Since capacity can change due to seasonal demand, industry changes, unexpected economic events, maintenance and repair programs, etc. This type of management process is referred to as capacity management.
The authors have declared that no competing interests exist.
Conceived and designed the experiments: Received Sep 11; Accepted Jun Associated Data Due to ethical restrictions, data are available upon request. The authors confirm that all interested parties will be able to obtain the data by sending a request to: Abstract Introduction Hospitals are studying the focused factory concept and attempting to increase their power in a competitive industry by becoming more specialized.
Methodology This study uses the information theory index Define the service model for shouldice hospital and the Herfindahl-Hirschman index HHI to analyze the extent of specialization by Korean hospitals that receive national health insurance reimbursements.
Hierarchical regression analysis is used to assess the impact of hospital specialization on the following four aspects of operational performance: Study Results The results show that a focused strategy high HHI improves the income and adjusted number of patients per specialist through the efficient utilization of human resources.
However, a diversified strategy high ITI improves the hospital utilization ratio, income per bed and adjusted number of patients per bed controlling for material resources such as beds. In addition, as the concentration index increases, case-mix mortality rates and referral rates decrease, indicating that specialization has a positive relationship with quality of care.
Introduction In the past, hospitals operated in a friendly environment, and the hospital industry was characterized by the provision of physician-oriented services, information asymmetries, limited access to health care and a fee-for-service payment system.
In addition, hospitals tended to seek a competitive advantage by expanding the types and number of medical services available because the provision of new medical technologies attracted both physicians and patients [ 1 ]. However, hospitals today exist in an environment that is highly uncertain, complex and unpredictable [ 2 ].
Accordingly, there has been a continuous emergence of opinions that hospitals should focus on a limited number of services to become more resilient to changes in the health care environment.
For example, Luke, Begun and Walston [ 3 ] stated that health care organizations should select and focus on an appropriately limited scope of services.
Similarly, Kilduff [ 4 ] argued that organizations should focus on a limited number of core businesses and abandon competitively weak business units [ 4 ]. Forty years ago, Skinner [ 5 ] proposed the focused factory concept, which argues that businesses should select and focus on a limited number of competitive areas.
The focused factory concept has since been suggested as a strategy for the health care industry based on the notion that hospitals can increase the efficiency of patient treatment by focusing on specific diseases or medical procedures [ 6 — 10 ]. For example, Leung [ 11 ] argued that the delivery of hospital services through the focused factory model would promote both productivity and efficiency.
Moreover, the bankruptcy rate of small and mid-sized hospitals, which collectively play a central role in Korean health care, has increased since the currency crisis. To give examples from more recent literature on the effects of focus, Capkun, Messner, and Rissbacher [ 12 ] conducted an empirical study and stressed the importance of hospital service specialization in certain types of services away from the integrated-delivery type of health care system, and Lee, Chun, and Lee [ 13 ] performed a data envelopment analysis DEA and argued for the necessity of reforming the hospital service structure, such as focus-oriented specialization, in order to improve the efficiency of health care.
Thus, this study aims to contribute to hospital competitiveness by conducting a comparative analysis of the degree of specialization in Korean hospitals. The study has two specific purposes: Methodology Selection of hospitals for analysis This study gathered data for 1, target hospitals that had more than 30 beds and that claimed health insurance reimbursement in using merged data from Statistics Korea and the Korean Hospital Association.
After excluding hospitals that opened or closed during hospitals and that had less than inpatient insurance claims during that period 20 hospitals1, target hospitals. In terms of hospital type, hospital accounted for the majority of the sample, with 1, facilities.
There were privately owned hospitals in the sample, more than any other ownership type.
Hospitals with fewer than beds accounted for 1, hospitals in the sample, and hospitals with fewer than 10 specialists accounted for hospitals. More hospitals were located in cities than in any other type of location, and hospitals had been established for fewer than 5 years.
There were more non-teaching hospitals than teaching hospitals and more full-service hospitals than specialty hospitals cardiovascular surgery e. Additionally, most hospitals in the sample did not participate in the diagnosis-related group DRG payment scheme.The Practice of Integrated Design: The Case Study of Khoo Teck Puat Hospital, Singapore Tan Shao Yen 31st January A dissertation submitted in partial fulfillment of the regulations for the Degree of Masters of Science in Sustainable Building Design in BCA Academy - University of Nottingham, tranceformingnlp.com Lets have an overview of Shouldice Hospital Limited• tranceformingnlp.com 7.
SHOULDICE HOSPITAL LIMITED 8. Why SHOULDICE Hospital? • The facility was subject of a business case by the Harvard Business School.
· The Harvard University Health Service operates primarily as a health maintenance organization, with its services prepaid for over 90% of its users.
The walk-in clinic is a major part of this system visited by 37, patients per tranceformingnlp.com://tranceformingnlp.com · Web view. Ultimately, the use of modelling can be applied to the issue of resource allocation, including the determination of the number of hospital beds required for service provision for a given hospital tranceformingnlp.com Customers at Shouldice Hospital participate to an unusual degree in co-creating the service.7 They diagnose themselves and, if necessary, diet to make the weight limit that Shouldice doctors impose to qualify patients for tranceformingnlp.com://tranceformingnlp.com /what-great-service-leaders-know-do.
· Capacity management is the management of the limits of an organization's resources, such as labor force, manufacturing and office space, inventory, etc. a service center can attend to 40 tranceformingnlp.com