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[{"key": "dc.contributor.author", "value": "Turunen, Jarno", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2012-11-27T08:15:23Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2012-11-27T08:15:23Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2012", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1239155", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/40441", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "T\u00e4m\u00e4n tutkimuksen tavoite oli selvitt\u00e4\u00e4, voidaanko DEA- ja SFA-menetelmien\r\nominaisuuksia yhdist\u00e4v\u00e4\u00e4 Stochastic non-smooth envelopment of data (StoNED)-\r\nmenetelm\u00e4\u00e4 k\u00e4ytt\u00e4\u00e4 terveydenhuollon tehokkuusanalyysiin. T\u00e4m\u00e4n selvitt\u00e4miseksi\r\nluotiin katsaus lonkan, polven ja nilkan tekonivelleikkausten sek\u00e4 lyhythoitoisten\r\npolvileikkausten tuotannon kustannustehokkuuteen Manner-Suomen sairaanhoitopiireiss\u00e4\r\nvuonna 2010. Lis\u00e4ksi tutkimuksessa tarkasteltiin kyseisten leikkausten\r\ntuotantom\u00e4\u00e4riss\u00e4 ja tuotantoon liittyviss\u00e4 laskennallisissa kustannuksissa tapahtuneita\r\nmuutoksia aikav\u00e4lill\u00e4 2006-2010. Kustannustehokkuuden tutkimiseksi tuotettiin\r\nStoNED-menetelm\u00e4n empiirinen sovellus, jossa panosmuuttujana k\u00e4ytettiin\r\nlaskennallisia kustannuksia. Tuotoksina toimivat kirurgisia leikkauksia varten tuotetut\r\nhoitop\u00e4iv\u00e4t ja \u2013jaksot. N\u00e4iden lis\u00e4ksi k\u00e4yt\u00f6ss\u00e4 oli ymp\u00e4rist\u00f6\u00f6n liittyvi\u00e4 muuttujia.\r\nTuotettujen StoNED-mallien perusteella menetelm\u00e4 on k\u00e4ytt\u00f6kelpoinen\r\nterveydenhuollon tehokkuusanalyysissa. Sairaanhoitopiirien keskim\u00e4\u00e4r\u00e4inen\r\nkustannustehokkuus tuottaa hoitop\u00e4ivi\u00e4 ja \u2013jaksoja lonkan, polven tai nilkan\r\ntekonivelleikkausta varten oli 91,3 prosenttia ja lyhythoitoista polvileikkausta varten\r\n97,1 prosenttia. Kustannustehokkaimmat sairaanhoitopiirit hoitop\u00e4ivien ja \u2013jaksojen\r\ntuotannossa omasivat korkeammat episodikohtaiset laskennalliset kustannukset\r\nmolempien kirurgisten leikkausten osalta. Kustannustehokkaissa sairaanhoitopiireiss\u00e4\r\npotilas voi saada esimerkiksi enemm\u00e4n hoitop\u00e4ivi\u00e4 ja \u2013jaksoja episodikohtaisesti eli\r\ntoisin sanoen huomioivampaa hoitoa.\r\nTuotettujen episodien m\u00e4\u00e4r\u00e4t molemmille kirurgisille leikkauksille ovat\r\nmuuttuneet valtakunnallisesti v\u00e4h\u00e4n seurattuna ajanjaksona 2006-2010. Merkkej\u00e4\r\nhoitojen keskitt\u00e4misest\u00e4 on v\u00e4h\u00e4n. Skaalatuottojen suomat suuremman tuotannon edut\r\nn\u00e4ytt\u00e4v\u00e4t olevan mahdollisia sairaanhoitopiireitt\u00e4in. Laskennallisia kustannuksia on\r\nsaatu pudotettua episodien lis\u00e4\u00e4ntyess\u00e4. Sen sijaan episodien v\u00e4hentyess\u00e4 kustannuksia\r\nei ole kyetty laskemaan nopeasti. Episodim\u00e4\u00e4riss\u00e4, laskennallisissa kustannuksissa ja\r\nkustannustehokkuudessa oli suuria eroja sairaanhoitopiirien v\u00e4lill\u00e4 molemmissa\r\nkirurgisissa leikkauksissa.", "language": "", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Jarno Turunen (jakiantu) on 2012-11-27 08:15:22.441231. Form: Pro gradu -lomake (1 tekij\u00e4) (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake-1-tekijae). JyX data:", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2012-11-27T08:15:23Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201211273081.pdf: 1650549 bytes, checksum: 6385045f61cb23fc76260d1e0edf66fd (MD5)\r\nlicense.html: 5025 bytes, checksum: 620a7b5a0b644c6cb8e943dc3575a034 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2012-11-27T08:15:23Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201211273081.pdf: 1650549 bytes, checksum: 6385045f61cb23fc76260d1e0edf66fd (MD5)\r\nlicense.html: 5025 bytes, checksum: 620a7b5a0b644c6cb8e943dc3575a034 (MD5)\r\n Previous issue date: 2012", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "98 sivua", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "StoNED", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Tehokkuuserot tekonivel- ja polvileikkauksissa : tuloksia StoNED-menetelm\u00e4n sovelluksesta", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201211273081", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.dcmitype", "value": "Text", "language": "en", "element": "type", "qualifier": "dcmitype", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Jyv\u00e4skyl\u00e4 University School of Business and Economics", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Jyv\u00e4skyl\u00e4n yliopiston kauppakorkeakoulu", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Taloustieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Business and Economics", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Kansantaloustiede", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Economics", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2012-11-27T08:15:23Z", "language": "", "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": "fi", "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "2041", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "tehokkuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "terveydenhuolto", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "erikoissairaanhoito", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "julkinen sektori", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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