Planning has often been thought of as an 'ivory tower' occupation, too far removed from the operational nerve centres of the NHS. Author argues for a clearer understanding of the planner's role in providing better standards of... more
Planning has often been thought of as an 'ivory tower' occupation, too far removed from the operational nerve centres of the NHS. Author argues for a clearer understanding of the planner's role in providing better standards of patient care.
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A simulation model has been built to estimate the demand for hospital beds and doctors in China between 1990 and 2010. The model was used to compare deterministic sensitivity analysis and stochastic simulation in assessing inherent... more
A simulation model has been built to estimate the demand for hospital beds and doctors in China between 1990 and 2010. The model was used to compare deterministic sensitivity analysis and stochastic simulation in assessing inherent uncertainty in health projections. The stochastic simulation method uses information more efficiently, and produces a more reasonable average estimate and a more meaningful range of projections than deterministic sensitivity analysis. However, it may be preferable to combine the use of both approaches because they have different, complementary, advantages and disadvantages. The usefulness of 3 value estimates of input variables and the benefits of the triangular distribution for stochastic simulation should be emphasized in health projections.
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The responsibility for providing care and support for the mentally handicapped in England is shared between health authorities, local councils and a variety of local and national community voluntary agencies. The outcome of such an... more
The responsibility for providing care and support for the mentally handicapped in England is shared between health authorities, local councils and a variety of local and national community voluntary agencies. The outcome of such an arrangement has resulted in a fragmented service which has been governed by contrasting concepts and perceptions of the care to be provided. This paper traces the efforts undertaken in one locality to break free from this unimaginative approach to service provision for the mentally handicapped through devolving management responsibility to a new agency, how that agency discharged its tasks, the conflicts which this created, and the manner in which they were dealt with.
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Research Interests: Business, Decision Making, Medicine, England, Computers, and 3 moreHumans, Data Collection, and Microcomputers
The International Course in Healthcare Management is predicated on the belief that comparative benefits can most effectively be 'taught' by enabling students to work directly with colleagues in other countries, sharing views,... more
The International Course in Healthcare Management is predicated on the belief that comparative benefits can most effectively be 'taught' by enabling students to work directly with colleagues in other countries, sharing views, discussing differences, and checking understandings on how healthcare is structured and managed in different countries. The course focuses on four countries--Canada, Germany, Finland and Ireland--which offer an interesting range and mix of approaches to healthcare, and yet are sufficiently similar to ensure relative ease of understanding. The course, which is delivered and taught jointly by faculty from five participating institutions in the four countries using the Internet as the distance delivery medium, is an integral component of each institution's participating department's graduate program. The aims of the course are: to enable the participants to develop an in-depth understanding of the healthcare systems of each country; to foster a dee...
Research Interests: Business, Distance Education, Adult Continuing and Professional Education, International Cooperation, Medicine, and 9 moreCurriculum, Canada, Health Care reform, Europe, Professional Military Education, Public health systems and services research, Health Services Administration, Internet, and The Health
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A simulation model has been built to estimate the demand for hospital beds and doctors in China between 1990 and 2010. The model was used to compare deterministic sensitivity analysis and stochastic simulation in assessing inherent... more
A simulation model has been built to estimate the demand for hospital beds and doctors in China between 1990 and 2010. The model was used to compare deterministic sensitivity analysis and stochastic simulation in assessing inherent uncertainty in health projections. The stochastic simulation method uses information more efficiently, and produces a more reasonable average estimate and a more meaningful range of projections than deterministic sensitivity analysis. However, it may be preferable to combine the use of both approaches because they have different, complementary, advantages and disadvantages. The usefulness of 3 value estimates of input variables and the benefits of the triangular distribution for stochastic simulation should be emphasized in health projections.
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Research Interests: Anthropology, Health Promotion, Accessibility, Health Care, Global Health, and 15 moreHealth Education, Forecasting, Evaluation, Developing Countries, International Cooperation, Community, Health Policy, Community Participation, Community Involvement, Equity, Humans, European regions, Member States, Health for all, and Health Services Accessibility
Research Interests: Sociology, Anthropology, Political Science, Health Planning, Health Services Research, and 13 moreHealth Policy, Medicine, United Kingdom, Social Science & Medicine, Humans, World Health Organisation, Great Britain, Public health systems and services research, European regions, Health Priorities, Member States, Health for all, and Health Services Accessibility
Recent work has demonstrated the usefulness of employing 'avoidable' deaths as an outcome measure for assessing and comparing the effectiveness and quality of health care systems. This paper considers the... more
Recent work has demonstrated the usefulness of employing 'avoidable' deaths as an outcome measure for assessing and comparing the effectiveness and quality of health care systems. This paper considers the relevance of 'avoidable' deaths as an outcome measure for the Spanish health system. Mortality data for 1960 to 1984, were examined and the results, with the exception of cancer of the cervix, show a marked decline in 'avoidable' deaths, consistent with studies elsewhere. This pattern of 'avoidable' deaths may reflect either a decrease in the incidence of disease or better medical management of disease leading to fewer deaths. The 'avoidable' mortality may well be a sensitive indicator of the efficacy of a country's health care system.
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The International Course in Healthcare Management is predicated on the belief that comparative benefits can most effectively be 'taught' by enabling students to work directly with colleagues... more
The International Course in Healthcare Management is predicated on the belief that comparative benefits can most effectively be 'taught' by enabling students to work directly with colleagues in other countries, sharing views, discussing differences, and checking understandings on how healthcare is structured and managed in different countries. The course focuses on four countries--Canada, Germany, Finland and Ireland--which offer an interesting range and mix of approaches to healthcare, and yet are sufficiently similar to ensure relative ease of understanding. The course, which is delivered and taught jointly by faculty from five participating institutions in the four countries using the Internet as the distance delivery medium, is an integral component of each institution's participating department's graduate program. The aims of the course are: to enable the participants to develop an in-depth understanding of the healthcare systems of each country; to foster a deeper understanding, through comparative analysis, of each participant's own healthcare system; and to facilitate the development of new insights into ways of addressing common concerns in healthcare management. The course is structured around a series of case studies organized under four main themes: financing and funding; delivery issues; impact of health service reforms; and evidence-based management.
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The International Course in Healthcare Management is predicated on the belief that comparative benefits can most effectively be 'taught' by enabling students to work directly with colleagues... more
The International Course in Healthcare Management is predicated on the belief that comparative benefits can most effectively be 'taught' by enabling students to work directly with colleagues in other countries, sharing views, discussing differences, and checking understandings on how healthcare is structured and managed in different countries. The course focuses on four countries--Canada, Germany, Finland and Ireland--which offer an interesting range and mix of approaches to healthcare, and yet are sufficiently similar to ensure relative ease of understanding. The course, which is delivered and taught jointly by faculty from five participating institutions in the four countries using the Internet as the distance delivery medium, is an integral component of each institution's participating department's graduate program. The aims of the course are: to enable the participants to develop an in-depth understanding of the healthcare systems of each country; to foster a deeper understanding, through comparative analysis, of each participant's own healthcare system; and to facilitate the development of new insights into ways of addressing common concerns in healthcare management. The course is structured around a series of case studies organized under four main themes: financing and funding; delivery issues; impact of health service reforms; and evidence-based management.
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Planning has often been thought of as an 'ivory tower' occupation, too far removed from the operational nerve centres of the NHS. Author argues for a clearer understanding of the planner's role in providing better standards of... more
Planning has often been thought of as an 'ivory tower' occupation, too far removed from the operational nerve centres of the NHS. Author argues for a clearer understanding of the planner's role in providing better standards of patient care.
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... Le Canadapos-sede un systeme medical unique, finance, contrale et reglemenre par Ie gouverne-ment ... Hospital management was accountable to the health auth-ority or board, who, in turn, were accountable to the Secretaryof Statefor... more
... Le Canadapos-sede un systeme medical unique, finance, contrale et reglemenre par Ie gouverne-ment ... Hospital management was accountable to the health auth-ority or board, who, in turn, were accountable to the Secretaryof Statefor Health asde facto headof the Department ...
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1: Health Serv J. 1993 May 6;103(5351):26-7. Wholly Romanian empire. Brazil R, Nicholson N, Glouberman S, Rathwell T, Enachescu D. King's Fund College. Mesh Terms: Delivery of Health Care/trends ...
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The utilization of medical services by patients is an important determinant of doctor productivity, but this factor does not appear to have been given much attention in previous studies. In order to answer the question of why is there a... more
The utilization of medical services by patients is an important determinant of doctor productivity, but this factor does not appear to have been given much attention in previous studies. In order to answer the question of why is there a wide variation in doctor output at low level medical facilities in China, an analytical framework of doctor productivity and utilization is developed. The simulation model is used to produce data that can be analyzed by such a framework. Great uncertainty about patient flows is one reason for the average lower and varying doctor productivity in lower level health facilities. Until uncertainty can be reduced, more flexibility is needed at the lower level to cope with changing utilization patterns and patient characteristics. The management by doctors of non-patient care activities (preventive programmes, medical research, teaching, and administration) is crucial to any approach to using doctor resources more effectively and efficiently.
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A simulation model has been built to estimate the demand for hospital beds and doctors in China between 1990 and 2010. The model was used to compare deterministic sensitivity analysis and stochastic simulation in assessing inherent... more
A simulation model has been built to estimate the demand for hospital beds and doctors in China between 1990 and 2010. The model was used to compare deterministic sensitivity analysis and stochastic simulation in assessing inherent uncertainty in health projections. The stochastic simulation method uses information more efficiently, and produces a more reasonable average estimate and a more meaningful range of projections than deterministic sensitivity analysis. However, it may be preferable to combine the use of both approaches because they have different, complementary, advantages and disadvantages. The usefulness of 3 value estimates of input variables and the benefits of the triangular distribution for stochastic simulation should be emphasized in health projections.