Abstract
This research concerns the development of a strategy that will assist in the design of health systems by making decision-makers in the health field aware of the best available methods for performing the functions required by their organizations. A procedure for identifying, evaluating, and documenting cost-effective health systems components is presented. Use of the procedure is illustrated through an application to the billing function in group medical practices. An evaluation model is developed using psychometric scaling techniques and is validated by comparing its performance to the independent evaluations of expert panelists.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Jones, J. C.,Design Methods, Wiley, New York, 1970.
Barnes, R. M.,Motion and Time Study. Wiley, New York, 1968.
Nadler, G. R., An investigation of design methodology.Management Science 13 (10):B643-B655, 1967.
Goldman, J., Industrial engineering.Operations Research in Health Care (L. J. Shuman, R. D. Speas, Jr. and J. P. Young, eds.), Johns Hopkins Press, Baltimore, 1975.
DeGreen, K. G., General systems concepts and methods.Systems Psychology (K. B. DeGreen, ed.), McGraw-Hill, New York, 1970.
O'Neill, H. V.,A Technology Assessment Methodology: Computers — Communications Networks. Prepared by MITRE Corporation for the Office of the President, distributed by the National Technical Information Services, Springfield, Virginia, 1971.
Myrick, J. A.,An evaluation of emergency medical services based on patient outcome. Unpublished doctoral dissertation, University of Missouri-Columbia, 1974.
Klarman, H. E., Francis, J. O'S., Rosenthal, G. D., Cost effectiveness analysis applied to the treatment of chronic renal disease.Medical Care 6(1):48–54, 1968.
Smith, M. C.,A component approach to health care systems design. Unpublished doctoral dissertation University of Missouri-Columbia, 1977.
Medical Group Management Association.M.G.M.A. International Directory. 1976–1977, Medical Group Management Association, Denver, 1976.
Comrey A. L., A proposed method for absolute ratio scaling.Psychometrika 15:317–325, 1950.
David, H. A.,Order Statistics, Wiley, New York, 1970.
Author information
Authors and Affiliations
Additional information
Research for this paper was completed at the University of Missouri-Columbia, Department of Industrial Engineering, and was supported by the Health Care Systems Design Training Grant (#HS00103), National Center for Health Sciences Research, U.S.P.H.S., D.H.E.W.
Rights and permissions
About this article
Cite this article
Smith, M.C., Fairman, W.L. & Goldman, J. A component approach to health systems design. J Med Syst 2, 213–232 (1978). https://doi.org/10.1007/BF02222283
Issue Date:
DOI: https://doi.org/10.1007/BF02222283