This paper deals with the service performance analysis and improvement using discrete event simulation has been used. The simulation of the health care has been done by arena master development 14-version software. The performance measurement for this study are patients output, service rate, service efficiency and it is directly related to waiting time of patients in each service station, work ...

AIM To use a national database of United States hospitals to evaluate the incidence and costs of hospital admissions associated with gastroparesis. METHODS We analyzed the National Inpatient Sample Database (NIS) for all patients in whom gastroparesis (ICD-9 code: 536.3) was the principal discharge diagnosis during the period, 1997-2013. The NIS is the largest publicly available all-payer inp...

INTRODUCTION This study assesses trends in horizontal equity in the utilization of healthcare services from 1998 to 2008--a period of major economic and social change in Brazil. METHODS Data are from nationally representative surveys repeated in 1998, 2003, and 2008. We apply established methods for assessing horizontal inequity in healthcare access (the principle that people with the same he...

BACKGROUND AND AIMS Cholangiocarcinoma is a rare but devastating malignancy associated with a poor prognosis and a high mortality rate. With the recent advances in detection and treatment, it is unclear if the incidence and outcomes of cholangiocarcinoma are improving in the United States. The aim of this study was to evaluate the trends in the incidence, costs and mortality rates of cholangioc...

Introduction The Affordable Care Act (ACA) was promoted with two goals: expanding health insurance coverage and reducing healthcare costs. Expanded coverage is expected to partially reduce costs. Emergency department (ED) visits are costlier than comparable primary care physician visits. If uninsured patients use the local ED more often than insured patients with comparable conditions, insuring...

BACKGROUND This study has a dual purpose: 1) identify determinants of healthcare service utilization for mental health reasons (MHR) in a Canadian (Montreal) catchment area; 2) determine the patterns of recourse to healthcare professionals in terms of frequency of visits and type of professionals consulted, and as it relates to the most prevalent mental disorders (MD) and psychological distress...

Because nutritional counseling and oral nutritional supplements are competing with other treatments for a part of the publicly funded healthcare budget it is important to assess its cost-effectiveness. However, there is virtually no evidence on the economic implications of these interventions in COPD. Therefore we start this section with a paragraph describing the association between nutritiona...

BACKGROUND The roll-out of antiretroviral therapy (ART) in Africa will have significant resource implications arising from its impact on demand for healthcare services. Existing studies of healthcare utilization on HAART have been conducted in the developed world, where HAART is commenced when HIV illness is less advanced. METHODS This paper describes healthcare utilization from program entry...

Randomized clinical trials (RCTs) are regarded as the highest level of therapeutic evidence because they are based on random allocation of participants to ≥2 treatment groups, which provides patients with superimposable initial demographic and clinical characteristics and allows the results to reflect the effect of the treatment strategies under study safely. Also, new treatments are compared w...

INTRODUCTION This study will determine whether racial/ethnic disparities persist in various psychiatric disorders among Asian Americans. METHODS Secondary analyses of data from the second largest public health system in the US (total N=22294) were performed. Chi-squared statistics were used to compare the race for mental health service utilization for five psychiatric diagnoses. Cardiovascula...