An effectiveness analysis of healthcare systems using a systems theoretic approach

Two of these four relationships (P1 and P2) are used as inputs to the hospital-level medical system to improve the quality of medical care, vertical control providing output of the authentication and quality measurement / reporting system respectively It is a communication relation. Relationship P1 is a control relationship that provides hierarchically defined practitioner standards. Meanwhile, P2 will communicate the results to the hospital level healthcare system for its internal control compliance.

The remaining two relationships, P3 and P4, are the relationship between horizontal management and communication within the health management system, enhancing the focus on certification and the impact on quality of care. P 3 conveys the correlation in the output of the authentication and quality measurement / reporting system and P 4 provides feedback from the output of the quality measurement / reporting system to the input of the authentication system. P3 includes communication, but P4 is intended as a control relationship. Strictly speaking, P3 is currently in a pseudo relationship. Because, in fact, there is no recipient of information generated by a particular study in the healthcare system. This information actually shows the consistency of the whole system and is meaningful to everyone, but no one has the right to respond. In a more systematic institutional design this information is provided to government sources (the top level in Figure 1) or other responsible agencies of the entire system and can initiate and focus on the medical improvement studies shown below I will. This is a potentially important relationship outside the scope of this article. Alternatively, as suggested here, it may be used directly by P4 to centralize its feedback. Below, it is considered a potential communication relationship

For each of these relationships there is a known problem regarding the impact on care quality. A lot of research has been done to understand and improve P1 and P2 in order to produce improved health care but only P1 is fully understood and supports practical reform. As described in "Validity of quality measurement and reporting system" below, P2 has no satisfactory results. As for P3 and P4, P3 has complicated and contradictory findings, there is currently no effective feedback, little or no research aimed at understanding and improving P4. These statements are reviewed for the following four relationships.

Therefore, neuroscience analysis of System 1 should be combined with survey analysis of System 2; respondents can explain automatic recognition of System 1 only by participating in System 2. A recent study by Shen and Morris (2016) confirmed this approach. They discovered that neuro marketing technology has become more useful in combination with traditional measuring tools. Thus, in the hands of skilled researchers, the combination of neuroscience and traditional technology creates the most comprehensive results, and marketers are able to understand exact psychological reactions caused by content, You can wake up and understand strength. This hybrid approach is used in Unruly's content testing tool - EQ (Emotional Quotient)

The system approach provides a framework for error analysis and security measures. There are a number of specific techniques that can be used to analyze errors, such as backtracking methods such as root cause analysis (or more general term system analysis) and expected methods such as failure mode effect analysis. Root cause analysis (and similar retrospective analytical techniques) are discussed in more detail in dedicated primers. Failure Mode Impact Analysis (FMEA) attempts to pre-identify situations or failure modes that are prone to errors during a particular care process. The FMEA first decides all the steps necessary for a particular process. After completing this process mapping, the FMEA continues to determine the outcome or influence of how each step may be erroneous, the probability of each error being detected, and not detecting the error.

The systematic approach evolved from the early system analysis theory to the genre of thought and suggested that almost all the results are the result of the system rather than individuals. In practice, the system approach is characterized by an attempt to improve the quality and / or efficiency of the process by improving the system. Some long-term care facilities and hospitals that may include temporary care rehabilitation services, professional care for certain diseases such as stroke or diabetes and / or postoperative care, and other related services Short-term care provided by. History of hospital and family