Studies of hospital efficiency seldom lead to changes in practice, partly because recommendations are unspecific or results are not seen as robust. We describe a method to compare hospital costs that utilises patient-level data. We perform a two-stage analysis in which we first consider factors that explain costs among patients and then across hospital departments. We illustrate our approach by...

Key findings. (1) In 1997, the amount California hospitals billed uninsured patients was more than twice the amount hospitals received from Medicare for the same services. By 2010, billed charges had grown to be five times what Medicare paid, which trans­lated into a gap of more than $10,000 per day in the hospital. (2) Five years after the passage of the state's Hospital Fair Pricing Act, most...

OBJECTIVE Cancer incidence, treatment, and prognosis show important disparities by race, Hispanic ethnicity, and birthplace, but hospital policies and procedures in obtaining this information are poorly documented. This study documented policies and procedures in a state (Connecticut) with a high-quality population-based cancer registry. METHODS Directors of medical records and/or admissions ...

Infections affecting infants in the hospital nursery are generally divided into those with a prenatal onset and early- and late-onset postnatal infections. Little attempt has been made to differentiate infections affecting infants more than a week of age from those with an onset at several months of age. Three cases are presented which demonstrate how, currently, infants far older than one mont...

background and objectives: despite increasing attention toward the employee empowerment, there is little data on cognitive and psychological processes increasing, predicting, and determining the employee empowerment and the organizational variables affecting this construct, particularly in the healthcare context. to help bridging this gap, this study examined the impact of transformational lead...

background and objectives: discharge against medical advice (dama) is a significant healthcare problem posing negative impact on effectiveness of patient care and costs of the health system. in order to address this problem, first the potential influencing factor should be identifies. this study followed two major objectives: first, to evaluate the prevalence and potential causes of dama, and s...

introduction: ionizing radiations are the hazardous agents in the workplace and all forms of ionizing radiation produce some type of injuries. awareness of application of protection guidelines and knowledge of the principles of radiation protection can play an important role in health of employees. survey of radiation employee’s levels of awareness and practical behavior is essential and should...

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conclusions different factors affect resiliency improvements in medical emergency staff and consequently the quality of pre-hospital burn care. this study showed that various factors such as scene security/safety, effective decision making, self-efficacy and religious support are effective in the improvement of resiliency and the quality of pre-hospital emergency care. results by analyzing 456 ...

background :  pathogenic bacteria because of beta-lactam antibiotic resistance genes are dangerous to society. this resistance due to esbl genes, plasmids and transposons that by receiving or mutation occurs. the most important factor beta-lactam antibiotic resistance is beta lactamase enzymes. the purpose of this study was to evaluate the frequency of hospital opportunistic pathogenic bacteria...