Guillermo A. Sandoval, Adalsteinn D. Brown, Walter P. Wodchis and Geoffrey M. Anderson
The purpose of this paper is to investigate the relationship between hospital adoption and use of computed tomography (CT) scanners, and magnetic resonance imaging (MRI) machines…
Abstract
Purpose
The purpose of this paper is to investigate the relationship between hospital adoption and use of computed tomography (CT) scanners, and magnetic resonance imaging (MRI) machines and in-patient mortality and length of stay.
Design/methodology/approach
This study used panel data (2007–2010) from 124 hospital corporations operating in Ontario, Canada. Imaging use focused on medical patients accounting for 25 percent of hospital discharges. Main outcomes were in-hospital mortality rates and average length of stay. A model for each outcome-technology combination was built, and controlled for hospital structural characteristics, market factors and patient characteristics.
Findings
In 2010, 36 and 59 percent of hospitals had adopted MRI machines and CT scanners, respectively. Approximately 23.5 percent of patients received CT scans and 3.5 percent received MRI scans during the study period. Adoption of these technologies was associated with reductions of up to 1.1 percent in mortality rates and up to 4.5 percent in length of stay. The imaging use–mortality relationship was non-linear and varied by technology penetration within hospitals. For CT, imaging use reduced mortality until use reached 19 percent in hospitals with one scanner and 28 percent in hospitals with 2+ scanners. For MRI, imaging use was largely associated with decreased mortality. The use of CT scanners also increased length of stay linearly regardless of technology penetration (4.6 percent for every 10 percent increase in use). Adoption and use of MRI was not associated with length of stay.
Research limitations/implications
These results suggest that there may be some unnecessary use of imaging, particularly in small hospitals where imaging is contracted out. In larger hospitals, the results highlight the need to further investigate the use of imaging beyond certain thresholds. Independent of the rate of imaging use, the results also indicate that the presence of CT and MRI devices within a hospital benefits quality and efficiency.
Originality/value
To the authors’ knowledge, this study is the first to investigate the combined effect of adoption and use of medical imaging on outcomes specific to CT scanners and MRI machines in the context of hospital in-patient care.
Details
Keywords
Fernando García‐Hernandez, Luis Hernández‐Sandoval, Carlos Regalado‐González, José Mojica‐Gómez, Yunny Meas‐Vong, Guillermo Espinosa‐Acosta, Miriam Estévez and Victor Castaño
The purpose of this paper is to study the corrosion of carbon steel without coating and when protected using three different hybrid coatings, i.e. a bi‐component polyurethane with…
Abstract
Purpose
The purpose of this paper is to study the corrosion of carbon steel without coating and when protected using three different hybrid coatings, i.e. a bi‐component polyurethane with nano‐particles of SiO2 with and without sacrificial anode particles, and a mono‐component polyurethane with SiO2 particles.
Design/methodology/approach
In this investigation three different nano‐structured coatings are developed and applied to steel substrates and then tested for their corrosion resistance (defined as “Rn”), under a very aggressive medium (pH=1.5) in a dynamic system (loop reactor). Their performance is evaluated using an electrochemical noise (EN) resistance technique. The electrodes are connected to a potentiostat and measurements are recorded as per the EN technique over a 2,048 s duration at 0, 24, and 48 h intervals. Scanning electron microscopy (SEM) are obtained before and after the corrosion trials to characterize the control and the different coating systems.
Findings
The results show that a bicomponent coating, made up of alkyd resin and silica nanoparticles demonstrated the best performance, whereas the coating formed by SiO2 nanoparticles and polyurethane resin showed relatively low corrosion resistance. The inclusion of zinc nanoparticles in a third coating as sacrificial nano‐anodes led to segregation and resulted in moderate corrosion resistance. These results are confirmed by SEM observations.
Originality/value
The results obtained in this paper provide an insight to the understanding of the anticorrosion properties of three different hybrid coatings in a dynamic system (loop reactor).
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Keywords
The moves broadly coincide with the publication in August of a report alleging military failings in the handling of the 2014 Ayotzinapa student disappearances, and the October…
Details
DOI: 10.1108/OXAN-DB273819
ISSN: 2633-304X
Keywords
Geographic
Topical
His National Regeneration Movement (Morena) appears to have won the largest share of seats in the federal Congress, and along with its allies has come to dominate both the Chamber…
Details
DOI: 10.1108/OXAN-DB235869
ISSN: 2633-304X
Keywords
Geographic
Topical
Carlos Dávila Ladrón de Guevara, Araceli Almaraz Alvarado and Mario Cerutti
Taking as reference a sample of around a hundred biographical materials on entrepreneurs in Mexico and Colombia, the purpose of this chapter is dual. Both to show the relevance…
Abstract
Taking as reference a sample of around a hundred biographical materials on entrepreneurs in Mexico and Colombia, the purpose of this chapter is dual. Both to show the relevance and varied modalities that the biographical approach has enjoyed in business history research since the 1990s, and to display the intrinsic potential this modality of scholarship entails for entrepreneurship endeavors. In particular, it discusses the prospects to incorporate this body of empirical works into the large Latin American audience attending undergraduate, graduate and executive education programs in business, economic history and related fields. The chapter is organized into three sections. The first two are devoted to illustrate relevant patterns in the entrepreneurial trajectory of individuals and entrepreneurial families studied in each of the two countries under consideration. The last section identifies some conceptual issues that may impact current debates on Latin American business development as exemplified in recent business and economic history journal venues and scholarly conferences.