal of Environmental Research and Public Health 16, n^o 4 (13 février 2019) : 532. http://dx.doi.org/10.3390/ijerph16040532.

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Purpose: This study aims to evaluate the physical activity of healthcare personnel and the affecting factors of physical activity (PA) in a hospital using an accelerometer device (Actigraph wGT3X-BT). Method: A total of 63 subjects (22 physicians, 19 nurses, and 23 supporting staff) participated and wore an accelerometer for seven days. Among the outputs, the mean counts for a minute, time spent for light, moderate, and vigorous intensity PA, and step count were extracted. As a secondary study, 16 subjects continued for one more week after feedback on their PA of the previous week and counseling to encourage PA. Result: Most of (62/63) the participants fulfilled the recommended amount of PA, which is more than 300 min of moderate to vigorous physical activity (MVPA). Physicians showed significantly less PA than nurses or supporting staffs: Mean counts per minute (210.4 vs. 476.0 and 441.8 respectively), time in MVPA per week (904.7 min vs. 1471.3 min and 1451.0 min), and step counts per week (69,029 vs. 87,119 and 84,700) (p < 0.001). Nurses and supporting staff were not statistically different. There was no significant difference in the PA of workers in the hospital regarding gender and marital status. However, the average calorie expenditure of the child raising group was significantly higher. There was no statistically significant difference in PA before and after counseling. No participants reported a vigorous degree of exercise intensity over the study period. Conclusion: Most of the healthcare personnel met the recommended PA, however, only 57% (36/63) recalled having engaged in MVPA during the study period. The group of physicians showed less PA compared to nurses or supporting staff. Single check-up and counseling were not found to increase PA.

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Hill-Tout, Janet. « Daytime activity in hospital : two years on ». Journal of the British Institute of Mental Handicap (APEX) 13, n^o 2 (26 août 2009) : 78–79. http://dx.doi.org/10.1111/j.1468-3156.1985.tb00291.x.

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Scott, Clyde, et Jim Simpson. « Union election activity in the hospital industry ». Health Care Management Review 14, n^o 4 (1989) : 21–28. http://dx.doi.org/10.1097/00004010-198901440-00008.

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Scott, Clyde, et Jim Simpson. « Union election activity in the hospital industry ». Health Care Management Review 14, n^o 4 (1989) : 21–28. http://dx.doi.org/10.1097/00004010-198923000-00008.

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Collier, R. « Activity-based hospital funding : boon or boondoggle ? » Canadian Medical Association Journal 178, n^o 11 (1 mai 2008) : 1407–8. http://dx.doi.org/10.1503/cmaj.080594.

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Epstein, Helen-Ann Brown. « Opportunities for Hospital Librarians in Interprofessional Activity ». Journal of Hospital Librarianship 15, n^o 2 (3 avril 2015) : 198–216. http://dx.doi.org/10.1080/15323269.2015.1014763.

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White, D. « PROMOTING PHYSICAL ACTIVITY WITHIN SCOTTISH HOSPITAL SETTINGS ». British Journal of Sports Medicine 49, n^o 21 (16 octobre 2015) : 1415.3–1416. http://dx.doi.org/10.1136/bjsports-2015-095506.3.

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Tucker, Sharon J., et Lucas J. Carr. « Translating Physical Activity Evidence to Hospital Settings ». Clinical Nurse Specialist 30, n^o 4 (2016) : 208–15. http://dx.doi.org/10.1097/nur.0000000000000212.

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Jones, Rod. « Hospital mortality rates and changes in activity ». British Journal of Healthcare Management 22, n^o 10 (2 octobre 2016) : 519–21. http://dx.doi.org/10.12968/bjhc.2016.22.10.519.

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Pavon, Juliessa M., Richard J. Sloane, Carl F. Pieper, Cathleen S. Colón‐Emeric, Harvey J. Cohen, David Gallagher, Katherine S. Hall, Miriam C. Morey, Midori McCarty et Susan N. Hastings. « Accelerometer‐Measured Hospital Physical Activity and Hospital‐Acquired Disability in Older Adults ». Journal of the American Geriatrics Society 68, n^o 2 (20 novembre 2019) : 261–65. http://dx.doi.org/10.1111/jgs.16231.

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BROWN, III, H. SHELTON. « Lawsuit activity, defensive medicine, and small area variation : the case of cesarean sections revisited ». Health Economics, Policy and Law 2, n^o 3 (juillet 2007) : 285–96. http://dx.doi.org/10.1017/s1744133107004136.

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Abstract:This paper examines whether delivery practice patterns (Cesarean sections or vaginal) are influenced by lawsuits or whether the hypothesized relationship is confounded by small area variation. The analysis uses multilevel analysis to deal with hospital- and Dartmouth Hospital Referral Region-level variation. The model includes patient clinical variables, patient socio-economic status, and hospital characteristics as control variables. The secondary data sources include hospital discharges from the 2002 Texas Health Care Information Council as well as 1988–2001 Texas Department of Insurance Closed Claim File data. After extracting the variation in delivery practice between hospitals and between Dartmouth Hospital Referral Regions in a multilevel model, the effects of lawsuits on defensive medicine are reduced but are still significant.

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Villacara, DMD, Alfred A., Eliot J. Lazar, MD et Brian K. Regan, PhD. « Refining the Hospital Incident Command System to improve Hospital Command Center management of survey activity ». Journal of Emergency Management 10, n^o 6 (21 mars 2018) : 449. http://dx.doi.org/10.5055/jem.2012.0122.

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The “Survey Command Structure” initiative refines and streamlines the Hospital Incident Command System (HICS) structure to more effectively guide a hospital’s management of regulatory survey activity. This newly developed structure retains the hallmark features that make HICS effective but sees the addition of some new roles along with the editing or elimination of others. A literature review reveals no other hospitals undertaking similar initiatives to address survey management. The structure directly contributed to an outstanding result with the most recent Joint Commission survey. Hospitals should embrace this updated structure to allow for improved response to a myriad of regulatory surveys.

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Fedorczak, Michal, Tomasz Gaszyński et Anna Fedorczak. « Muscle activity during endotracheal intubation in hospital and pre-hospital scenario – manikin study. » Trends in Anaesthesia and Critical Care 30 (février 2020) : e122-e123. http://dx.doi.org/10.1016/j.tacc.2019.12.300.

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TENTORI, MONICA, et JESUS FAVELA. « COLLABORATION AND COORDINATION IN HOSPITAL WORK THROUGH ACTIVITY-AWARE COMPUTING ». International Journal of Cooperative Information Systems 17, n^o 04 (décembre 2008) : 413–42. http://dx.doi.org/10.1142/s0218843008001919.

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Collaborative applications enhanced with pervasive technology are gradually being introduced in hospitals to support the intense collaboration and coordination experienced by hospital workers. However, an environment filled with many different systems introduces an extra burden for hospital workers in selecting those services that are adequate to the task at hand. Activity-Based Computing has emerged as a new interaction and design paradigm to reorganize the way humans interact with computers by emphasizing the activity being executed rather than the technologies required to perform such activity. This is done by allowing users to handle activities as a basic computational unit instead of documents and applications. The problem of this paradigm is that humans must explicitly define computational activities and they often have trouble labeling and delimiting tasks. To cope with this, we propose to take this vision one step further by binding the physical, computing and user's context into the activity being executed by a user towards the design of activity-aware applications. Based on a workplace study conducted in a hospital, we propose an agent-based architecture and a set of design principles to let human activities be mirrored in computational activities associating resources and adapting the computational infrastructure based on the activity being executed. To exemplify the architecture and the principles proposed, we implemented an activity-aware map that personalizes the information shown to hospital workers, enforces availability, and sends collaboration and coordination warnings to the users.

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Lemieux-Charles, Louise, et Peggy Leatt. « Hospital-Physician Integration : Case Studies of Community Hospitals ». Health Services Management Research 5, n^o 2 (juillet 1992) : 82–98. http://dx.doi.org/10.1177/095148489200500201.

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Hospitals are attempting more meaningfully to involve physicians in management as one approach to increasing the efficiency and effectiveness of their operations. The purpose of this research was to explore the relationship between the structure of the medical staff organization, the extent to which physicians are integrated into hospital decision making and the hospital's financial performance. A measure of hospital-physician integration was developed based on Alexander et al's (1986) dimensions of hospital-physician integration which were based on Scott's (1982) organizational models, ie, autonomous, heteronomous and conjoint. A multiple case study design, which comprised eight community non-teaching hospitals over 200 beds located in the Province of Ontario, Canada, was used to examine the relationship between variables. Study results suggest that there is variation among community hospitals on both contextual and organization factors. Hospitals with high levels of hospital-physician integration were located in highly populated areas, had formulated and implemented a strategic plan, had highly structured medical staff organizations, and had no budgetary deficit. In contrast, hospitals with moderate or low levels of integration were more likely to be located in lowly populated areas, had little planning activity, had a moderately structured medical staff organization, and had deficit budgeting. Suggested areas for future research include examining the role of the Board of Trustees in determining physicians' organizational roles and identifying differences in commitments, characteristics, and motivations of physicians working in rural versus urban hospitals and their impact on integrative strategies.

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Cuthill, Jennifer A., et Martin Shaw. « Questionnaire survey assessing the leisure-time physical activity of hospital doctors and awareness of UK physical activity recommendations ». BMJ Open Sport & ; Exercise Medicine 5, n^o 1 (avril 2019) : e000534. http://dx.doi.org/10.1136/bmjsem-2019-000534.

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ObjectiveThe UK Government Physical Activity Recommendations suggest that adults should aim for 150 min of physical activity each week to maintain health. We assessed the total volume, frequency, intensity and type of exercise taken by hospital doctors in association with their specialty, age and knowledge of the specific components of the recommendations.MethodsAn anonymous paper-based questionnaire was distributed to doctors working in the two largest teaching hospitals in Glasgow. 332 questionnaires were analysed with a response rate of 60.3%.Results239 (72%) doctors felt they exercised regularly with 212 (63.9%) meeting the recommended volume of cardiovascular activity, similar to an age and sex-matched cohort of the general Scottish population. Only 78 (23.5%) doctors achieved the recommended muscle-strengthening activities. 108 (35.5%) doctors were aware recommendations for activity existed but only 45 (13.6%) were able to state the recommended duration of activity per week. Doctors who were aware of the recommendations were more likely to personally achieve them (OR 1.802, 95% CI 1.104 to 2.941) although other additional factors may contribute.ConclusionAlthough this was a small study in two hospitals, our results suggest that hospital doctors are as active as the general public in the UK of a similar age. Eight years after implementation, knowledge of specific components of the current physical activity recommendations remains poor. Efforts to improve this prior to graduation, combined with improving confidence and competence in counselling practices and enhancing the opportunities for doctors to exercise, could translate into improved healthcare promotion.

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Mazıcıoğlu, M. Mümtaz. « Kayseri American Hospital activity in early 1900’s ». Turkiye Aile Hekimligi Dergisi 13, n^o 2 (2009) : 99–103. http://dx.doi.org/10.2399/tahd.09.099.

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Cronin, Cory, et Brian Gran. « Hospital Community Benefit Activity and Population Health Outcomes ». Academy of Management Proceedings 2016, n^o 1 (janvier 2016) : 10857. http://dx.doi.org/10.5465/ambpp.2016.10857abstract.

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Loef, Bette, Allard J. van der Beek, Andreas Holtermann, Gerben Hulsegge, Debbie van Baarle et Karin I. Proper. « Objectively measured physical activity of hospital shift workers ». Scandinavian Journal of Work, Environment & ; Health 44, n^o 3 (22 janvier 2018) : 265–73. http://dx.doi.org/10.5271/sjweh.3709.

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Likstanov, M. I., V. V. Rejmer et A. V. Breusov. « THE ECONOMIC ANALYSIS OF ACTIVITY OF VERSATILE HOSPITAL ». I.P.Pavlov Russian Medical Biological Herald 17, n^o 2 (15 juin 2009) : 71. http://dx.doi.org/10.17816/pavlovj2009271-77.

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Börjesson, M. « Promotion of Physical Activity in the Hospital Setting ». Deutsche Zeitschrift für Sportmedizin 2013, n^o 06 (juin 2013) : 162–65. http://dx.doi.org/10.5960/dzsm.2012.069.

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Lafave, Hugh G., Annette A. Pinkney et Gary J. Gerber. « Criminal Activity by Psychiatric Clients After Hospital Discharge ». Psychiatric Services 44, n^o 2 (février 1993) : 180–81. http://dx.doi.org/10.1176/ps.44.2.180.

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Cobbold, L., R. Curd et M. A. Crook. « Low serum creatine kinase activity in hospital patients ». British Journal of Biomedical Science 72, n^o 4 (janvier 2015) : 201–3. http://dx.doi.org/10.1080/09674845.2015.11665753.

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McCaughey, B. G., J. Garrick, L. C. Carey et J. B. Kelley. « Naval Support Activity Hospital, Danang, Combat Casualty Study ». Military Medicine 153, n^o 3 (1 mars 1988) : 109–14. http://dx.doi.org/10.1093/milmed/153.3.109.

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Chan, Yee-Ching Lilian. « Improving hospital cost accounting with activity-based costing ». Health Care Management Review 18, n^o 1 (1993) : 71–77. http://dx.doi.org/10.1097/00004010-199301810-00008.

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Chan, Yee-Ching Lilian. « Improving hospital cost accounting with activity-based costing ». Health Care Management Review 18, n^o 1 (1993) : 71–78. http://dx.doi.org/10.1097/00004010-199324000-00008.

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Dreyer, J. F. « Emergency Physician Time by Activity and Hospital Type ». Academic Emergency Medicine 13, n^o 5Supplement 1 (1 mai 2006) : S92—S93. http://dx.doi.org/10.1197/j.aem.2006.03.222.

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Booth, Mark, Phil James et Vladimir Stevanovic. « Benchmarking of hospital activity data : an international comparison ». Benchmarking : An International Journal 12, n^o 6 (décembre 2005) : 515–22. http://dx.doi.org/10.1108/14635770510628654.

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Ridley, S. A., K. Burchett, A. Burns et K. Gunning. « A comparison of hospital and critical-care activity ». Anaesthesia 54, n^o 6 (juin 1999) : 521–28. http://dx.doi.org/10.1046/j.1365-2044.1999.00801.x.

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Warner, James, Nicola Pitts, Mike J. Crawford, Marc Serfaty, Pramod Prabhakaran et Rizkar Amin. « Sexual Activity among Patients in Psychiatric Hospital Wards ». Journal of the Royal Society of Medicine 97, n^o 10 (octobre 2004) : 477–79. http://dx.doi.org/10.1177/0141076809701005.

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Matos-Pires, A., P. Canelas, J. Coelho, C. Gaspar et R. Cavagliá. « Ulsba's Epva hospital team's first year of activity ». European Psychiatry 41, S1 (avril 2017) : s906. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1857.

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Domestic violence (DV) against women still lacks rigor in its identification and denouncement, which makes it an under diagnosed condition.Physical and psychic well-being of women who are victims of DV is threatened hence it is essential to discuss this subject as a health matter. Furthermore, health professionals are usually DV victims’ first contact. In 2009, Margaret Chan from WHO stated that “Preventing violence against women requires a multi-sectoral approach, and in this context the health sector has a central role to play which includes helping to identify abuse early, providing victims with the necessary treatment, and referring women to appropriate and informed care.”Portuguese Health Ministry has created, through the legal dispatch No. 6378/2013 of may 16, an integrated intervention model on interpersonal violence throughout life, entitled Ação de Saúde sobre Género, Violência e Ciclo de Vida (ASGVCV), made operational by Equipas para a Prevenção da Violência em Adultos (EPVA) teams.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Uhley, Herman. « Simple out-of-hospital check on pacemaker activity ». Annals of Emergency Medicine 40, n^o 5 (novembre 2002) : 531. http://dx.doi.org/10.1067/mem.2002.128782.

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Warner, J., N. Pitts, M. J. Crawford, M. Serfaty, P. Prabhakaran et R. Amin. « Sexual activity among patients in psychiatric hospital wards ». JRSM 97, n^o 10 (30 septembre 2004) : 477–79. http://dx.doi.org/10.1258/jrsm.97.10.477.

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Hsiao, Bo, et Li-Hsueh Chen. « Performance Evaluation for Taiwanese Hospitals by Multi-Activity Network Data Envelopment Analysis ». International Journal of Information Technology & ; Decision Making 18, n^o 03 (mai 2019) : 1009–43. http://dx.doi.org/10.1142/s0219622018500165.

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This study proposes an alternative method for evaluating the overall performance of hospitals in Taiwan. Specifically, three types of hospital activities, medical, pharmaceutical, and rehabilitation, are classified and connected using the parallel method. To bridge the difference between the performance evaluation methods adopted in hospitals and the evaluation method adopted by traditional enterprises, each activity is divided into two serial-type connected processes, which are the production and service processes. This study analyzes the performance of the six processes in three types of activities of three levels of hospitals, namely medical centers, regional hospitals, and district hospitals, by using multi-activity network data envelopment analysis (MNDEA) in Taiwan in 2012. The average overall efficiency was 0.41, while the average estimated efficiency for medical, pharmaceutical, and rehabilitation activities was 0.62, 0.34, and 0.27, respectively. At the hospital level, the average efficiency for medical centers, regional hospitals, and district hospitals was 0.59, 0.49, and 0.35, respectively. The production processes of medical and rehabilitation activities in Taiwan have higher average efficiency than their service processes, while the production processes of pharmaceutical activity have lower average efficiency than its service processes. These results provide a reference for upgrading the operation and management strategies for all hospitals in the country.

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Toms, Rhinedd. « Meeting the Need—from Institutional to Community Care ». Bulletin of the Royal College of Psychiatrists 11, n^o 11 (novembre 1987) : 373–74. http://dx.doi.org/10.1192/s0140078900018447.

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Severalls Hospital is a large psychiatric hospital, established in 1913 and originally designed for about 2000 patients. With the changes in attitudes to mental health over the last 70 years the hospital's aims and objectives have altered several times. Now, with the number of in-patients already reduced to approximately 650 and the movement to run down large hospitals such as this, preparation needs to be made for the shift to the community as the main future base for psychiatric services. Over the years the hospital has recognised the importance of preserving close links with the patient's home and has always maintained that regular activity and work is vital in the process of re-establishing patients in the community and in employment.

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Limborgh Meyer, H. J., P. Rossi et A. Augugliaro. « Nursing activity in the oncologic day-hospital of Santa Chiara hospital in Pisa, Italy ». European Journal of Cancer 29 (janvier 1993) : S261. http://dx.doi.org/10.1016/0959-8049(93)92090-f.

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Hargraves, Jenny, Narelle Grayson et Ian Titulaer. « Trends in hospital service provision ». Australian Health Review 25, n^o 5 (2002) : 2. http://dx.doi.org/10.1071/ah020002.

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In this paper,trends in hospital service provision are measured using data on the numbers and nature of hospitals,on hospital expenditure and on hospital activity over recent years.The number of public acute care hospitals was fairly stable,however,bed numbers decreased.Hospital numbers rose for private hospitals,as did numbers of beds,particularly for group for-profit private hospitals.Recurrent health expenditure on hospitals as a proportion of all recurrent health expenditure fell,although it rose for private hospitals, and real increases in expenditure occurred for both public acute and private hospitals.Population rates for separations and patient days rose for private hospitals and were stable and fell, respectively,for public acute hospitals. Average length of stay decreased for both public acute and private hospitals, with increasing numbers of separations occurring on a same day basis.Increasing proportions of procedures were undertaken during same day stays,and in private hospitals.Separation rates varied geographically, with highest rates overall,and for public hospitals and overnight separations,for patients resident in remote centres and other remote areas.Highest rates for private hospitals were for patients resident in capital cities,other metropolitan centres and large rural centres.

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Martsevich, S. Yu, M. L. Ginsburg, N. P. Kutishenko, A. D. Deev, A. V. Fokina et E. V. Daniels. « Lyubertsy Study of mortality in patients with acute myocardial infarction (LIS) : the analysis of anamnestic predictors of in-hospital mortality ». Cardiovascular Therapy and Prevention 11, n^o 1 (20 février 2012) : 45–48. http://dx.doi.org/10.15829/1728-8800-2012-1-45-48.

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Aim. To identify the main anamnestic predictors of mortality in the acute phase of acute myocardial infarction (AMI). Material and methods. The study included all patients admitted to Lyubertsy District hospitals and diagnosed with AMI (n=1133). Results. Out of 1133 hospitalised patients, 172 died in the hospital; in-hospital lethality was 15,2%. Mean age of diseased patients was significantly higher than that in those survived. The risk of in-hospital death was significantly and independently associated with older age (relative risk 1,07). After adjustment for age and sex, other independent predictors of in-hospital AMI death included diabetes mellitus (DM), low physical activity, and selected psychosocial factors. Conclusion. The in-hospital lethality levels, observed in the LIS Study, were typical for the Russian Federation. The main anamnestic predictors of in-hospital death were low physical activity, DM, and psychosocial risk factors.

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Evdakov, V. A., Y. Y. Melnikov, M. N. Banteva et E. M. Manoshkina. « Activity of daily stay oncological hospitals in the Russian Federation and its regions for 2010–2019 ». Manager Zdravoochranenia, n^o 1 (2021) : 40–47. http://dx.doi.org/10.21045/1811-0185-2021-1-40-47.

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Relevance. Oncological diseases both in our country and in other countries of the world make a significant negative contribution to the overall mortality and disability of the population. Moreover, in the last decade, oncopathology is significantly more often affects the younger, employable population. One of the factors improving medical care is the provision of the population with specialists and hospital beds of oncological profile, including day care, where patients with this class of diseases could undergo a full course of pre-treatment, treatment, rehabilitation and recovery. Aim. To identify the dynamics of the main activity indicators of daily stay oncological hospitals of the public health sector in the Russian Federation, federal districts and regions of the Russian Federation for 2010–2019. Materials and methods. Using the data of federal statistical observation (form № 14DS) by the method of descriptive statistics, the main activity indicators of daily stay oncological hospitals in the Russian Federation, federal districts and regions of the Russian Federation in dynamics for 2010–2019 were analyzed. Results and discussion. In General, in the Russian Federation, the absolute number of oncologic hospital beds in daily stay hospitals of medical organizations providing inpatient care for the period from 2010 to 2019 increased by 3,5 times (from 1,448 to 5,013 beds), in daily stay hospitals of medical organizations providing outpatient care for the period from 2014 to 2019 by 67,1% (from 2,465 to 4,120 beds). At the same time the number of patients treated in oncological hospital beds in inpatient daily stay hospitals for the period 2010–2019 increased by 405,245 (from 78,120 to 483,365 people), and in outpatient daily stay hospitals for the period from 2014 to 2017 increased by 93939 (from 218,502 to 312,441 people). The average occupancy of an oncological hospital bed per year and the average duration of treatment in Russia in inpatient daily stay hospitals decreased from 409 days in 2010 to 380 days in 2019 and from 7,7 to 5,6 days, respectively, in outpatient daily stay hospitals from 407 days in 2014 to 386 days in 2017 and from 4,7 to 4,6 days, respectively. Conclusion. The expansion of the bed fund of daily stay hospitals of oncological profile is timely and justified, but its development in different regions of the Russian Federation is characterized by a pronounced disproportion. At present there are all the necessary reserves to continue the active development of the network of daily stay hospitals of this profile.

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Sibbritt, David, et Robert Gibberd. « The annual variation in activity and funding for acute public hospitals in NSW,1988?89 to 1992?93 ». Australian Health Review 19, n^o 1 (1996) : 52. http://dx.doi.org/10.1071/ah960052.

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Casemix-based funding was introduced into the Victorian health system withoutan assessment of the annual variation in inpatient activity. Before undertaking sucha funding reform, it would be appropriate to determine the level of annual variationin inpatient activity for individual hospitals that could be attributable to chance orrandom variation. If the annual random variation is not accounted for, then casemix-basedfunding may actually lead to inefficiencies. For this study, hospital inpatientactivity and funding data for 120 acute public hospitals from New South Walesfor the years 1988?89 to 1992?93 were used to estimate the standard deviationof the annual random variation in activity and gross operating payment. Throughlinear regression, estimates of the standard deviation of random variation about theunderlying trend were obtained for each hospital. The results showed that, dependingon the size of the hospital, total diagnosis related group cost weights have a standarddeviation in the range of 2 to 16- per cent of total activity, whilst gross operatingpayment has an equivalent standard deviation that ranges from 1 to 10- per centannually. The magnitude of the variation would suggest that funding of hospitalsshould either be based on average activity over several years or based on bands ofactivity in order to reduce the potential random variation in funding levels.

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