background and objectives: efficient hospital management requires appropriate cost and price strategies. informed decision on costs and prices of healthcare services needs estimation of costs of unit services using microeconomic techniques. there is lack of knowledge and skills for such costing methods in the healthcare sector of developing countries such as iran. this study aims at detail desc...

OBJECTIVE To identify the relative importance of factors influencing hospital use at the end of life. DESIGN Retrospective cohort study of person and health system effects on hospital use in the past 12 months modelling differences in admissions, bed days and whether a person died in hospital. SETTING Residents in England for the period 2009/2010 to 2011/2012 using Hospital Episodes Statist...

BACKGROUND Total joint arthroplasty (TJA) utilization continues to increase, and optimizing efficiency while reducing complications is critical to provide a sustainable product. Recent policy has defined several hospital-acquired conditions (HACs) that are the target of reducing complications with significant financial implications. The present study defines the incidence of HACs after TJA as w...

Background and Objectives: Constant monitoring of healthcare organizations’ performance is an integral part of informed health policy-making. Several hospital performance assessment methods have been proposed in the literature. Pabon Lasso Model offers a fast and convenient method for comparative evaluation of hospital performance. This study aimed to evaluate the relative performance of hospit...

OBJECTIVE We examine the impact of two dimensions of access-geographic accessibility and availability-on VA health system and mental health treatment retention among patients with serious mental illness (SMI). METHODS Among 156,631 patients in the Veterans Affairs (VA) health care system with schizophrenia or bipolar disorder in fiscal year 1998 (FY98), we used Cox proportional hazards regres...

An instrument was developed to study the use of hospital beds and discharge arrangements of a cohort of 847 admissions to the John Radcliffe Hospital, Oxford, for a three week period during February-March 1986. For only 38% of bed days were patients considered to have medical, nursing, or life support reasons for requiring a provincial teaching hospital bed. The requirements for a bed in the ho...

BACKGROUND The use of electronic surveillance systems (ESSs) is gradually increasing in infection prevention and control programs. Little is known about the characteristics of hospitals that have a ESS, user satisfaction with ESSs, and organizational support for implementation of ESSs. METHODS A total of 350 acute care hospitals in California were invited to participate in a Web-based survey;...

Association of methane with coal poses a serious explosion risk in underground coal mining. Besides, it is a potent green house gases significantly contributing to global warming. Therefore, its commercial exploitation is being widely recognised as (a) a fuel resource to bridge the energy gap (b) making coal mining safer (c) providing cleaner energy and (d) checking the building of green house ...

The number of acute medical admissions to hospital continues to rise although not all need a prolonged stay. At the Queen Elizabeth Hospital, Gateshead, a short-stay unit (SSU) was developed specifically for such patients. Admissions to SSU over the first three weeks of 2006 were assessed. A total of 209 patients were admitted to SSU (10 patients a day). This accounted for 35% of all admissions...

S imulation modelling has suggested high bed occupancy in hospitals is associated with a greater risk of prolonged waits for admission in the accident and emergency (A&E) department. The NHS Plan has introduced two standards for waits in A&E. Firstly, the wait for admission from the time of a decision to admit (trolley wait); which is the wait that appears to be related to average bed occupancy...