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作者:Arikan, Mazhar; Ata, Baris; Friedewald, John J.; Parker, Rodney P.
作者单位:University of Kansas; University of Chicago; Northwestern University; Feinberg School of Medicine; Indiana University System; IU Kelley School of Business; Indiana University Bloomington
摘要:The deceased-donor kidney allocation system suffers from a severe shortage of available organs. We illustrate a mechanism which can increase the supply of cadaveric kidneys in the United States. This supply increase exploits the fact that under the current organ allocation policy, some kidneys remain unprocured in some procurement areas but would be highly sought in other areas. The current kidney allocation policy procures within a donor service area (DSA) and offers these kidneys first to pa...
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作者:Deglise-Hawkinson, Jivan; Helm, Jonathan E.; Huschka, Todd; Kaufman, David L.; Van Oyen, Mark P.
作者单位:Indiana University System; Indiana University Bloomington; Mayo Clinic; University of Michigan System; University of Michigan; University of Michigan System; University of Michigan
摘要:The prevailing first-come-first-served approach to outpatient appointment scheduling ignores differing urgency levels, leading to unnecessarily long waits for urgent patients. In data from a partner healthcare organization, we found in some departments that urgent patients were inadvertently waiting longer for an appointment than non-urgent patients. This study develops a capacity allocation optimization methodology that reserves appointment slots based on urgency in a complicated, integrated ...
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作者:Liu, Xiang; Hu, Michael; Helm, Jonathan E.; Lavieri, Mariel S.; Skolarus, Ted A.
作者单位:University of Michigan System; University of Michigan; Massachusetts Institute of Technology (MIT); Arizona State University; Arizona State University-Tempe; University of Michigan System; University of Michigan
摘要:Hospital readmissions affect hundreds of thousands of patients every year, negatively impacting patients and placing a tremendous burden on the national healthcare system. Post-discharge checkup policies can reduce readmissions through early detection of health conditions, however, the methods behind designing effective checkup policies are poorly understood. Under current practice, up to 67% of readmitted patients return to the hospital before their first scheduled office visit. This work aim...
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作者:Baardman, Lennart; Levin, Igor; Perakis, Georgia; Singhvi, Divya
作者单位:Massachusetts Institute of Technology (MIT); Johnson & Johnson; Johnson & Johnson USA; Massachusetts Institute of Technology (MIT)
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作者:Laker, Lauren F.; Froehle, Craig M.; Windeler, Jaime B.; Lindsell, Christopher John
作者单位:University System of Ohio; Xavier University; University System of Ohio; University of Cincinnati; University System of Ohio; University of Cincinnati; Cincinnati Children's Hospital Medical Center; Vanderbilt University
摘要:The healthcare industry has invested heavily in electronic health records and other clinical information systems in order to improve caregivers' access to information and ability to share information with other care providers. It has been shown that these systems can readily induce in their users a state of information overload, where the volume and complexity of information overwhelms the user, leading to lower decision speed and quality. This research introduces and tests a cognitive techniq...
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作者:Ayvaci, Mehmet Ulvi Saygi; Alagoz, Oguzhan; Ahsen, Mehmet Eren; Burnside, Elizabeth S.
作者单位:University of Texas System; University of Texas Dallas; University of Wisconsin System; University of Wisconsin Madison; Icahn School of Medicine at Mount Sinai; University of Wisconsin System; University of Wisconsin Madison
摘要:Decision models representing the clinical situations where treatment options entail a significant risk of morbidity or mortality should consider the variations in risk preferences of individuals. In this study, we develop a stochastic modeling framework that optimizes risk-sensitive diagnostic decisions after a mammography exam. For a given patient, our objective is to find the utility maximizing diagnostic decisions where we define the utility over quality-adjusted survival duration. We use r...
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作者:Slaugh, Vincent W.; Scheller-Wolf, Alan A.; Tayur, Sridhar R.
作者单位:Cornell University; Carnegie Mellon University
摘要:Nursing home managers are increasingly striving to ensure consistency of care, defined as minimizing the number of unique nurse aides who care for a resident during at least one shift over the course of one month. Unfortunately, managers often struggle to provide consistent care, primarily due to last-minute nurse aide absences and choosing to staff these absences with aides from an external rental agency. We are the first to study the use of an on-call pool-aides on staff who may be called in...
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作者:Zhang, Dennis J.; Dai, Hengchen; Dong, Lingxiu; Qi, Fangfang; Zhang, Nannan; Liu, Xiaofei; Liu, Zhongyi; Yang, Jiang
作者单位:Washington University (WUSTL); University of California System; University of California Los Angeles; Alibaba Group
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作者:Ghamat, Salar; Zaric, Gregory S.; Pun, Hubert
作者单位:Wilfrid Laurier University; Western University (University of Western Ontario)
摘要:In this study, we examine performance-based payment contracts to promote the optimal use of an optional diagnostic test for newly diagnosed cancer patients. Our work is inspired by three trends: tremendous increases in the cost of new, advanced cancer drugs; development of new diagnostic tests to allow physicians to tailor treatment to patients; and changes in healthcare funding models that reward quality care. We model the interaction between two parties-a healthcare payer and an oncologist, ...
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作者:Lu, Lauren Xiaoyuan; Lu, Susan Feng
作者单位:University of North Carolina; University of North Carolina Chapel Hill; Purdue University System; Purdue University
摘要:We empirically investigate the pattern of where heart attack patients are transferred between hospitals. Using 2011 Florida State Emergency Department and Inpatient Databases, we demonstrate the relative importance of three key factors in determining transfer destinations: (1) the distance between sending and receiving hospitals, (2) publicly reported quality measures of receiving hospitals, and (3) the relationship between sending and receiving hospitals as indicated by whether they are affil...