Abstract:There is increasing pressure to effectively treat patients with complex care needs from the moment of admission to the general hospital. In this study, the authors developed a measurement strategy for hospital-based care complexity. The authors' four-factor model describes the interrelations between complexity indicators, highlighting differences between length of stay (LOS), objective complexity (such as medications or consultations), complexity ratings by the nurse, and complexity ratings by the doctor. Thei… Show more
“…Hospital size was measured as the number of beds. Care complexity was measured using data on the hospitals' Case-Mix Index [44]. This index indicated the care complexity according to the average diagnosis-related group weight.…”
Section: Measurement Of Variablesmentioning
confidence: 99%
“…This index indicated the care complexity according to the average diagnosis-related group weight. A score higher than 1 indicates a hospital's case mix is more complex than the standard case mix [44].…”
This paper simultaneously examines how the design of management control systems and top management team composition help organizations to implement environmental sustainability policies successfully. It also analyzes the effect of those policies on both short-term and long-term performance. A questionnaire was sent to every member of top management teams in 231 public hospitals in Spain. It obtained 457 useful responses from TMT members, allowing us to collect data on 81 full top management teams (35.06%). The partial least squares statistical technique was used to test the causal research model. It was found that the implementation of environmental sustainability policies has a negative effect on short-term organizational performance and a positive effect on long-term performance. The results show that management control systems and top management team diversity have a complementary effect on implementing policies focused on environmental sustainability. A broad design of management control systems helps organizations adopt sustainability policies to achieve long-term performance. It was also found that top management team diversity mitigates the negative effect of adopting environmental sustainability policies on short-term organizational performance.
“…Hospital size was measured as the number of beds. Care complexity was measured using data on the hospitals' Case-Mix Index [44]. This index indicated the care complexity according to the average diagnosis-related group weight.…”
Section: Measurement Of Variablesmentioning
confidence: 99%
“…This index indicated the care complexity according to the average diagnosis-related group weight. A score higher than 1 indicates a hospital's case mix is more complex than the standard case mix [44].…”
This paper simultaneously examines how the design of management control systems and top management team composition help organizations to implement environmental sustainability policies successfully. It also analyzes the effect of those policies on both short-term and long-term performance. A questionnaire was sent to every member of top management teams in 231 public hospitals in Spain. It obtained 457 useful responses from TMT members, allowing us to collect data on 81 full top management teams (35.06%). The partial least squares statistical technique was used to test the causal research model. It was found that the implementation of environmental sustainability policies has a negative effect on short-term organizational performance and a positive effect on long-term performance. The results show that management control systems and top management team diversity have a complementary effect on implementing policies focused on environmental sustainability. A broad design of management control systems helps organizations adopt sustainability policies to achieve long-term performance. It was also found that top management team diversity mitigates the negative effect of adopting environmental sustainability policies on short-term organizational performance.
“…14, [21][22][23][24][25][26] Accordingly, it was decided to make a subdivision in the group of frail patients into: (1) frail without a complex care context; (2) frail with a complex care context. This subdivision is made after the assessment of the second step of the Easycare-TOS.…”
Section: Other Psychiatric Complaints Patient Hasmentioning
JAL van Kempen, MD, registrar in geriatric medicine; A Jacobs, MD, registrar in geriatric medicine; SHM Robben, MD, registrar in geriatric medicine; RJF Melis, MD, PhD, senior registrar in geriatric medicine; MGM Olde Rikkert, MD, PhD, professor in geriatric medicine, Department of Geriatric Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
Research Abstract BackgroundPrimary care is increasingly interested in the identification of frailty, as it selects the target population for integrated care. However, instruments for the identification of frailty specifically validated for use in primary care are scarce. This study developed the Easycare Two-step Older persons Screening (Easycare-TOS), which provides a valid, efficient, and pragmatic screening procedure to identify frail older people.
“…Healthcare costs are increasing all over the world, prompting health services to seek reduced hospital admission and readmission rates, shorter lengths of stay, and postponement of admission to nursing homes. 3 This pressure to reduce the costs of health and social services for an ageing population is causing problems for primary care, for a number of reasons.…”
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