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Encoding truths? Diagnosis-Related Groups and the fragility of the marketisation discourse (Book chapter)

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ISBN: 9781138735736 Year: Language: English
Publisher: Taylor & Francis
Subject: Medicine (General)
Added to DOAB on : 2018-01-17 11:02:33
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This chapter will take as an example a particular change in healthcare financing at the meso-level: Diagnosis-Related Groups. DRGs marked a shift in the way hospitals were oriented and were the means to operationalise the market-logic in healthcare. The DRG system is a case classification system: each hospital case is related to a ‘pre-standardised product’ of treatment. Depending on how a patient’s case is encoded, the hospital is reimbursed for the services provided. In this way, hospital care can be matched with pre-calculated resources. Case volumes can be predetermined according to the profit needs of a hospital and an economy’s ‘healthcare sector’ as a whole. Developed in the early 1980s by Robert B. Fetter and John D. Thompson, a management and a public health scholar at Yale, DRGs were first introduced in New Jersey, and have become the key accounting system throughout Western and increasingly LMI countries’ healthcare systems. (Mathauer and Wittenbecher 2013) Here I will particularly draw on examples from Germany, Switzerland and Scandinavia, but also to the NHS in England

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financing --- meso-level --- healthcare

Recent Developments in Smart Healthcare

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ISBN: 9783038426448 9783038426455 Year: Pages: 362 Language: English
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Subject: Computer Science
Added to DOAB on : 2018-01-12 11:34:38
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Medicine is undergoing a sector-wide transformation thanks to the advances in computing and networking technologies. Healthcare is changing from reactive and hospital-centered to preventive and personalized, from disease focused to well-being centered. In essence, the healthcare systems, as well as fundamental medicine research, are becoming smarter. We anticipate significant improvements in areas ranging from molecular genomics and proteomics to decision support for healthcare professionals through big data analytics, to support behavior changes through technology-enabled self-management, and social and motivational support. Furthermore, with smart technologies, healthcare delivery could also be made more efficient, higher quality, and lower cost. In this special issue, we received a total 45 submissions and accepted 19 outstanding papers that roughly span across several interesting topics on smart healthcare, including public health, health information technology (Health IT), and smart medicine.

Sensors and Actuators in Smart Cities

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ISBN: 9783038428732 9783038428749 Year: Pages: VI, 186 Language: English
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Subject: Computer Science
Added to DOAB on : 2018-05-04 16:51:47
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Cities across the globe are installing sensors and actuators to become more sustainable, safe, efficient, and greener, with the hope of improving urban life. This book examines how sensors and actuators enable smart cities to provide critical services from road traffic management and disaster preparedness to key infrastructure, e.g., healthcare, and public safety. It presents a systems engineering perspective of the foundations and principles that span the various challenges and opportunities of developing smart cities. In addition, the studies presented in this book give the state of the art, system design, use cases, simulation, and real-life deployments or testbeds. The comprehensiveness of this book pose it as a reference for researchers and practitioners working on building the future smart cities and applications.

Algorithms for Scheduling Problems

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ISBN: 9783038971191 9783038971207 Year: Pages: XIV, 194 Language: Englisch
Publisher: MDPI - Multidisciplinary Digital Publishing Institute
Subject: Computer Science --- Mathematics
Added to DOAB on : 2018-08-24 16:46:30
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This edited book presents new results in the area of algorithm development for different types of scheduling problems. In eleven chapters, algorithms for single machine problems, flow-shop and job-shop scheduling problems (including their hybrid (flexible) variants), the resource-constrained project scheduling problem, scheduling problems in complex manufacturing systems and supply chains, and workflow scheduling problems are given. The chapters address such subjects as insertion heuristics for energy-efficient scheduling, the re-scheduling of train traffic in real time, control algorithms for short-term scheduling in manufacturing systems, bi-objective optimization of tortilla production, scheduling problems with uncertain (interval) processing times, workflow scheduling for digital signal processor (DSP) clusters, and many more.

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2018 (4)