Comput Math Methods Med - A mathematical modelling approach for systems where the servers are almost always busy.

Tópicos

{ treatment(1704) effect(941) patient(846) }
{ design(1359) user(1324) use(1319) }
{ general(901) number(790) one(736) }
{ estim(2440) model(1874) function(577) }
{ framework(1458) process(801) describ(734) }
{ health(3367) inform(1360) care(1135) }
{ patient(1821) servic(1111) care(1106) }
{ data(1737) use(1416) pattern(1282) }
{ decis(3086) make(1611) patient(1517) }
{ bind(1733) structur(1185) ligand(1036) }
{ model(3480) simul(1196) paramet(876) }
{ state(1844) use(1261) util(961) }
{ inform(2794) health(2639) internet(1427) }
{ assess(1506) score(1403) qualiti(1306) }
{ chang(1828) time(1643) increas(1301) }
{ visual(1396) interact(850) tool(830) }
{ sampl(1606) size(1419) use(1276) }
{ activ(1138) subject(705) human(624) }
{ implement(1333) system(1263) develop(1122) }
{ method(2212) result(1239) propos(1039) }
{ system(1976) rule(880) can(841) }
{ patient(2315) diseas(1263) diabet(1191) }
{ algorithm(1844) comput(1787) effici(935) }
{ control(1307) perform(991) simul(935) }
{ studi(1410) differ(1259) use(1210) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ structur(1116) can(940) graph(676) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

The design and implementation of new configurations of mental health services to meet local needs is a challenging problem. In the UK, services for common mental health disorders such as anxiety and depression are an example of a system running near or at capacity, in that it is extremely rare for the queue size for any given mode of treatment to fall to zero. In this paper we describe a mathematical model that can be applied in such circumstances. The model provides a simple way of estimating the mean and variance of the number of patients that would be treated within a given period of time given a particular configuration of services as defined by the number of appointments allocated to different modes of treatment and the referral patterns to and between different modes of treatment. The model has been used by service planners to explore the impact of different options on throughput, clinical outcomes, queue sizes, and waiting times. We also discuss the potential for using the model in conjunction with optimisation techniques to inform service design and its applicability to other contexts.

Resumo Limpo

design implement new configur mental health servic meet local need challeng problem uk servic common mental health disord anxieti depress exampl system run near capac extrem rare queue size given mode treatment fall zero paper describ mathemat model can appli circumst model provid simpl way estim mean varianc number patient treat within given period time given particular configur servic defin number appoint alloc differ mode treatment referr pattern differ mode treatment model use servic planner explor impact differ option throughput clinic outcom queue size wait time also discuss potenti use model conjunct optimis techniqu inform servic design applic context

Resumos Similares

J. Med. Internet Res. - Development and initial evaluation of an Internet-based support system for face-to-face cognitive behavior therapy: a proof of concept study. ( 0,595310737596391 )
IEEE J Biomed Health Inform - Improving brain injury cognitive rehabilitation by personalized telerehabilitation services: Guttmann neuropersonal trainer. ( 0,573064301769478 )
Telemed J E Health - Telemedicine: a cost-reducing means of delivering psychotherapy to rural combat veterans with PTSD. ( 0,550451428667627 )
J. Med. Internet Res. - Patients' experiences of helpfulness in guided internet-based treatment for depression: qualitative study of integrated therapeutic dimensions. ( 0,548249558351414 )
Telemed J E Health - The diffusion of telehealth in rural American Indian communities: a retrospective survey of key stakeholders. ( 0,547589549197773 )
Comput Methods Programs Biomed - ORTH: R and SAS software for regression models of correlated binary data based on orthogonalized residuals and alternating logistic regressions. ( 0,540026161070543 )
J. Med. Internet Res. - Tailored and integrated Web-based tools for improving psychosocial outcomes of cancer patients: the DoTTI development framework. ( 0,538611435991314 )
Telemed J E Health - Posttraumatic stress disorder treatment for Operation Enduring Freedom/Operation Iraqi Freedom combat veterans through a civilian community-based telemedicine network. ( 0,528386399689449 )
Comput Methods Programs Biomed - A SAS macro for direct adjusted survival curves based on Aalen's additive model. ( 0,525818755940495 )
Telemed J E Health - Meeting the continuing education needs of rural mental health providers. ( 0,523280321865019 )
Inform Health Soc Care - Estimating the success of e-health collaborative services: the THEMIS framework. ( 0,521844876006595 )
J Am Med Inform Assoc - Patient-reported outcome measures: an on-line system empowering patient choice. ( 0,521514633692534 )
Med Decis Making - Cross-cultural evaluation of the WHOQOL-BREF domains in primary care depressed patients using Rasch analysis. ( 0,5206167350158 )
Methods Inf Med - An exploratory study of patient attitudes towards symptom reporting in a primary care setting. Benefits for medical consultation and syndromic surveillance? ( 0,520556714389629 )
Methods Inf Med - A negative feedback model for a mechanism based description of longitudinal observations. Application for bone turnover biomarkers. ( 0,519874771515578 )
Telemed J E Health - Improving proton therapy accessibility through seamless electronic integration of remote treatment planning sites. ( 0,519067135337414 )
J Biomed Inform - Querying temporal clinical databases on granular trends. ( 0,518989568971904 )
Telemed J E Health - A study on the effectiveness of videoconferencing on teaching parent training skills to parents of children with ADHD. ( 0,517469020955459 )
Lifetime Data Anal - Evaluating hospital readmission rates in dialysis facilities; adjusting for hospital effects. ( 0,517075772981529 )
J. Med. Internet Res. - Understanding the usage of content in a mental health intervention for depression: an analysis of log data. ( 0,514751230443249 )
Lifetime Data Anal - Goodness-of-fit tests for additive mean residual life model under right censoring. ( 0,513888439504976 )
Methods Inf Med - Informative simultaneous confidence intervals in hierarchical testing. ( 0,511704957265623 )
IEEE Trans Image Process - On the method of logarithmic cumulants for parametric probability density function estimation. ( 0,507599935003043 )
Med Biol Eng Comput - Assessing the effectiveness of robot facilitated neurorehabilitation for relearning motor skills following a stroke. ( 0,507205507094605 )
Med Decis Making - Assessing personalized medicines in Australia: a national framework for reviewing codependent technologies. ( 0,504992947714873 )
Telemed J E Health - Rural mental health: implications for telepsychiatry in clinical service, workforce development, and organizational capacity. ( 0,50200131094926 )
Telemed J E Health - The effectiveness and feasibility of videoconferencing technology to provide evidence-based treatment to rural domestic violence and sexual assault populations. ( 0,50095842276272 )
Methods Inf Med - The nested structure of cancer symptoms. Implications for analyzing co-occurrence and managing symptoms. ( 0,500037072341825 )
Lifetime Data Anal - Semiparametric inference on the absolute risk reduction and the restricted mean survival difference. ( 0,499228145417944 )
Med Decis Making - Validation of SURE, a four-item clinical checklist for detecting decisional conflict in patients. ( 0,497937969249794 )
Med Decis Making - Adjusting survival time estimates to account for treatment switching in randomized controlled trials--an economic evaluation context: methods, limitations, and recommendations. ( 0,49673399376728 )
Telemed J E Health - Technology-mediated therapy for chronic pain management: the challenges of adapting behavior change interventions for delivery with pervasive communication technology. ( 0,49648364797253 )
Comput Math Methods Med - Mathematical modeling of transmission dynamics and optimal control of vaccination and treatment for hepatitis B virus. ( 0,496014195439329 )
Artif Intell Med - Artificial intelligence framework for simulating clinical decision-making: a Markov decision process approach. ( 0,492626155543927 )
Int J Health Geogr - Catchments of general practice in different countries--a literature review. ( 0,491009868320762 )
Lifetime Data Anal - Measuring early or late dependence for bivariate lifetimes of twins. ( 0,490823733909695 )
J Biomed Inform - Managing proposals and evaluations of updates to medical knowledge: theory and applications. ( 0,490650836870332 )
J Am Med Inform Assoc - The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. ( 0,490078720887311 )
J Med Syst - Designing a decision support system for distinguishing ADHD from similar children behavioral disorders. ( 0,489387768388698 )
Med Decis Making - Knowledge, attitudes, and self-efficacy as predictors of preparedness for oncology clinical trials: a mediational model. ( 0,489240780955894 )
Lifetime Data Anal - A copula model for marked point processes. ( 0,48774620631189 )
Telemed J E Health - A pilot project to improve access to telepsychotherapy at rural clinics. ( 0,487241183351931 )
Comput Math Methods Med - Fast parameters estimation in medication efficacy assessment model for heart failure treatment. ( 0,48671990138805 )
BMC Med Inform Decis Mak - A regret theory approach to decision curve analysis: a novel method for eliciting decision makers' preferences and decision-making. ( 0,486532898300247 )
J. Med. Internet Res. - Usability evaluation of a web-based support system for people with a schizophrenia diagnosis. ( 0,485464804216316 )
BMC Med Inform Decis Mak - The development of a web- and a print-based decision aid for prostate cancer screening. ( 0,485209358453929 )
Perspect Health Inf Manag - Medicaid Statistical Information System (MSIS): a data source for quality reporting for Medicaid and the Children's Health Insurance Program (CHIP). ( 0,485129727149623 )
Comput Methods Programs Biomed - A web application for follow-up of results from a mobile device test battery for Parkinson's disease patients. ( 0,48373743934047 )
Med Decis Making - Do clinical psychologists extend the bereavement exclusion for major depression to other stressful life events? ( 0,482798180451494 )
Comput Methods Programs Biomed - Optimal dosing of cancer chemotherapy using model predictive control and moving horizon state/parameter estimation. ( 0,48155843078763 )
J. Med. Internet Res. - Norwegian general practitioners' perspectives on implementation of a guided web-based cognitive behavioral therapy for depression: a qualitative study. ( 0,481417805978503 )
Comput Methods Programs Biomed - 3D hybrid wound devices for spatiotemporally controlled release kinetics. ( 0,481258425895604 )
Telemed J E Health - Improving stroke outcomes in rural areas through telestroke programs: an examination of barriers, facilitators, and state policies. ( 0,481232685474857 )
BMC Med Inform Decis Mak - Intelligent Therapy Assistant (ITA) for cognitive rehabilitation in patients with acquired brain injury. ( 0,481183541212677 )
Comput Methods Programs Biomed - Computer simulation of structured treatment interruption for HIV infection. ( 0,480492464491332 )
Med Decis Making - Determining the impact of informed choice: separating treatment effects from the effects of choice and selection in randomized trials. ( 0,479961766217685 )
Health Informatics J - Development and usability testing of a web-based cancer symptom and quality-of-life support intervention. ( 0,479764910847767 )
J Telemed Telecare - Successful treatment of patients with hepatitis C in rural and remote Western Australia via telehealth. ( 0,478029559983832 )
Telemed J E Health - Are e-health web users looking for different symptom information than callers to triage centers? ( 0,477061032402463 )
Int J Med Inform - Support system for decision making in the identification of risk for body dysmorphic disorder: a fuzzy model. ( 0,476206248075473 )
Telemed J E Health - Effect of home telemonitoring on glycemic and blood pressure control in primary care clinic patients with diabetes. ( 0,474207151251438 )
Lifetime Data Anal - Product-limit estimators of the gap time distribution of a renewal process under different sampling patterns. ( 0,472902336482521 )
J Med Syst - Designing a personal health application for older adults to manage medications: a comprehensive case study. ( 0,472844225819791 )
Lifetime Data Anal - Estimation of finite population duration distributions from longitudinal survey panels with intermittent followup. ( 0,471663656418757 )
Comput Math Methods Med - In silico modelling of treatment-induced tumour cell kill: developments and advances. ( 0,471204197678135 )
Artif Intell Med - A systems approach to healthcare: agent-based modeling, community mental health, and population well-being. ( 0,470632695530797 )
J Am Med Inform Assoc - Comparison of two kinds of interface, based on guided navigation or usability principles, for improving the adoption of computerized decision support systems: application to the prescription of antibiotics. ( 0,47035338798219 )
Int J Med Inform - Assessing the impact of cognitive impairment on the usability of an electronic medication delivery unit in an assisted living population. ( 0,470078230121857 )
J Telemed Telecare - A study of automated self-assessment in a primary care student health centre setting. ( 0,469618099030025 )
AMIA Annu Symp Proc - First-order logic theory for manipulating clinical practice guidelines applied to comorbid patients: a case study. ( 0,469127591423976 )
BMC Med Inform Decis Mak - An innovative approach to near-infrared spectroscopy using a standard mobile device and its clinical application in the real-time visualization of peripheral veins. ( 0,468456290277483 )
J Telemed Telecare - Child and adolescent telepsychiatry: variations in utilization, referral patterns and practice trends. ( 0,465082131244372 )
Int J Health Geogr - Spatial modelling of healthcare utilisation for treatment of fever in Namibia. ( 0,465001529347094 )
J Telemed Telecare - A pilot study comparing the effectiveness of speech language therapy provided by telemedicine with conventional on-site therapy. ( 0,464759898527939 )
Med Decis Making - Cost-effectiveness analysis: discount the placebo at your peril. ( 0,46436317639117 )
Lifetime Data Anal - A flexible semiparametric transformation model for recurrent event data. ( 0,463918048988518 )
J. Med. Internet Res. - A comparison of two delivery modalities of a mobile phone-based assessment for serious mental illness: native smartphone application vs text-messaging only implementations. ( 0,463143764955572 )
Med Decis Making - Addressing adoption and research design decisions simultaneously: the role of value of sample information analysis. ( 0,461685665031013 )
Comput Methods Programs Biomed - First pilot trial of the STAR-Liege protocol for tight glycemic control in critically ill patients. ( 0,461291177057341 )
Med Decis Making - Methods for Performing Survival Curve Quality-of-Life Assessments. ( 0,460874929838526 )
AMIA Annu Symp Proc - An information-centric framework for designing patient-centered medical decision aids and risk communication. ( 0,460867843563586 )
Med Decis Making - Evidence synthesis for decision making 2: a generalized linear modeling framework for pairwise and network meta-analysis of randomized controlled trials. ( 0,460815278083682 )
Comput. Biol. Med. - Identification of a model of non-esterified fatty acids dynamics through genetic algorithms: the case of women with a history of gestational diabetes. ( 0,460706038507735 )
Lifetime Data Anal - Bayesian phase II adaptive randomization by jointly modeling time-to-event efficacy and binary toxicity. ( 0,457672772790486 )
Lifetime Data Anal - Bayesian dynamic regression models for interval censored survival data with application to children dental health. ( 0,457281995587698 )
Int J Med Inform - Development and alarm threshold evaluation of a side rail integrated sensor technology for the prevention of falls. ( 0,456899356061435 )
J Telemed Telecare - Agreement between telepsychiatry assessment and face-to-face assessment for Emergency Department psychiatry patients. ( 0,456774436836691 )
AMIA Annu Symp Proc - Development of a novel tool for engaging children and parents in asthma self-management. ( 0,456631380993182 )
Res Synth Methods - A standardized mean difference effect size for single case designs. ( 0,455749515980226 )
J. Med. Internet Res. - Comparing in-person to videoconference-based cognitive behavioral therapy for mood and anxiety disorders: randomized controlled trial. ( 0,455214613208012 )
J Biomed Inform - Considering complexity in healthcare systems. ( 0,454853256367862 )
Comput Methods Programs Biomed - The extensible open-source rigid and affine image registration module of the Medical Imaging Interaction Toolkit (MITK). ( 0,454544826030138 )
Int J Med Inform - User profiles and personas in the design and development of consumer health technologies. ( 0,454467502069025 )
J Am Med Inform Assoc - Scalable Collaborative Infrastructure for a Learning Healthcare System (SCILHS): architecture. ( 0,453227592563386 )
Comput Math Methods Med - Causal information approach to partial conditioning in multivariate data sets. ( 0,453052422902994 )
BMC Med Inform Decis Mak - Development and preliminary user testing of the DCIDA (Dynamic computer interactive decision application) for 'nudging' patients towards high quality decisions. ( 0,452913307475382 )
Spat Spatiotemporal Epidemiol - The interactive atlas on health inequalities. ( 0,452200307197338 )
AMIA Annu Symp Proc - Using a unified usability framework to dramatically improve the usability of an EMR Module. ( 0,452199397568843 )
Telemed J E Health - User-friendly cognitive training for the elderly: a technical report. ( 0,452129571618636 )
Comput Methods Programs Biomed - A control system for mechanical ventilation of passive and active subjects. ( 0,451859361309835 )