Impact of Implementation of Case-mix System on Efficiency of a Teaching Hospital in Malaysia
Why this work is in the frame
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Bibliographic record
Abstract
University Kebangsaan Malaysia Medical Center (UKMMC) is the first government hospital in Malaysia whichhas taken the initiative to implement the case-mix system since July 2002. Established in 1997, this 873 bedteaching hospital provides tertiary level services to around 600,000 people in two southern districts of FederalTerritory Kuala Lumpur.The objective of this research is to assess the impact of implementation of case-mix system on efficiency ofclinical services provided by UKMMC using Stochastic Frontier Analysis.The hypothesis for this study is that the implementation of case-mix system has improved the level of efficiencyat UKMMC.Results of SFA models proved that implementation of case-mix system have decreased the technical inefficiency1.93 percent yearly during study period at UKMMC.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.025 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.004 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it