{"id":89507,"date":"2018-03-10T00:14:41","date_gmt":"2018-03-10T00:14:41","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-del-case-mix-del-servicio-de-ciruga%c2%ada-del-hospital-obispo-polanco-de-teruel-a-traves-de-los-grd-grupos-relacionados-con-el-diagnostico\/"},"modified":"2018-03-10T00:14:41","modified_gmt":"2018-03-10T00:14:41","slug":"analisis-del-case-mix-del-servicio-de-ciruga%c2%ada-del-hospital-obispo-polanco-de-teruel-a-traves-de-los-grd-grupos-relacionados-con-el-diagnostico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-del-case-mix-del-servicio-de-ciruga%c2%ada-del-hospital-obispo-polanco-de-teruel-a-traves-de-los-grd-grupos-relacionados-con-el-diagnostico\/","title":{"rendered":"An\u00e1lisis del case-mix del servicio de cirugia del hospital obispo polanco de teruel a trav\u00e9s de los grd. (grupos relacionados con el diagn\u00f3stico)."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Manuel Sampedro Mascar\u00f3s <\/strong><\/h2>\n<p>El prop\u00f3sito del estudio consisti\u00f3 en realizar mejoras en la programaci\u00f3n de los procesos asistenciales quir\u00fargicos programados para reducir la incertidumbre del decisor y conseguir una gesti\u00f3n m\u00e1s eficiente de las camas del servicio. se procur\u00f3 que fuera una experiencia f\u00e1cilmente repetible por cualquier servicio.  se realiz\u00f3 un dise\u00f1o observacional retrospectivo, con muestreo de casos consecutivos a aprtir del cmbd, entre 1994 y 1998, ambos inclusive. Para que el estudio fuera m\u00e1s coste-eficiente se selecionaronlos grds de mayor frecuencia.  para cada uno de los grds seleccionados se realiz\u00f3 un an\u00e1lisis descriptivo de las distintas variables del cmbd que pudieran tener influencia en la permanencia, siendo necesario calcular otras variables al descomponer el proceso en dos segmentos temporales tomando como punto de corte el acto quir\u00fargico.  para conocer la distribuci\u00f3nde permanencia, dado que son distribuciones fuertemente sesgadas en sentido positivo, se utilizaron t\u00e9cnicas estad\u00edsticas de supervivencia. Una vez conocida la distribuci\u00f3n de permanencia, se dise\u00f1\u00f3 un calendario de programaci\u00f3npar acada uno de los d\u00edas de intervenci\u00f3n, y para cada grd analizado.  mediante comparaci\u00f3n de curvas de supervivencia y por la t\u00e9cnica de breslow, se detectaron subpoblaciones en cada grd condistitntos tiempos de permanencia.Para la programaci\u00f3n presenta una gran importancia la existencia de estas subpoblaciones.  por \u00faltimo, para facilitar la tarea al planificador, se desarroll\u00f3 un prototipo inform\u00e1tico con html y lavascript, en el que a partir del d\u00eda prevista de alta, y en funci\u00f3n de una determianada probabilidad, devuelva tanto el d\u00eda de ingreso como el d\u00eda de intervenci\u00f3n.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis del case-mix del servicio de cirugia del hospital obispo polanco de teruel a trav\u00e9s de los grd. (grupos relacionados con el diagn\u00f3stico).<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis del case-mix del servicio de cirugia del hospital obispo polanco de teruel a trav\u00e9s de los grd. (grupos relacionados con el diagn\u00f3stico). <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Manuel Sampedro Mascar\u00f3s <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/03\/2001<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Leopoldo Segarra Castell\u00f3<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan Ruiz del castillo <\/li>\n<li>ram\u00f3n Trullenque peris (vocal)<\/li>\n<li>Jes\u00fas Mar\u00eda Aranaz andr\u00e9s (vocal)<\/li>\n<li>Antonio Minguill\u00f3n serrano (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manuel Sampedro Mascar\u00f3s El prop\u00f3sito del estudio consisti\u00f3 en realizar mejoras en la programaci\u00f3n de los procesos [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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