scholarly journals Health service capacity modelling

2002 ◽  
Vol 25 (4) ◽  
pp. 159 ◽  
Author(s):  
Peter Trye ◽  
Nigel Murray ◽  
Ian wolstencroft ◽  
Alistair Stewart
Keyword(s):  
Mathematical Model ◽  
Decision Making ◽  
Health Service ◽  
Health Services ◽  
Decision Making Process ◽  
Hospital Services ◽  
Service Capacity ◽  
The Future ◽  
Bed Days

This paper aims to describe a modelling tool that gives a framework for the estimation of future bed demand for hospital services. It also outlines some issues regarding the application of the model. A quantitative mathematical model was constructed that was based on two years of seasonally adjusted inpatient data. To calculate the number of beds required five years into the future, ten factors were applied to the number of bed-days used for each service. In the example given (Figure 1), 7,924 bed-days used in 1998-99 translated into a requirement for twenty-six beds in 2004. The value of this approach lies in the ability to describe and delineate each of the varying factors, and thus allowing clinicians, healthcare managers, the purchasers of health services and other stakeholders to be involved in a clear and explicit decision-making process.

scholarly journals The impact of strengthening mental health services to prevent suicidal behaviour

2018 ◽  
Vol 53 (7) ◽  
pp. 642-650 ◽  
Author(s):  
Jo-An Atkinson ◽  
Andrew Page ◽  
Mark Heffernan ◽  
Geoff McDonnell ◽  
Ante Prodan ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Suicidal Behaviour ◽  
Attempted Suicide ◽  
Service Capacity ◽  
Forecast Period ◽  
Hospital Staffing

Objective: Successive suicide prevention frameworks and action plans in Australia and internationally have called for improvements to mental health services and enhancement of workforce capacity. However, there is debate regarding the priorities for resource allocation and the optimal combination of mental health services to best prevent suicidal behaviour. This study investigates the potential impacts of service capacity improvements on the incidence of suicidal behaviour in the Australian context. Methods: A system dynamics model was developed to investigate the optimal combination of (1) secondary (acute) mental health service capacity, (2) non-secondary (non-acute) mental health service capacity and (3) resources to re-engage those lost to services on the incidence of suicidal behaviour over the period 2018–2028 for the Greater Western Sydney (Australia) population catchment. The model captured population and behavioural dynamics and mental health service referral pathways and was validated using population survey and administrative data, evidence syntheses and an expert stakeholder group. Results: Findings suggest that 28% of attempted suicide and 29% of suicides could be averted over the forecast period based on a combination of increases in (1) hospital staffing (with training in trauma-informed care), (2) non-secondary health service capacity, (3) expansion of mental health assessment capacity and (4) re-engagement of at least 45% of individuals lost to services. Reduction in the number of available psychiatric beds by 15% had no substantial impact on the incidence of attempted suicide and suicide over the forecast period. Conclusion: This study suggests that more than one-quarter of suicides and attempted suicides in the Greater Western Sydney population catchment could potentially be averted with a combination of increases to hospital staffing and non-secondary (non-acute) mental health care. Reductions in tertiary care services (e.g. psychiatric hospital beds) in combination with these increases would not adversely affect subsequent incidence of suicidal behaviour.

Assessing Health Service Needs: Tools for Health Planning

1996 ◽  
Vol 9 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Kevin Brazil ◽  
Malcolm Anderson
Keyword(s):  
Decision Making ◽  
Information Systems ◽  
Geographic Information Systems ◽  
Health Service ◽  
Health Services ◽  
Survey Methods ◽  
Health Planning ◽  
Service Needs ◽  
Needs Assessments ◽  
Structured Groups

As fiscal pressures mount, health-planning and decision-making at smaller geographics scales must be more effective. Involving local constituents in needs assessments, it is believed, would lead to better identification and serving of regional demands and needs for health services. This article examines needs assessment as a tool to determine a community's service needs and establish priorities for the creation of programs. Various approaches used in needs assessments are described, including survey methods, structured groups and geographic information systems.

ADOLESCENTS’ DECISION-MAKING AND ATTITUDES TOWARDS ABORTION IN NORTH-EAST BRAZIL

2002 ◽  
Vol 35 (1) ◽  
pp. 71-82 ◽  
Author(s):  
PATRICIA E. BAILEY ◽  
ZENILDA V. BRUNO ◽  
MARIA F. BEZERRA ◽  
IVANY QUEIRÓS ◽  
CRISTIANA M. OLIVEIRA
Keyword(s):  
Decision Making ◽  
Decision Making Process ◽  
Prenatal Visit ◽  
The Third ◽  
Unintended Pregnancies ◽  
North East ◽  
The Future ◽  
Adolescent Attitudes ◽  
Post Abortion

Three groups of adolescents are compared with regard to their own considerations of abortion and when they believe abortion is justified. One group of adolescents terminated their pregnancies (n=95), a second became pregnant and carried their pregnancies to term but considered abortion (n=68), and the third also carried their pregnancies to term but did not consider abortion (n=204). The study was carried out between 1995 and 1998 in Fortaleza, Brazil. Adolescents were interviewed at the time of their hospitalization or their first prenatal visit and again at 6 weeks and 1 year post-abortion or postpartum. Friends and family recommended abortion to at least half of the teenagers in each group. Teenagers who aborted were more accepting of abortion than those who did not abort, while those who considered abortion found the practice more justified than those who did not consider abortion. Teenagers who aborted became less accepting a year later, while those who did not consider abortion became more accepting. A better understanding of adolescent attitudes towards abortion and their decision-making process should help adults and professionals meet the needs of adolescents for support in the process and in the reduction of the number of unintended pregnancies in the future.

Is there Life after Kohl? The CDU Crisis and the Future of Party Democracy in Germany

2000 ◽  
Vol 35 (4) ◽  
pp. 419-438 ◽  
Author(s):  
Ludger Helms
Keyword(s):  
Decision Making ◽  
Party System ◽  
National Level ◽  
State Level ◽  
Decision Making Process ◽  
Dominant Position ◽  
Christian Democratic Union ◽  
The Future ◽  
Christian Social Union ◽  
The Individual

There are few Chapters of the Federal Republic'S History that could be written without a prominent reference to the Christian Democratic Union (CDU). Since 1949 Christian Democratic chancellors have led German governments for no less than 37 years. Even when in opposition, the Christian Democrats - composed at the national level of the CDU and the Bavarian Christian Social Union (CSU)1 - constituted more often than not the strongest parliamentary party group (Fraktion) in the Bundestag, such as after the federal elections of 1969, 1976 and 1980. Also at state level and in the Bundesrat, which represents the individual states (L-nder) in the national decision-making process, the Christian Democrats quite often held a dominant position justifying occasional remarks of a ‘CDU/CSU bias’ within the German party system.

Directors’ disqualification: insolvency practitioners and the decision-making process

Legal Studies ◽  
1995 ◽  
Vol 15 (2) ◽  
pp. 283-305 ◽  
Author(s):  
Sally Wheeler
Keyword(s):  
Decision Making ◽  
Decision Making Process ◽  
Secretary Of State ◽  
The Future ◽  
Company Directors ◽  
The Subject

The Company Directors Disqualification Act 1986 (CDDA) instituted, inter alia, a mechanism whereby directors of failed companies can be disqualified from holding office in the future as the result of an application to the court by the Secretary of State, or in the case of compulsory liquidators, the official receive and a subsequent finding by the court that the director is unfit. The operation and effect of the CDDA has been the subject of speculation in the national press, other media and comment from insolvency practitioners since its inception. Most of this comment has focused on the role of the DTI and on its perceived failure to take steps to disqualify directors in sufficient numbers.

scholarly journals Acceptance of Selected Returning Birds and Mammals through the Eyes of Secondary School Students

Envigogika ◽  
2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Jan Andreska ◽  
Adéla Hartlová ◽  
Matouš Žmolil
Keyword(s):  
Decision Making ◽  
Young People ◽  
Secondary School ◽  
Secondary School Students ◽  
Decision Making Process ◽  
Grammar School ◽  
Vertebrate Species ◽  
School Students ◽  
The Future ◽  
The Right

The presented study discusses the phenomenon of acceptance of returning higher vertebrate species to the Czech countryside, both from the perspective of grammar school students, who can further study the environmental protection and facilitate the return of some vertebrates, and students of secondary forestry schools, expected to engage in hunting care in the future. The attitude of students and young people, in general, is very important for the acceptance of the discussed species, as not only the politicians and publicists have the right to influence the general public, but rather the specialists educated in the field should participate in the decision-making process affecting the future of these animals. Overall, the work develops a hypothesis that people may have misconceptions about the return of some vertebrates as, rather than focusing on general facts, they are influenced by frequently hyped points, such as the fear and concern of aggrieved farmers, the overpopulating of some species and the infectious diseases that some animals may transmit. A questionnaire was designed and circulated to obtain the required data. For general simplification, only three options were presented in the questionnaire, either positive, negative, or neutral attitude as further structuring could compromise the clarity of the results.

scholarly journals A Study on Improving The Distribution Processes. The Case of Miruna Internaţional Impex Ltd.Romania

2017 ◽  
Vol 23 (2) ◽  
pp. 23-28
Author(s):  
Andreea Cristina Bejinariu ◽  
Paula Ganea ◽  
Mădălina Leuca ◽  
Florian Muntean
Keyword(s):  
Decision Making ◽  
Careful Analysis ◽  
Decision Making Process ◽  
New Production ◽  
Investment Projects ◽  
The Future ◽  
Productive Potential ◽  
Long Time ◽  
Investment Process ◽  
Production Capacities

Abstract Investing is a category of spending that engages the future most, depends on increasing and improving the productive potential of an enterprise (through expansion and modernization), the emergence of new production capacities. Because it is necessary to allocate large resources for the investment process, they are for a long time and the decision making process involves a lot of uncertainties. A decision on investment projects must be based on a careful analysis of all aspects of the context, the variables involved and their dynamics.

scholarly journals Mass-tailorisation - a digital aid for the decision-making in the designer's design process

2021 ◽  
Author(s):  
Jun Sik Kim
Keyword(s):  
Decision Making ◽  
Case Studies ◽  
Design Process ◽  
Architectural Design ◽  
Theoretical Framework ◽  
Decision Making Process ◽  
Modern Times ◽  
The Future ◽  
Future Potential

<p>The advent of digital tools and technologies of modern times has provided architectural designers with the ability to create in complexities and volumes of an unprecedented scale. With the myriad of possibilities, the designer has become prone to the Paradox of Choice - the difficulty of making decisions in a field of mass-options. </p> <p>Mass-tailorisation aims to aid the decision-making process of the designer in a world of unprecedented possibilities, limited only by the practicalities of reality. This research develops a theoretical framework for mass-tailorisation systems that aid the designer in the decision-making process by strategically focusing on four stages of the decision-making process. </p> <p>The thesis investigates the theoretical framework of mass-tailorisation through several phases of case studies that critically assess the viability and the implications of the components that constitute the mass-tailorisation system. The need for mass-tailorisation, as well as the establishment of the system and the future potential of mass-tailorisation are addressed through these case studies. Thus, leading to an integrative theoretical framework on the validity of mass-tailorisation. </p> <p>The research also speculates on the possible role of the future designer as they navigate through the near-limitless possibilities of the architectural design process of modern times. Finally, the thesis concludes by discussing the specific importance of the Design-Fabrication-Assembly Digital Continuum and the pursuit for the Move 37 phenomenon in explaining how mass-tailorisation can improve the decision-making process of the designer during the design process.</p>

scholarly journals A functional framework based on big data analytics for smart farming

2021 ◽  
Vol 24 (3) ◽  
pp. 1772
Author(s):  
Loubna Rabhi ◽  
Noureddine Falih ◽  
Lekbir Afraites ◽  
Belaid Bouikhalene
Keyword(s):  
Decision Making ◽  
Big Data ◽  
Internet Of Things ◽  
Data Analytics ◽  
New Products ◽  
Big Data Analytics ◽  
Decision Making Process ◽  
Time Production ◽  
Smart Farming ◽  
The Future

Big <span>data in agriculture is defined as massive volumes of data with a wide variety of sources and types which can be captured using internet of things sensors (soil and crops sensors, drones, and meteorological stations), analyzed and used for decision-making. In the era of internet of things (IoT) tools, connected agriculture has appeared. Big data outputs can be exploited by the future connected agriculture in order to reduce cost and time production, improve yield, develop new products, offer optimization and smart decision-making. In this article, we propose a functional framework to model the decision-making process in digital and connected agriculture</span>.

scholarly journals CoVID-19 prediction for India from the existing data and SIR(D) model study

2020 ◽  
Author(s):  
Aditya Rajesh ◽  
Haidas Pai ◽  
Victor Roy ◽  
Subhasis Samanta ◽  
Sabyasachi Ghosh
Keyword(s):  
Mathematical Model ◽  
Decision Making ◽  
Strategic Decision ◽  
Time Dependent ◽  
Strategic Decision Making ◽  
Model Study ◽  
The World ◽  
The Future ◽  
D Model ◽  
Existing Data

CoVID-19 is spreading throughout the world at an alarming rate. So far it has spread over 200 countries in the whole world. Mathematical modelling of an epidemic like CoVID-19 is always useful for strategic decision making, especially it is very useful to gain some understanding of the future of the epidemic in densely populous countries like India. We use a simple yet effective mathematical model SIR(D) to predict the future of the epidemic in India by using the existing data. We also estimate the effect of lock-down/social isolation via a time-dependent coefficient of the model. The model study with realistic parameters set shows that the epidemic will be at its peak around the end of June or the first week of July with almost 108 Indians most likely being infected if the lock-down relaxed after May 3, 2020. However, the total number of infected population will become one-third of what predicted here if we consider that people only in the red zones (approximately one-third of India's population) are susceptible to the infection. Even in a very optimistic scenario we expect that at least the infected numbers of people will be of the order of 107.

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