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1.
Eval Program Plann ; 106: 102463, 2024 Jun 14.
Artículo en Inglés | MEDLINE | ID: mdl-38925047

RESUMEN

This study comprehensively explores the factors that lead to low performers in an organization. A thorough literature review was conducted to construct an interview guide and obtain classification criteria for the factors that lead to low performers. Managers and low performers at multiple firms were interviewed individually to understand the various phenomena related to low performers in organizations. Based on the content of these interviews, 12 factors, classified into individual, leader, work, and organizational dimensions, were identified after three rounds of revisions by business administration experts. Next, a case study of Korea's S Life Insurance Company was conducted to examine the practical implications of the factors that contribute to creating low performers. In this case study, the analytic hierarchy process (AHP), involving eight departmental heads S Life Insurance Company's HR division, was utilized to identify the main factors that must be considered when evaluating low performers. While previous studies have examined low performers either at the individual, organizational, or institutional levels, this study presents a comprehensive and integrated evaluation framework of the factors that cause low performers. The proposed framework facilitates the identification and evaluation of low performers in various organizations and industries, and thus has practical implications in terms of establishing strategies to manage low performers more efficiently and improve organizational performance.

2.
Eval Program Plann ; 103: 102401, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38277897

RESUMEN

As an educational aid, the Korean government has developed and funded a graduate-level global information telecommunications technology program (ITTP) for ICT officers in developing countries. Questions have arisen about whether the program can achieve its goals and obtain mutual benefits between Korea and participating nations. Using a total quality management (TQM) framework as a unique case analysis, we evaluated ITTP's resources and performance from 2006 to 2014. Our results show that ITTP has focused on the quantitative promotion of students and alums from various countries and their learning of Korea-centric ICT, policies, and culture. In particular, the Korean government's lax evaluation of ITTP performance has led to weak responsibility, ambiguous task identity, missed opportunities for self-improvement, and low participation among students and stakeholders. These findings highlight the need for graduate programs and their stakeholders to reinforce internal and external evaluations of the program's performance and provide feedback for reciprocal development.


Asunto(s)
Países en Desarrollo , Política Pública , Humanos , Comunicación , Evaluación de Programas y Proyectos de Salud , Tecnología
3.
Med Phys ; 50(11): 7203-7213, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37517077

RESUMEN

BACKGROUND: Many studies have utilized optical camera systems with volumetric scintillators for quality assurances (QA) to estimate the proton beam range. However, previous analytically driven range estimation methods have the difficulty to derive the dose distributions from the scintillation images with quenching and optical effects. PURPOSE: In this study, a deep learning method utilized to QA was used to predict the beam range and spread-out Bragg peak (SOBP) for two-dimensional (2D) map conversion from the scintillation light distribution (LD) into the dose distribution in a water phantom. METHODS: The 2D residual U-net modeling for deep learning was used to predict the 2D water dose map from a 2D scintillation LD map. Monte Carlo simulations for dataset preparation were performed with varying monoenergetic proton beam energies, field sizes, and beam axis shifts. The LD was reconstructed using photons backpropagated from the aperture as a virtual lens. The SOBP samples were constructed based on monoenergetic dose distributions. The training set, including the validation set, consisted of 8659 image pairs of LD and water dose maps. After training, dose map prediction was performed using a 300 image pair test set generated under random conditions. The pairs of simulated and predicted dose maps were analyzed by Bragg peak fitting and gamma index maps to evaluate the model prediction. RESULT: The estimated beam range and SOBP width resolutions were 0.02 and 0.19 mm respectively for varying beam conditions, and the beam range and SOBP width deviations from the reference simulation result were less than 0.1 and 0.8 mm respectively. The simulated and predicted distributions showed good agreement in the gamma analysis, except for rare cases with failed gamma indices in the proximal and field-marginal regions. CONCLUSION: The deep learning conversion method using scintillation LDs in an optical camera system with a scintillator is feasible for estimating proton beam range and SOBP width with high accuracy.


Asunto(s)
Aprendizaje Profundo , Terapia de Protones , Protones , Terapia de Protones/métodos , Simulación por Computador , Método de Montecarlo , Agua , Dosificación Radioterapéutica
4.
PLoS One ; 17(8): e0272639, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36026490

RESUMEN

The uncertainties of four-dimensional computed tomography (4DCT), also called as residual motion artefacts (RMA), induced from irregular respiratory patterns can degrade the quality of overall radiotherapy. This study aims to quantify and reduce those uncertainties. A comparative study on quantitative indicators for RMA was performed, and based on this, we proposed a new 4DCT sorting method that is applicable without disrupting the current clinical workflow. In addition to the default phase sorting strategy, both additional amplitude information from external surrogates and the quantitative metric for RMA, investigated in this study, were introduced. The comparison of quantitative indicators and the performance of the proposed sorting method were evaluated via 10 cases of breath-hold (BH) CT and 30 cases of 4DCT. It was confirmed that N-RMSD (normalised root-mean-square-deviation) was best matched to the visual standards of our institute's regime, manual sorting method, and could accurately represent RMA. The performance of the proposed method to reduce 4DCT uncertainties was improved by about 18.8% in the averaged value of N-RMSD compared to the default phase sorting method. To the best of our knowledge, this is the first study that evaluates RMA indicators using both BHCT and 4DCT with visual-criteria-based manual sorting and proposes an improved 4DCT sorting strategy based on them.


Asunto(s)
Tomografía Computarizada Cuatridimensional , Neoplasias Pulmonares , Artefactos , Contencion de la Respiración , Humanos , Movimiento (Física) , Fantasmas de Imagen , Planificación de la Radioterapia Asistida por Computador , Respiración
5.
Clin Nucl Med ; 47(7): 590-598, 2022 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-35675135

RESUMEN

OBJECTIVES: The aim of this study was to develop a deep learning (DL)-based segmentation algorithm for automatic measurement of metabolic parameters of 18F-FDG PET/CT in thymic epithelial tumors (TETs), comparable performance to manual volumes of interest. PATIENTS AND METHODS: A total of 186 consecutive patients with resectable TETs and preoperative 18F-FDG PET/CT were retrospectively enrolled (145 thymomas, 41 thymic carcinomas). A quasi-3D U-net architecture was trained to resemble ground-truth volumes of interest. Segmentation performance was assessed using the Dice similarity coefficient. Agreements between manual and DL-based automated extraction of SUVmax, metabolic tumor volume (MTV), total lesion glycolysis (TLG), and 63 radiomics features were evaluated via concordance correlation coefficients (CCCs) and linear regression slopes. Diagnostic and prognostic values were compared in terms of area under the receiver operating characteristics curve (AUC) for thymic carcinoma and hazards ratios (HRs) for freedom from recurrence. RESULTS: The mean Dice similarity coefficient was 0.83 ± 0.34. Automatically measured SUVmax (slope, 0.97; CCC, 0.92), MTV (slope, 0.94; CCC, 0.96), and TLG (slope, 0.96; CCC, 0.96) were in good agreement with manual measurements. The mean CCC and slopes were 0.88 ± 0.06 and 0.89 ± 0.05, respectively, for the radiomics parameters. Automatically measured SUVmax, MTV, and TLG showed good diagnostic accuracy for thymic carcinoma (AUCs: SUVmax, 0.95; MTV, 0.85; TLG, 0.87) and significant prognostic value (HRs: SUVmax, 1.31 [95% confidence interval, 1.16-1.48]; MTV, 2.11 [1.09-4.06]; TLG, 1.90 [1.12-3.23]). No significant differences in the AUCs or HRs were found between automatic and manual measurements for any of the metabolic parameters. CONCLUSIONS: Our DL-based model provides comparable segmentation performance and metabolic parameter values to manual measurements in TETs.


Asunto(s)
Neoplasias Glandulares y Epiteliales , Timoma , Neoplasias del Timo , Fluorodesoxiglucosa F18/metabolismo , Glucólisis , Humanos , Neoplasias Glandulares y Epiteliales/diagnóstico por imagen , Redes Neurales de la Computación , Tomografía Computarizada por Tomografía de Emisión de Positrones , Pronóstico , Estudios Retrospectivos , Neoplasias del Timo/diagnóstico por imagen , Carga Tumoral
6.
Adv Mater ; 34(32): e2202866, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35700272

RESUMEN

The desire to enhance the efficiency of organic light-emitting devices (OLEDs) has driven to the investigation of advanced materials with fascinating properties. In this work, the efficiency of top-emission OLEDs (TEOLEDs) is enhanced by introducing ampicillin microstructures (Amp-MSs) with dual phases (α-/ß-phase) that induce photoluminescence (PL) and electroluminescence (EL). Moreover, Amp-MSs can adjust the charge balance by Fermi level (EF ) alignment, thereby decreasing the leakage current. The decrease in the wave-guided modes can enhance the light outcoupling through optical scattering. The resulting TEOLED demonstrates a record-high external quantum efficiency (EQE) (maximum: 68.7% and average: 63.4% at spectroradiometer; maximum: 44.8% and average: 42.6% at integrating sphere) with a wider color gamut (118%) owing to the redshift of the spectrum by J-aggregation. Deconvolution of the EL intensities is performed to clarify the contribution of Amp-MSs to the device EQE enhancement (optical scattering by Amp-MSs: 17.0%, PL by radiative energy transfer: 9.1%, and EL by J-aggregated excitons: 4.6%). The proposed TEOLED outperforms the existing frameworks in terms of device efficiency.

7.
Materials (Basel) ; 15(8)2022 Apr 11.
Artículo en Inglés | MEDLINE | ID: mdl-35454483

RESUMEN

Concrete-filled steel tubes (CFSTs) are widely used in construction. To achieve composite action and take full advantage of the two materials, strain continuity at the steel-concrete interface is essential. When the concrete core and steel tube are not loaded simultaneously in regions such as beam or brace connections to the steel tubes of a CFST column, the steel-concrete bond plays a crucial role in load transfer. This study uses a validated finite-element model to investigate the bond-slip behavior between the steel tube and concrete in square CFST mega columns through a push-out analysis of eleven 1.2- × 1.2-m mega columns. The bond-slip behavior of CFST mega columns with and without mechanical connectors, including shear studs, rib plates, and connecting plates, is studied. The finite-element results indicate that the mechanical connectors substantially increased the maximum bond stress. Among the analyzed CFST mega columns, those with closely spaced shear studs and rib plate connectors with circular holes exhibited the highest bond stress, followed by plate connectors and widely spaced shear stud connectors. In the case of shear stud connectors, the stud diameter and spacing influenced the bond behavior more than the stud length. As the stud spacing decreased, the failure mode shifted from studs shearing off to outward buckling of the steel tube.

8.
Materials (Basel) ; 15(8)2022 Apr 14.
Artículo en Inglés | MEDLINE | ID: mdl-35454561

RESUMEN

In recent years, studies that can maximize irregularity have increased as technological constraints weaken owing to the development of construction technology and the increase in demand for free-form structures. Considering this, free-form structures have been constructed using various materials. Concrete is considered most suitable for realizing an atypical shape because it is highly economical and can be assembled in a free form. However, not many studies have evaluated the structural performance of free-form concrete structures using free-form formwork 3D printer (F3D) technology, a 3D printing technology. Free-form structures must be designed to secure structural stability under both dead and live loads, as well as natural hazards such as wind, snow, and earthquakes. Therefore, in this study, we tested a free-form structure constructed by F3D printing using small-scale models that satisfy the similitude law with shaking tables. Furthermore, a finite element analysis was conducted to validate the small-scale tests. Lastly, the seismic performance of free-form concrete structures was evaluated based on the test and analysis results.

9.
Polymers (Basel) ; 14(7)2022 Mar 31.
Artículo en Inglés | MEDLINE | ID: mdl-35406306

RESUMEN

In this era of the fourth industrial revolution, the integration of big data and 3D printing technology with the construction industry has maximized productivity. Currently, there is an active effort to research the optimal cladding structure through 3D printing technology to reduce production costs. This paper proposes a new type of 3D print curtain wall, using a high-strength ABS-M30 polymer panel, which is stronger than the standard acrylonitrile butadiene styrene (ABS) polymer, as an internally reinforced structure. This structure is fabricated via fused deposition modeling, a 3D printing method, to reduce the weight of the general cement panel. In addition, the shape of the polymer board was designed; three shapes were considered-O, W, and X types-which aided in further reducing the weight of the cladding. After comparing the center deformation of the structure through a lateral load test and finite element method analysis, the optimal model was selected. The measured data of the two methods at a design wind speed of 100% showed a difference of approximately 10%; however, at 150% of the design wind speed, the difference between the two sets of data increased to 27%.

10.
Polymers (Basel) ; 14(7)2022 Apr 06.
Artículo en Inglés | MEDLINE | ID: mdl-35406360

RESUMEN

In this study, the fire resistance performance of steel-polymer prefabricated composite floors, which have a sandwich-type structure, was assessed via standard fire tests and analyzed using finite element analysis. This form of analysis should consider two aspects, namely the thermal and structural fields, so as to simulate complicated material properties and large deformations. As previous studies have already conducted analysis in the thermal field, this study entailed only the structural analysis based on the temperature distributions obtained from the thermal analysis. The variables of the specimens were the thicknesses of the top and bottom steel plates and polymers. According to the analysis results, the top steel plate thickness had no impact on the stability ratings, a criterion for fire resistance performance, whereas the bottom steel plate showed a linear correlation with the stability rating. An equation for the stability rating of composite floors was proposed, and an equation for fire resistance performance was devised based on the insulation ratings, which were obtained from the thermal analysis results.

11.
Sensors (Basel) ; 22(7)2022 Apr 03.
Artículo en Inglés | MEDLINE | ID: mdl-35408376

RESUMEN

The development of unmanned aerial vehicles (UAVs) is expected to become one of the most commercialized research areas in the world over the next decade. Globally, unmanned aircraft have been increasingly used for safety surveillance in the construction industry and civil engineering fields. This paper presents an aerial image-based approach using UAVs to inspect cracks and deformations in buildings. A state-of-the-art safety evaluation method termed SMART SKY EYE (Smart building safety assessment system using UAV) is introduced; this system utilizes an unmanned airplane equipped with a thermal camera and programmed with various surveying efficiency improvement methods, such as thermography, machine-learning algorithms, and 3D point cloud modeling. Using this method, crack maps, crack depths, and the deformations of structures can be obtained. Error rates are compared between the proposed and conventional methods.


Asunto(s)
Industria de la Construcción , Dispositivos Aéreos No Tripulados , Aeronaves , Algoritmos , Aprendizaje Automático
13.
Sci Rep ; 12(1): 2300, 2022 Feb 10.
Artículo en Inglés | MEDLINE | ID: mdl-35145146

RESUMEN

Herein, an unprecedented report is presented on the incorporation of size-dependent gold nanoparticles (AuNPs) with polyvinylpyrrolidone (PVP) capping into a conventional hole transport layer, poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS). The hole transport layer blocks ion-diffusion/migration in methylammonium-lead-bromide (MAPbBr3)-based perovskite light-emitting diodes (PeLEDs) as a modified interlayer. The PVP-capped 90 nm AuNP device exhibited a seven-fold increase in efficiency (1.5%) as compared to the device without AuNPs (0.22%), where the device lifetime was also improved by 17-fold. This advancement is ascribed to the far-field scattering of AuNPs, modified work function and carrier trapping/detrapping. The improvement in device lifetime is attributed to PVP-capping of AuNPs which prevents indium diffusion into the perovskite layer and surface ion migration into PEDOT:PSS through the formation of induced electric dipole. The results also indicate that using large AuNPs (> 90 nm) reduces exciton recombination because of the trapping of excess charge carriers due to the large surface area.

14.
Eur Radiol ; 32(2): 1173-1183, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-34448035

RESUMEN

OBJECTIVES: We aimed to evaluate the diagnostic ability for the prediction of histologic grades and prognostic values on recurrence and death of pretreatment 2-[18F]FDG PET/CT in patients with resectable thymic epithelial tumours (TETs). METHODS: One hundred and fourteen patients with TETs who underwent pretreatment 2-[18F]FDG PET/CT between 2012 and 2018 were retrospectively evaluated. TETs were classified into three histologic subtypes: low-risk thymoma (LRT, WHO classification A/AB/B1), high-risk thymoma (HRT, B2/B3), and thymic carcinoma (TC). Area under the receiver operating characteristics curve (AUC) was used to assess the diagnostic performance of PET/CT variables (maximum standardised uptake value [SUVmax], metabolic tumour volume [MTV], total lesion glycolysis [TLG], maximum diameter). Cox proportional hazards models were built using PET/CT and clinical variables. RESULTS: The tumours included 52 LRT, 33 HRT, and 29 TC. SUVmax showed good diagnostic ability for differentiating HRT/TC from LRT (AUC 0.84, 95% confidence interval [CI] 0.76 - 0.92) and excellent ability for differentiating TC from LRT/HRT (AUC 0.94, 95% CI 0.90 - 0.98), with significantly higher values than MTV, TLG, and maximum diameter. With an optimal cut-off value of 6.4, the sensitivity, specificity, and accuracy for differentiating TC from LRT/HRT were 69%, 96%, and 89%, respectively. In the multivariable Cox proportional hazards analyses for freedom-from-recurrence, SUVmax was an independent prognostic factor (p < 0.001), whereas MTV and TLG were not. SUVmax was a significant predictor for overall survival in conjunction with clinical stage and resection margin. CONCLUSION: SUVmax showed excellent diagnostic performance for prediction of TC and significant prognostic value in terms of recurrence and survival. KEY POINTS: • Maximum standardised uptake value (SUVmax) shows excellent performance in the differentiation of thymic carcinoma from low- and high-risk thymoma. • SUVmax is an independent prognostic factor for freedom-from-recurrence in the multivariable Cox proportional hazard model and a significant predictor for overall survival. • 2-[18F]FDG PET/CT can provide a useful diagnostic and prognostic imaging biomarker in conjunction with histologic classification and stage and help choose appropriate management for thymic epithelial tumours.


Asunto(s)
Neoplasias Glandulares y Epiteliales , Neoplasias del Timo , Fluorodesoxiglucosa F18 , Glucólisis , Humanos , Neoplasias Glandulares y Epiteliales/diagnóstico por imagen , Tomografía Computarizada por Tomografía de Emisión de Positrones , Tomografía de Emisión de Positrones , Pronóstico , Radiofármacos , Estudios Retrospectivos , Neoplasias del Timo/diagnóstico por imagen , Neoplasias del Timo/cirugía , Carga Tumoral
15.
Pharmaceutics ; 13(1)2021 Jan 19.
Artículo en Inglés | MEDLINE | ID: mdl-33478046

RESUMEN

Antibody-drug conjugate (ADC) linkers play an important role in determining the safety and efficacy of ADC. The Ortho Hydroxy-Protected Aryl Sulfate (OHPAS) linker is a newly developed linker in the form of a di-aryl sulfate structure consisting of phenolic payload and self-immolative group (SIG). In this study, using two bioanalytical approaches (namely "bottom-up" and "middle-up" approaches) via the liquid chromatography-quadrupole time-of-flight mass spectrometric (LC-qTOF-MS) method, in vitro and in vivo linker stability experiments were conducted for the OHPAS linker. For comparison, the valine-citrulline-p-aminobenzyloxycarbonyl (VC-PABC) linker was also evaluated under the same experimental conditions. In addition, the catabolite identification experiments at the subunit intact protein level were simultaneously performed to evaluate the catabolic fate of ADCs. As a result, the OHPAS linker was stable in the in vitro mouse/human plasma as well as in vivo pharmacokinetic studies in mice, whereas the VC-PABC linker was relatively unstable in mice in vitro and in vivo. This is because the VC-PABC linker was sensitive to a hydrolytic enzyme called carboxylesterase 1c (Ces1c) in mouse plasma. In conclusion, the OHPAS linker appears to be a good linker for ADC, and further experiments would be warranted to demonstrate the efficacy and toxicity related to the OHPAS linker.

16.
Materials (Basel) ; 13(24)2020 Dec 17.
Artículo en Inglés | MEDLINE | ID: mdl-33348624

RESUMEN

Studies on novel composite structures that can decrease floor height and improve constructional efficiency in order to increase spatial efficiency and lease revenue have been actively conducted. An innovative fire-proof, lightweight, absorbed, shallow, and hybrid (iFLASH) system was developed to solve construction site issues, such as improving constructability, reducing construction time, and attaining structural efficiency by reducing the weight of the building structure. This system can shorten the construction duration and decrease the floor height and structural weight, owing to features such as a low thickness and light weight. However, studies on the vibration characteristics of this new floor system have not been performed yet. As the general thickness of the iFLASH system ranges from 25 to 30 mm, it must have a sufficient floor vibration performance in order to be utilized. To evaluate the floor vibration performance of the iFLASH system, an experiment was performed in two buildings where the system was applied. This paper presents the results of the dynamic characteristics and serviceability testing as basic data for the vibration characteristics of the iFLASH system.

17.
Materials (Basel) ; 13(23)2020 Dec 07.
Artículo en Inglés | MEDLINE | ID: mdl-33297394

RESUMEN

Owing to the development of new materials that enhance structural members in the construction field, steel-polymer composite floors have been developed and applied to steel structures. Similar to a sandwich system, steel-polymer composite floors consist of polymers between two steel plates. The structural performance of full-scale composite floors at ambient conditions has been investigated. Additionally, experiments were conducted on analytical models to predict both thermal behavior under fire, including fire resistance based on a small-scale furnace. To evaluate the fire resistance of full-scale steel-polymer composite floors, the thermal behavior and temperature distribution of composite floors should be investigated. Therefore, the temperature distributions of the full-scale composite floors were estimated using the verified analytical model in this study. Furthermore, to determine the fire design equation of steel-polymer composite floors in the thermal field, the correlations between variables were investigated, such as the thickness of top and bottom steel plates and polymers, as well as the fire resistance in the thermal field.

18.
Transl Clin Pharmacol ; 28(3): 147-159, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-33062628

RESUMEN

Carisbamate is an antiepileptic drug and it also has broad neuroprotective activity and anticonvulsant reaction. In this study, a liquid chromatography-quadrupole time-of-flight mass spectrometric (LC-qTOF-MS) method was developed and applied for the determination of carisbamate in rat plasma to support in vitro and in vivo studies. A quadratic regression (weighted 1/concentration2), with an equation y = ax2 + bx + c, was used to fit calibration curves over the concentration range from 9.05 to 6,600 ng/mL for carisbamate in rat plasma. Preclinical in vitro and in vivo studies of carisbamate have been studied through the developed bioanalytical method. Based on these study results, human pharmacokinetic (PK) profile has been predicted using physiologically based pharmacokinetic (PBPK) modeling. The PBPK model was optimized and validated by using the in vitro and in vivo data. The human PK of carisbamate after oral dosing of 750 mg was simulated by using this validated PBPK model. The human PK parameters and profiles predicted from the validated PBPK model were similar to the clinical data. This PBPK model developed from the preclinical data for carisbamate would be useful for predicting the PK of carisbamate in various clinical settings.

19.
Materials (Basel) ; 13(19)2020 Sep 24.
Artículo en Inglés | MEDLINE | ID: mdl-32987900

RESUMEN

Hybrid floors infilled with polymeric materials between two steel plates were developed as a prefabricated floor system in the construction industry. However, the floor's fire resistance performance has not been investigated. To evaluate this, fire tests suggested by the Korean Standards should be performed. As these tests are costly and time consuming, the number of variables were limited. However, many variables can be investigated in other ways such as furnace tests and finite element analysis (FEA) with less cost and time. In this study, furnace tests on heated surface areas smaller than 1 m2 were conducted to investigate the thermal behavior of the hybrid floor at elevated temperatures. To obtain the reliability of the proposed thermal behavior analytical (TBA) model, verifications were conducted by FEAs. Thermal contact conductance including interfacial thermal properties between two materials was adopted in the TBA model, and the values at elevated temperatures were suggested based on thermo-gravimetric analyses results and verified by FEA. Errors between the tests and TBA model indicated that the model was adequate in predicting the temperature distribution in small-scale hybrids. Furthermore, larger furnace tests and analysis results were compared to verify the TBA model's application to different sized hybrid floors.

20.
Artículo en Inglés | MEDLINE | ID: mdl-32604983

RESUMEN

The healthcare and welfare policies of nations, as well as the amount of investments put into these areas, vary across countries. Investments in healthcare and welfare have been increasing worldwide which brings the question of assessing the efficiency of these investments. There are, however, difficulties in evaluating the effectiveness of such investments due to differences in countries' economic development levels and due to the differences in data definition issues. There are only a limited number of studies in the literature that employ consistent and comparable indicators across countries. This study evaluates the healthcare investment efficiency and health competitiveness efficiency of 34 developing countries in Asia using a two-stage dynamic data envelopment analysis approach. Furthermore, we employ a broader measure of indicators on national healthcare and welfare policies and outcomes, in addition to the investment data on healthcare and welfare expenditures. Our findings indicate that the establishment of an investment environment with a consolidated approach and management is an important factor that increases the efficiency of investments in healthcare and welfare sectors. A consistent delivery of the national policy strategy is also crucial for reaching the medium-and long-term targets for each country. For example, if a country establishes healthcare and welfare policies that focus on improving its indicators with low efficiencies, the output will be improved and a better return on investment will be ensured in a long-term perspective.


Asunto(s)
Atención a la Salud , Países en Desarrollo , Política de Salud , Asia , Economía , Eficiencia , Femenino , Humanos , Inversiones en Salud , Dinámica Poblacional , Embarazo
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