Comparing hospitals using multicriteria methods facilitates a thorough assessment of performance across multiple dimensions, supports informed decision-making, promotes accountability, and drives continuous improvement in healthcare delivery. This paper aims to apply multicriteria methods to...

Alzheimer's disease (AD) disproportionately burdens racial and ethnic minority populations, yet the extent to which US clinical trials reflect this burden remains poorly understood. We conduct a systematic review of all 88 completed US-based Phase III AD drug trials between 1997 and 2023, using...

Alzheimer's disease (AD) disproportionately burdens racial and ethnic minority populations, yet the extent to which US clinical trials reflect this burden remains poorly understood. We conduct a systematic review of all 88 completed US-based Phase III AD drug trials between 1997 and 2023, using...

Emergency departments are a primary point of contact between older adults and the healthcare system, yet standard emergency care is poorly adapted to the complex needs of geriatric patients. Geriatric Emergency Departments (GEDs) - accredited units that integrate geriatric-trained staff,...

The term day surgery is not simply surgery with admission and discharge on the same day, but rather the practice of admitting into a health facility carefully selected and prepared patients for a planned, non-emergency procedure that avoids the need for an overnight stay. Day surgeries are case...

Health care costs in the U.S. have grown dramatically over the past several decades, with one possible cause being physicians providing unnecessary services out of fear of being sued for malpractice - a phenomenon known as "defensive medicine". States responded by enacting different types of...

This study reviews the literature on the impacts of Certificate-of-Need (CON) laws, which require the approval of states' health planning agencies for health care providers to engage in regulated actions such as opening or expanding facilities or purchasing equipment. Economic theory suggests...

Background: Digital transformation is reshaping healthcare operations, with loyalty programs increasingly used to strengthen patient engagement and streamline administrative workflows. However, fragmented information systems and manual verification routines continue to create bottlenecks,...

Healthcare systems worldwide face increasing nurse shortages, but the consequences remain poorly understood. This paper studies how nurse scarcity in hospitals affects care provision and patient health. I exploit the 2011 Swiss franc stabilization, which increased the salience to cross-border...

Viet Nam’s health system faces persistent overcrowding in its hospitals, despite decades of reform and substantial investments. This paper examines the drivers and consequences of Viet Nam's hospital-centric health system and proposes evidence-based strategies for reform. Drawing on national...

Emergency departments are a primary point of contact between older adults and the healthcare system, yet standard emergency care is poorly adapted to the complex needs of geriatric patients. Geriatric Emergency Departments (GEDs) - accredited units that integrate geriatric-trained staff,...

The pharmaceutical supply chain is vital to hospital operations but faces persistent challenges, including drug shortages, regulatory constraints, and inventory inefficiencies. This study explores the application of the Triple-A Supply Chain (TASC) framework agility, adaptability, and alignment...

In Switzerland, elective hip and knee replacements account for substantial healthcare expenditures and are central to debates on quality, appropriateness and value-based care. Existing DRG-based payment systems for acute somatic care remunerate volume and case mix, but do not reflect quality of...

Purpose: Sustaining healthcare operations without adequate energy capacity creates significant challenges, especially during periods of constrained energy supply. This research develops a clinical and non-clinical activity-based hospital energy model for electrical load prioritization during...

Intensive care units (ICUs) operate with fixed capacities and face uncertainty such as demand variability, leading to demand-driven, early discharges to free up beds. These discharges can increase ICU readmission rates, negatively impacting patient outcomes and aggravating ICU bottleneck...

Recently, public and private providers within two-tier healthcare markets have engaged in a fierce competition for patients, which is significantly influenced by patients' multifaceted sensitivities to delays and payments, particularly when patients' potential balking is considered. However,...

This paper examines the resource mismatch in China's healthcare sector from 2010 to 2019. We use structural efficiency to measure the resource mismatch in the healthcare industry (0.2-0.7). We find that an increase in the proportion of private hospitals decreases the healthcare resource mismatch...

Background Medicare Advantage (MA) penetration rates have shown an increase in rural areas in the past decade, increasing the bargaining power of MA plans relative to rural hospitals. We study the effect that this increase has had in the revenue of rural hospitals through reductions in the...

Introduction The annual increase in emergency department (ED) visits in Taiwan has led to overcrowding in major hospitals and extended patient stays in the ED. International studies suggest that prolonged ED stays may influence healthcare costs and clinical outcomes for hospitalized patients....

Background China started a pilot public hospital reform in 2012 to improve governance and efficiency in healthcare services delivery among county-level hospitals. This study aims to investigate the impact of the pilot reform on hospital efficiency and productivity by using a unique dataset of...

Background Adjusting the health insurance reimbursement rate is essential to optimize the allocation of medical resources. This paper investigates the effect of health insurance reimbursement rates on middle-aged and elderly people's choice of hospitals in China. Methods This study is conducted...

Background During the post-pandemic era, there has been growing anxiety regarding health security, especially among the middle class worldwide. The public's confidence in the healthcare system encompasses their expectations and perceptions of the healthcare system's ability to meet their needs...

Digitalisation of health services brings many benefits to patients, including electronic health records, telemedicine, and AI-driven diagnostics. However, healthcare is one of the most targeted sectors by cyber and ransomware attacks. To better protect its healthcare systems and create a safer...

Digitalisation of health services brings many benefits to patients, including electronic health records, telemedicine, and AI-driven diagnostics. However, healthcare is one of the most targeted sectors by cyber and ransomware attacks. To better protect its healthcare systems and create a safer...

Managing electronic health records (EHRs) within hospitals presents significant challenges, particularly in ensuring the security, privacy, and accessibility of sensitive patient data. Traditional systems are often vulnerable to breaches and inefficiencies, demanding the need for exploration of...