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      Desirability Optimization Models to Create the Global Healthcare Competitiveness Index

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          Abstract

          The aim of this research is to enhance desirability optimization models to create a global healthcare competitiveness index (GHCI) covering 53 countries with gross domestic product per capita (GDP PC) of over $10,000. The GHCI is defined as an index that reveals the progress and quality of the healthcare systems in countries providing their patients with easier access opportunities to healthcare services within the scope of this work. Methods of statistical analysis have been adopted together with optimization models and techniques in this research. The optimum and feasible values of the factors considered influential on objective functions have been determined as the basis of healthcare expenditure (HE) and GHCI in those relevant countries. Those released optimum outcomes are displayed between 0.64 and 0.66 in terms of desirability value. The GHCI values of those aforementioned countries range from 0 to 6. The computed average of the GHCI values of those countries is estimated as 2.4758. Finally, GHCI values of 53 countries have been calculated to set the current basis of desirability optimization models. These findings will be deemed as the basic essence of those prospective theories to be established for the future researches to constitute a new index to measure the competitiveness of healthcare systems in various countries all over the world.

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          Human Development in Poor Countries: On the Role of Private Incomes and Public Services

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            Is Open Access

            Associations Between Waiting Times, Service Times, and Patient Satisfaction in an Endocrinology Outpatient Department: A Time Study and Questionnaire Survey

            The issue of long patient waits has attracted increasing public attention due to the negative effects of waiting on patients’ satisfaction with health care. The present study examined the associations between actual waiting time, perceived acceptability of waiting time, actual service time, perceived acceptability of service time, actual visit duration, and the level of patient satisfaction with care. We conducted a cross-sectional time study and questionnaire survey of endocrinology outpatients visiting a major teaching hospital in China. Our results show that actual waiting time was negatively associated with patient satisfaction regarding several aspects of the care they received. Also, patients who were less satisfied with the sociocultural atmosphere and the identity-oriented approach to their care tended to perceive the amounts of time they spent waiting and receiving care as less acceptable. It is not always possible to prevent dissatisfaction with waiting, or to actually reduce waiting times by increasing resources such as increased staffing. However, several improvements in care services can be considered. Our suggestions include providing clearer, more transparent information to keep patients informed about the health care services that they may receive, and the health care professionals who are responsible for those services. We also suggest that care providers are encouraged to continue to show empathy and respect for patients, that patients are provided with private areas where they can talk with health professionals and no one can overhear, and that hospital staff treat the family members or friends who accompany patients in a courteous and friendly way.
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              The Relationship between Life Expectancy at Birth and Health Expenditures Estimated by a Cross-country and Time-series Analysis

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                Author and article information

                Contributors
                abdulkadiratalan@gmail.com
                Journal
                Arab J Sci Eng
                Arab J Sci Eng
                Arabian Journal for Science and Engineering
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                2193-567X
                2191-4281
                24 June 2020
                : 1-12
                Affiliations
                [1 ]GRID grid.16477.33, ISNI 0000 0001 0668 8422, The Faculty of Economics, , Marmara University, ; Istanbul, 34722 Turkey
                [2 ]Faculty of Engineering and Natural Sciences, Gaziantep Islam, Science and Technology University, Gaziantep, 27010 Turkey
                [3 ]GRID grid.16477.33, ISNI 0000 0001 0668 8422, Engineering Faculty, , Marmara University, ; Istanbul, 34722 Turkey
                Author information
                http://orcid.org/0000-0003-3182-7812
                http://orcid.org/0000-0003-0924-3685
                http://orcid.org/0000-0003-3289-7134
                Article
                4718
                10.1007/s13369-020-04718-w
                7311599
                7ec8e356-bbb5-47fe-a2e6-1419800ca899
                © King Fahd University of Petroleum & Minerals 2020

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 3 January 2020
                : 14 June 2020
                Categories
                Research Article-Systems Engineering

                desirability optimization models,global healthcare competitiveness index,healthcare systems,healthcare expenditure

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