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    Publication
    Regionalization of Hip Fracture Care in Five High-Income Countries.
    (2025-06-24)
    Bakx, Pieter
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    Godoy, Carlos
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    Al-Azazi, Saeed
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    Banerjee, Amitava
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    Burrack, Nitzan
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    Fu, Christina
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    Hatfield, Laura A
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    Hartman, Asa R
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    Huang, Nicole
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    Ko, Dennis T
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    Lix, Lisa M
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    Novack, Victor
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    Pasea, Laura
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    Qiu, Feng
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    Quinn, Kieran L
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    Ravi, Bheeshma
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    Stukel, Therese A
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    Uyl-de Groot, Carin A
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    Landon, Bruce E
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    Cram, Peter
    To describe differences in regionalization of hip fracture care and the volume-outcome relationship in five countries. We conducted a population-based cross-sectional cohort study in Canada, Israel, the Netherlands, Taiwan, and the United States. Within each country, we stratified patients into quintiles based upon the volume of hip fractures in the hospital where they were treated. We measured regionalization by the proportion of acute-care hospitals that treated patients with hip fractures and summarized the hospital volume distribution by the ratio of hip fracture volumes for high-volume hospitals versus low-volume hospitals. We then examined age- and sex-standardized outcomes and treatment for patients treated at high-volume and low-volume hospitals. We used nationally representative administrative data on adults aged ≥ 66 years hospitalized with hip fracture from 2011 to 2019. We followed them until death or 365 days after the discharge date. Across countries, the percentage of all acute-care hospitals that treated hip fractures differed widely (from 37.0% in Canada to 82.8% in Israel), with high-volume hospitals treating 4-14 times as many hip fractures as low-volume hospitals. The absolute risk-adjusted difference in 30-day mortality for high-volume compared to low-volume hospitals ranged between (-1.9% [95% CI, -2.2 to -1.7] in Canada and +1.1% [95% CI, 0.4-1.8] in the Netherlands). The proportion of patients receiving non-operative fracture treatment was lower in high-volume hospitals than low-volume hospitals in all countries (-5.4% [95% CI, -6.5 to -4.3] in Israel to -0.1% [95% CI, -0.5 to 0.3] in the Netherlands). Hip fracture regionalization differed substantially across countries. The direction and the magnitude of association between greater regionalization and improved patient outcomes were inconsistent across countries.
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    Publication
    Applied Multivariate Statistical Analysis
    (Springer, 2024-09-29) ;
    Härdle Wolfgang Karl
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    Simar, Leopold
    Now in its sixth edition, this textbook presents the tools and concepts used in multivariate data analysis in a style accessible for non-mathematicians and practitioners. Each chapter features hands-on exercises that showcase applications across various fields of multivariate data analysis. These exercises utilize high-dimensional to ultra-high-dimensional data, reflecting real-world challenges in big data analysis. For this new edition, the book has been updated and revised and now includes new chapters on modern machine learning techniques for dimension reduction and data visualization, namely locally linear embedding, t-distributed stochastic neighborhood embedding, and uniform manifold approximation and projection, which overcome the shortcomings of traditional visualization and dimension reduction techniques. Solutions to the book’s exercises are supplemented by R and MATLAB or SAS computer code and are available online on the Quantlet and Quantinar platforms. Practical exercises from this book and their solutions can also be found in the accompanying Springer book by W.K. Härdle and Z. Hlávka: Multivariate Statistics - Exercises and Solutions.
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    Location profiling to enable more efficient logistics processes
    (University of St.Gallen, 2025-05) ;
    This white paper explores the concept of "Location Profiling" as a critical instrument for enhancing logistics efficiency. In an era of increasing digitalisation and interconnectedness, the availability of precise and reliable location data is critical for the optimisation of logistics processes, the reduction of costs, and the facilitation of strategic decision-making. The paper sets out to investigate the challenges that businesses encounter when managing location data. Such challenges include data inconsistencies, outdated information, and integration issues. It introduces innovative solutions and technologies that enable real-time processing and dynamic updates of location information. The concept of Location Profiling, which extends beyond basic geographical data to encompass detailed infrastructural and operational insights, is presented as a strategic resource for enhancing logistics operations. The use cases provided offer a practical illustration of the ways in which Location Profiling can support network planning, route optimisation, asset management and autonomous driving. The paper's central theme is the importance of integrating robust location data systems into business operations to foster innovation, efficiency, and long-term competitiveness in logistics.
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    Digital innovation strategies in the public sector
    (Elsevier BV, 2025-06-17)
    Asker Guenduez, Ali
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    Demircioglu, Akif
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    Mueller, Elena
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    Cinar, Emre
    Despite the increasing attention on digital innovations in the private sector, little is known about digital innovation strategies in the public sector. This knowledge gap is growing as public sector employees are increasingly embracing new digital tools and ideas. Drawing on rich qualitative data from practitioners in 25 cities across 18 countries, this study analyzes the digital innovation strategies pursued in the public sector, with specific attention placed on digital orientation and the foci of value creation activities. Extending the OECD's Observatory of Public Sector Innovation (OPSI) framework, we identify four distinct digital innovation strategies in the public sector: enhancement-oriented, anticipatory, adaptive, and persistent. Our findings reveal that enhancement-oriented and persistent strategies are the most prevalent, reflecting a strong focus on internal value creation through process optimization and long-term organizational change. In contrast, adaptive and anticipatory strategies are less common. We find a near-equal prevalence of incremental and transformational goals, indicating balanced strategic orientation. Our findings also suggest that practitioners often employ multiple strategies, reflecting the multifacetedness of driving digital innovation in the public sector. We provide valuable insights into various activities linked to the four identified innovation strategies, ending with a comprehensive discussion of our findings, conclusions, study limitations, and future research directions.

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