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When John Thompson and I first began talking about finding a way to measure and cost the output of hospitals in the 1960s. we really had no concept of the need for this kind of result. In fact. if we had listened to others in the health services research community. we would rrever have begun or persisted in the task. But it seemed important to us to begin to understand what up until then seemed unexplainable - the rather strange cost behavior of hospitals. We had the benefit of Professor Martin Feld stein's observation that case-mix was certainly an important factor. but we had literally no guidance on how to make some sense out of the very large number of illnesses that beset the human race...
Climate change is a hot research topic due to the consequent impacts on our environment in the near future. The last report of the International Panel on Climate Change¿the leading international body for assessment of climate change¿highlights a lack of information on the potential changes in wave climate and, consequently, on their coastal impacts. The problem is largely complicated because wave forcing is affected by a number of uncertainty factors, being the choice of the climate model one of the most relevant. The main purpose of this thesis is to provide a better understanding of the future wave climate in the area of interest: the Catalan coast, which is located in the NW part of the...
This proceedings contains papers presented at the 31st International Conference on Coastal Engineering, which has held in Hamburg, Germany (31 August - 5 September 2008). The proceeding is divided into five parts: Waves; Long Waves, Nearshore Currents, and Swash; Sediment Transport and Morphology; Coastal Management, Environment, and Risk; and Coastal Structures. The papers cover a broad range of topics including theory, numerical and physical modeling, field measurements, case studies, design, and management. Coastal Engineering 2008 provides coastal engineers, scientists, and planners, with state-of-the-art information on coastal engineering and coastal processes.
The case mix concept has been introduced in the USA more than twenty years ago in order to measure hospital productivity and to promote quality of care. The DRGs were selected by HCFA in 1983 as the case mix classification system for the MEDICARE prospective payment system (PPS). Many other countries have adopted the case mix concept after long periods of testing and accepting, but with large variations in data collection, information standards, grouping tools, financing methods and quality of care developments all over the world. Each country has developed a local clinical and political culture about case mix tools. The present book is intended to update the case mix situation, country by country.
This book presents a view of the development and application of case mix measurement systems in Europe and is the result of collaboration of eight teams of experts under the aegis of a project of the European Community. It offers a picture of the current situation of hospital management information in Europe and of the incorporation of case mix measurement systems, bringing together several cases of adaptation and the use of these instruments in the management and distribution of resources in hospitals in recent years and in various countries. It is complemented by two studies which have attempted to create continent-wide data bases among comparable hospitals.
Per tal de predir les elevacions extremes de l'onatge, la comprensió dels estadístics de l'alçada de l'ona esdevé un factor clau per a l'enginyeria civil, especialment per a raons de seguretat i prevenció. Aquest estudi, focalitzat en aigües profundes, ha analitzat en detall algunes de les més importants teories que actualment existeixen relatives als estadístics de curt termini. S'ha basat en l'anàlisi de 40.000 registres temporals (aprox. 10 milions de ones) de 4 boies situades a la costa catalana (Mar Mediterrani) de XIOM i s'ha complementat amb unes 9.000 ones enregistrades per 2 altímetres làser del projecte WADIC (Mar del Nord). Per a les dades brutes del Mediterrani (repres...
This volume surveys how the increased flow of people, goods and services between the countries of the EC will affect the public health. The contributors develop implementation strategies for EC-wide policy changes, and set objectives and timetables for health care in the 1990s.
Els fons musicals que presentem en aquest volum provenen de les antigues capelles musicals dels centres eclesiàstics de la catedral de Solsona i les esglésies parroquials de Berga i Cornudella de Montsant. En el moment de la seva edició aquests fons es conserven a l’Arxiu Diocesà de Solsona i als arxius parroquials de Santa Eulàlia de Berga i Santa Maria de Cornudella de Montsant, respectivament. Es tracta, doncs, d’un volum miscel·lani en el que hem volgut reunir tres nous catàlegs a la llista dels fons descrits pel projecte IFMuC, endegat justament enguany fa vint anys, en el si del Departament d’Art i Musicologia de la Universitat Autònoma de Barcelona.