Objective: To measure the hospital operation efficiency, study the correlation between average length of stay and hospital operation efficiency, analyze the importance of shortening average length of stay to the impro...Objective: To measure the hospital operation efficiency, study the correlation between average length of stay and hospital operation efficiency, analyze the importance of shortening average length of stay to the improvement of the hospital operation efficiency and put forward relevant policy suggestion. Methods: Based on China provincial panel data from 2003 to 2012, the hospital operation efficiencies are calculated using Super Efficiency Data Envelopment Analysis model, and the correlation between average length of stay and hospital operation efficiency is tested using Spearman rank correlation coefficient test. Results: From 2003 to 2012, the average of national hospital operation efficiency was increasing slowly and the hospital operations were inefficient in most of the areas. The national hospital operation efficiency is negatively correlated to the average length of stay. Conclusion: Measures should be taken to set average length of stay in a scientific and reasonable way, improve social and economic benefits based on the improvement of efficiency.展开更多
This paper outlines the internal control management of hospital accounting and finance,introducing its concept,importance,and objectives.It then analyzes the problems existing in the internal control management of hos...This paper outlines the internal control management of hospital accounting and finance,introducing its concept,importance,and objectives.It then analyzes the problems existing in the internal control management of hospital accounting and finance,including an unsound management system,insufficient system implementation,inadequate risk assessment and control capabilities,poor information communication,weak internal supervision,and uneven personnel quality.The reasons for these problems are also analyzed,including outdated management concepts,irrational organizational structures,imperfect training and incentive mechanisms,low levels of information technology,and changes in the external environment.This paper proposes improvement measures for the internal control management of hospital accounting,including enhancing the management system,strengthening system implementation,improving risk assessment and control capabilities,enhancing the information communication mechanism,strengthening internal supervision,improving personnel quality,advancing information technology,and adapting to changes in the external environment.展开更多
Room air conditioners (RACs) are crucial household appliances that consume substantial amounts of electricity. Their efficiency tends to deteriorate over time, resulting in unnecessary energy wastage. Smart meters hav...Room air conditioners (RACs) are crucial household appliances that consume substantial amounts of electricity. Their efficiency tends to deteriorate over time, resulting in unnecessary energy wastage. Smart meters have become popular to monitor electricity use of home appliances, offering underexplored opportunities to evaluate RAC operational efficiency. Traditional supervised data-driven analysis methods necessitate a large sample size of RACs and their efficiency, which can be challenging to acquire. Additionally, the prevalence of zero values when RACs are off can skew training. To overcome these challenges, we assembled a dataset comprising a limited number of window-type RACs with measured operational efficiencies from 2021. We devised an intuitive zero filter and resampling protocol to process smart meter data and increase training samples. A deep learning-based encoder–decoder model was developed to evaluate RAC efficiency. Our findings suggest that our protocol and model accurately classify and regress RAC operational efficiency. We verified the usefulness of our approach by evaluating the RACs replaced in 2022 using 2022 smart meter data. Our case study demonstrates that repairing or replacing an inefficient RAC can save electricity by up to 17 %. Overall, our study offers a potential energy conservation solution by leveraging smart meters for regularly assessing RAC operational efficiency and facilitating smart preventive maintenance.展开更多
BACKGROUND Endoscopic procedures are becoming increasingly important for the diagnosis and treatment of gastrointestinal disorders during childhood,and have evolved from a more infrequent inpatient procedure in the op...BACKGROUND Endoscopic procedures are becoming increasingly important for the diagnosis and treatment of gastrointestinal disorders during childhood,and have evolved from a more infrequent inpatient procedure in the operating room to a routine outpatient procedure conducted in multiple care settings.Demand for these procedures is rapidly increasing and thus there is a need to perform them in an efficient manner.However,there are little data comparing the efficiency of pediatric endoscopic procedures in diverse clinical environments.We hypothesized that there are significant differences in efficiency between settings.AIM To compare the efficiency and examine adverse effects of pediatric endoscopic procedures across three clinical settings.METHODS A retrospective chart review was conducted on 1623 cases of esophagogastroduodenoscopy(EGD)or combined EGD and colonoscopy performed between January 1,2014 and May 31,2018 by 6 experienced pediatric gastroenterologists in three different clinical settings,including a tertiary care hospital operating room,community hospital operating room,and free-standing pediatric ambulatory endoscopy center at a community hospital.The following strict guidelines were used to schedule patients at all three locations:age greater than 6 mo;American Society of Anesthesiologists class 1 or 2;normal craniofacial anatomy;no anticipated therapeutic intervention(e.g.,foreign body retrieval,stricture dilation);and,no planned or anticipated hospitalization post-procedure.Data on demographics,times,admission rates,and adverse events were collected.Endoscopist time(elapsed time from the endoscopist entering the operating room or endoscopy suite to the next patient entering)and patient time(elapsed time from patient registration to that patient exiting the operating room or endoscopy suite)were calculated to assess efficiency.RESULTS In total,58%of the cases were performed in the tertiary care operating room.The median age of patients was 12 years and the male-to-female ratio was nearly equal across all locations.Endoscopist time at the tertiary care operating room was 12 min longer compared to the community operating room(63.3±21.5 min vs 51.4±18.9 min,P<0.001)and 7 min longer compared to the endoscopy center(vs 56.6±19.3 min,P<0.001).Patient time at the tertiary care operating room was 11 min longer compared to the community operating room(133.2±39.9 min vs 122.3±39.5 min,P<0.001)and 9 min longer compared to the endoscopy center(vs 124.9±37.9 min;P<0.001).When comparing endoscopist and patient times for EGD and EGD/colonoscopies among the three locations,endoscopist,and patient times were again shorter in the community hospital and endoscopy center compared to the tertiary care operating room.Adverse events from procedures occurred in 0.1%(n=2)of cases performed in the tertiary care operating room,with 2.2%(n=35)of cases from all locations having required an unplanned admission after the endoscopy for management of a primary GI disorder.CONCLUSION Pediatric endoscopic procedures can be conducted more efficiently in select patients in a community operating room and endoscopy center compared to a tertiary care operating room.展开更多
目的 以山东省57家三级综合医院为研究样本,评价其医疗质量与运营效率状况,为加强医院内涵建设、提升精细化管理水平提供参考依据。方法 通过构建评价指标体系,运用熵权逼近理想解排序法(technique for order preference by similarity ...目的 以山东省57家三级综合医院为研究样本,评价其医疗质量与运营效率状况,为加强医院内涵建设、提升精细化管理水平提供参考依据。方法 通过构建评价指标体系,运用熵权逼近理想解排序法(technique for order preference by similarity to ideal solution, TOPSIS)与数据包络分析法(data envelopmentanalysis, DEA)分别对样本医院的医疗质量及运营效率水平进行评价分析。结果 医疗质量方面,样本医院间四级手术占比和CMI差异较大,且权重最大;质量水平排名靠前的医院为A1、A2、A3、A4、A29,均为三级甲等医院,且多为省属医院。运营效率方面,57家样本医院整体运营效率较高,但医院间发展不均衡,其中22家医院DEA有效,12家医院DEA弱有效,23家医院DEA无效。医疗质量与纯技术效率之间存在正相关关系。结论 部分样本医院医疗质量与运营效率有较大改进空间,应聚焦功能定位,在医疗技术水平、资源配置和内部管理能力等方面持续改进和提升,从规模扩张转向提质增效,助力医院高质量发展。展开更多
目的对国内外手术室效率领域的研究现状及热点等进行分析,为手术室效率提升及评价研究提供理论和实践指导。方法利用文献计量学方法检索中国知网和Web of Science核心合集数据库国内外手术室效率领域文献,采用CiteSpace软件对发文量、...目的对国内外手术室效率领域的研究现状及热点等进行分析,为手术室效率提升及评价研究提供理论和实践指导。方法利用文献计量学方法检索中国知网和Web of Science核心合集数据库国内外手术室效率领域文献,采用CiteSpace软件对发文量、核心作者、发文机构、关键词共现、聚类和突现的可视化分析。结果国外手术室效率文献共检索到387篇,美国发文量居于首位,研究机构间多为紧密合作,研究热点主要是时间管理、麻醉管理、成本管理和质量管理,研究前沿包括人工智能、质量提升等;国内文献共检索到235篇,暂未形成紧密的合作网络,研究热点主要是精益管理、流程管理、护理管理等,研究前沿包括信息系统、质量安全等。结论我国应整合研究力量,加强机构合作,关注研究热点和前沿,提高对手术室效率研究的重视程度,继续将流程管理作为重点研究方向,注重信息系统的应用,同时重视手术质量安全。展开更多
文摘Objective: To measure the hospital operation efficiency, study the correlation between average length of stay and hospital operation efficiency, analyze the importance of shortening average length of stay to the improvement of the hospital operation efficiency and put forward relevant policy suggestion. Methods: Based on China provincial panel data from 2003 to 2012, the hospital operation efficiencies are calculated using Super Efficiency Data Envelopment Analysis model, and the correlation between average length of stay and hospital operation efficiency is tested using Spearman rank correlation coefficient test. Results: From 2003 to 2012, the average of national hospital operation efficiency was increasing slowly and the hospital operations were inefficient in most of the areas. The national hospital operation efficiency is negatively correlated to the average length of stay. Conclusion: Measures should be taken to set average length of stay in a scientific and reasonable way, improve social and economic benefits based on the improvement of efficiency.
文摘This paper outlines the internal control management of hospital accounting and finance,introducing its concept,importance,and objectives.It then analyzes the problems existing in the internal control management of hospital accounting and finance,including an unsound management system,insufficient system implementation,inadequate risk assessment and control capabilities,poor information communication,weak internal supervision,and uneven personnel quality.The reasons for these problems are also analyzed,including outdated management concepts,irrational organizational structures,imperfect training and incentive mechanisms,low levels of information technology,and changes in the external environment.This paper proposes improvement measures for the internal control management of hospital accounting,including enhancing the management system,strengthening system implementation,improving risk assessment and control capabilities,enhancing the information communication mechanism,strengthening internal supervision,improving personnel quality,advancing information technology,and adapting to changes in the external environment.
基金supported by Sustainable Smart Campus as a Living Lab of Hong Kong University of Science and Technology and the Strategic Topics Grant from Hong Kong Research Grants Council(STG2/E-605/23-N).
文摘Room air conditioners (RACs) are crucial household appliances that consume substantial amounts of electricity. Their efficiency tends to deteriorate over time, resulting in unnecessary energy wastage. Smart meters have become popular to monitor electricity use of home appliances, offering underexplored opportunities to evaluate RAC operational efficiency. Traditional supervised data-driven analysis methods necessitate a large sample size of RACs and their efficiency, which can be challenging to acquire. Additionally, the prevalence of zero values when RACs are off can skew training. To overcome these challenges, we assembled a dataset comprising a limited number of window-type RACs with measured operational efficiencies from 2021. We devised an intuitive zero filter and resampling protocol to process smart meter data and increase training samples. A deep learning-based encoder–decoder model was developed to evaluate RAC efficiency. Our findings suggest that our protocol and model accurately classify and regress RAC operational efficiency. We verified the usefulness of our approach by evaluating the RACs replaced in 2022 using 2022 smart meter data. Our case study demonstrates that repairing or replacing an inefficient RAC can save electricity by up to 17 %. Overall, our study offers a potential energy conservation solution by leveraging smart meters for regularly assessing RAC operational efficiency and facilitating smart preventive maintenance.
文摘BACKGROUND Endoscopic procedures are becoming increasingly important for the diagnosis and treatment of gastrointestinal disorders during childhood,and have evolved from a more infrequent inpatient procedure in the operating room to a routine outpatient procedure conducted in multiple care settings.Demand for these procedures is rapidly increasing and thus there is a need to perform them in an efficient manner.However,there are little data comparing the efficiency of pediatric endoscopic procedures in diverse clinical environments.We hypothesized that there are significant differences in efficiency between settings.AIM To compare the efficiency and examine adverse effects of pediatric endoscopic procedures across three clinical settings.METHODS A retrospective chart review was conducted on 1623 cases of esophagogastroduodenoscopy(EGD)or combined EGD and colonoscopy performed between January 1,2014 and May 31,2018 by 6 experienced pediatric gastroenterologists in three different clinical settings,including a tertiary care hospital operating room,community hospital operating room,and free-standing pediatric ambulatory endoscopy center at a community hospital.The following strict guidelines were used to schedule patients at all three locations:age greater than 6 mo;American Society of Anesthesiologists class 1 or 2;normal craniofacial anatomy;no anticipated therapeutic intervention(e.g.,foreign body retrieval,stricture dilation);and,no planned or anticipated hospitalization post-procedure.Data on demographics,times,admission rates,and adverse events were collected.Endoscopist time(elapsed time from the endoscopist entering the operating room or endoscopy suite to the next patient entering)and patient time(elapsed time from patient registration to that patient exiting the operating room or endoscopy suite)were calculated to assess efficiency.RESULTS In total,58%of the cases were performed in the tertiary care operating room.The median age of patients was 12 years and the male-to-female ratio was nearly equal across all locations.Endoscopist time at the tertiary care operating room was 12 min longer compared to the community operating room(63.3±21.5 min vs 51.4±18.9 min,P<0.001)and 7 min longer compared to the endoscopy center(vs 56.6±19.3 min,P<0.001).Patient time at the tertiary care operating room was 11 min longer compared to the community operating room(133.2±39.9 min vs 122.3±39.5 min,P<0.001)and 9 min longer compared to the endoscopy center(vs 124.9±37.9 min;P<0.001).When comparing endoscopist and patient times for EGD and EGD/colonoscopies among the three locations,endoscopist,and patient times were again shorter in the community hospital and endoscopy center compared to the tertiary care operating room.Adverse events from procedures occurred in 0.1%(n=2)of cases performed in the tertiary care operating room,with 2.2%(n=35)of cases from all locations having required an unplanned admission after the endoscopy for management of a primary GI disorder.CONCLUSION Pediatric endoscopic procedures can be conducted more efficiently in select patients in a community operating room and endoscopy center compared to a tertiary care operating room.
文摘目的 以山东省57家三级综合医院为研究样本,评价其医疗质量与运营效率状况,为加强医院内涵建设、提升精细化管理水平提供参考依据。方法 通过构建评价指标体系,运用熵权逼近理想解排序法(technique for order preference by similarity to ideal solution, TOPSIS)与数据包络分析法(data envelopmentanalysis, DEA)分别对样本医院的医疗质量及运营效率水平进行评价分析。结果 医疗质量方面,样本医院间四级手术占比和CMI差异较大,且权重最大;质量水平排名靠前的医院为A1、A2、A3、A4、A29,均为三级甲等医院,且多为省属医院。运营效率方面,57家样本医院整体运营效率较高,但医院间发展不均衡,其中22家医院DEA有效,12家医院DEA弱有效,23家医院DEA无效。医疗质量与纯技术效率之间存在正相关关系。结论 部分样本医院医疗质量与运营效率有较大改进空间,应聚焦功能定位,在医疗技术水平、资源配置和内部管理能力等方面持续改进和提升,从规模扩张转向提质增效,助力医院高质量发展。
文摘目的对国内外手术室效率领域的研究现状及热点等进行分析,为手术室效率提升及评价研究提供理论和实践指导。方法利用文献计量学方法检索中国知网和Web of Science核心合集数据库国内外手术室效率领域文献,采用CiteSpace软件对发文量、核心作者、发文机构、关键词共现、聚类和突现的可视化分析。结果国外手术室效率文献共检索到387篇,美国发文量居于首位,研究机构间多为紧密合作,研究热点主要是时间管理、麻醉管理、成本管理和质量管理,研究前沿包括人工智能、质量提升等;国内文献共检索到235篇,暂未形成紧密的合作网络,研究热点主要是精益管理、流程管理、护理管理等,研究前沿包括信息系统、质量安全等。结论我国应整合研究力量,加强机构合作,关注研究热点和前沿,提高对手术室效率研究的重视程度,继续将流程管理作为重点研究方向,注重信息系统的应用,同时重视手术质量安全。
