SUMMARY Goal: A lack of improvement in productivity recent years may be the result suboptimal measurement productivity. Hospitals and clinics benefit from external benchmarks that allow assessment clinical Work relative value units have long served as a common currency for this purpose. Productivity is determined by comparing work to full-time equivalents (FTEs), but FTEs do not universal or standardized definition, which could cause problems. We propose new labor input measure—“clinic...

Section 507 of the VA MISSION Act 2018 mandated a 2-year pilot study medical scribes in Veterans Health Administration (VHA), with 12 Medical Centers randomly selected to receive their emergency departments or high wait time specialty clinics (cardiology and orthopedics). The began on June 30, 2020, ended July 1, 2022.

Students of party organization often rely on politicians’ perceptions when measuring internal institutions and organizational characteristics. We compare a commonly used survey measure political parties’ European Parliament candidate selection mechanisms to measures that the authors coded directly from rules. find substantial disconnect between formal respondent mechanisms, raising questions about accuracy equivalency. While this divergence may be driven either by distinctions de jure facto...

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Background: Secure supply of safe blood components, based on voluntary, non-remunerated donation, is an important national goal to prevent shortages. Nowadays, in many low- and middle-income countries, critically inadequate. Sub-Saharan Africa, which has the highest maternal mortality rate world 510 deaths per 100000 live births, also lowest donation rates. The donated plays a big role during surgery, accident, delivery cases bleeding cases.
 aim this work assess knowledge, attitude,...

It is difficult to identify fraud, waste, and abuse in substance use disorder (SUD) treatment. Insurers outlier detection models detect SUD-related abuse, but these require credible benchmarks based on cross-payer claims data. To our knowledge, have not been established for services frequently cited fraud cases — drug screening, psychotherapy, partial hospitalization. We used de-identified aggregated data from FAIR Health's national database of commercial claims, including ACA marketplace...

Emergency department (ED) use is often seen as a source of excess health care spending, prompting managers to limit ED capacity in their systems. However, if limited delivery system leads patients seek emergency elsewhere, then quality and efficient management may be compromised within the system.The objective this study was explore effect Veterans Health Administration (VHA) in-house clinician on VHA community (CC) claims.We used administrative data from identify CC claims Department...

Abstract Background Care leakage from health systems can affect quality and cost of care delivery. Identifying modifiable predictors may help avoid adverse consequences. Out‐of‐system emergency department (ED) use be one cause leakage. Our objective was to investigate the relationship between out‐of‐system ED subsequent specialty Methods We used Veterans Health Administration's (VA) Corporate Data Warehouse data January 2021 July 2021. A total 330,547 patients who had at least visit...

Many scholars have sought to explain the wide variation in women's legislative representation found across globe. In this article, we open a new line of inquiry that seeks determine whether differences nationalization party system help representation. more nationalized systems, there is little patterns votes countries. regionalized vote vary widely among regions. The existing literature on argues systems focus policy debates and outcomes at national level. We argue incentive as opposed...

Party system nationalization, defined as the extent to which national parties receive similar vote shares across regions, has a huge impact on nature of programs and policy outcomes from party systems. Nationalized systems are characterized by nationalized broad based policies while less or regionalized associated with more particularistic, pork-barrel programs. Since nationalization affects outcomes, I examine whether does have any occurrence ethnic rebellion. argue that affect rebellion...

The study focuses on the practices of complimentary feeding in Ethio-Somali region using a mixed method study.Time to initiate complementary is time at which when breast milk or infant formula alone no longer sufficient meet nutritional requirements infants therefore other solid and semisolid foods liquids are needed, along with substitute.The has focused analysis way was practiced.The revealed all most one third (26.8%) respondents initiated early (before 6 months).Whilst (241, 67.89%) (19,...

The Advancement of human living standards within the twenty-first century, issues worldwide global climate change, rapid population increase, and environmental pollution have grown increasingly critical. Human activities put plenty strain on ecosystem. Water contamination is one amongst several that has to be addressed immediately. rise in water-related disorders provides a sensible estimate extent degradation. Humans can utilize it day by day. will employed pharmaceutical laboratory or...

Long wait times are a problem for many budget-constrained public health care delivery systems around the world. We estimate effectiveness of two supply levers on lowering new patients: 1) increasing clinician supply, and 2) productivity. introduce data specialty appointments at 138 Veterans Health Administration medical centers in U.S. between July 2014 December 2019. reduced-form model an appointment using instrumental variables approach. find that 10% increase sample average specialists...