Marion S. Rauner

Marion S. Rauner
University of Vienna | UniWien · Institut für Betriebswirtschaftslehre

PhD

About

43
Publications
5,466
Reads
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1,073
Citations
Citations since 2017
4 Research Items
410 Citations
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2017201820192020202120222023020406080
2017201820192020202120222023020406080

Publications

Publications (43)
Article
Full-text available
Mankind has faced a huge increase in severe natural and man-made disasters worldwide in the last few years. Emergency responders on a strategic, tactical, and operational level can be assisted by decision support systems (DSS) to enhance disaster preparedness, response, and recovery. Policy makers are in need of an advanced, resilient and integrate...
Conference Paper
Emergency decision makers face a challenge taking rapid and high-risk decisions during an emergency situation, especially when the emergency is cross-border and requires multi-agency cooperation. The emergency decision makers use emergency management (EM) system and sometimes decision support systems (DSS) when responding to a crisis. To date the e...
Article
To handle mass casualty incidents (MCIs), emergency medical services in central European countries such as Austria or Germany are used to build up small field hospitals called advanced medical posts (AMPs). The main policy behind is to categorize, treat, and stabilize emergency patients before they are transported to hospitals. To investigate the o...
Conference Paper
Full-text available
The aim of the S-HELP (Securing-Health Emergency Learning Planning) project is to develop a decision support tool-set and training system for multi-agency decision making during large-scale emergencies. Emergency management is a complex undertaking, associated with a number of long term consequences with often devastating effects on an affected pop...
Article
Full-text available
At the occasion of the 25th European Conference on Operational Research,EURO XXV 2012, July 8–11, 2012, in Vilnius, Lithuania (http://www.euro-2012.lt/), the Central European Journal of Operations Research (CJOR; http://www.springer.com/business+%26+management/operations+research/journal/10100) invited to submissions of papers to a special issue on...
Chapter
Due to cost-intensive technological advances in high-end medicine and increased life expectancy accompanied by a rising number of multi-morbid elderly people, the health care sector consumes a large part of the gross national product of Austria. As the hospital sector is the main contributor to this increasingly unaffordable cost explosion, reimbur...
Article
Due to an increasing number of mass casualty incidents, which are generally complex and unique in nature, we suggest that decision makers consider operations research-based policy models to help prepare emergency staff for improved planning and scheduling at the emergency site. We thus develop a discrete-event simulation policy model, which is curr...
Article
In the last decade, major reforms in healthcare finance and rapid advances in medicine brought about noticeable changes in the management of medical technology for many countries. To contribute an updated Austrian perspective, we again explored the scope as well as the current and potential future role of strategic technology management in hospital...
Article
Hospital management games have gained importance in better planning for scarce resources in times of growing health care demand and increasing technology costs. We classify and investigate the main characteristics of these games from an Operations Research (OR) perspective. Hospital management games model the complex decision making process of inte...
Article
We present a risk-group oriented chronic disease progression model embedded within a metaheuristic-based optimization of the policy variables. Policy-makers are provided with Pareto-optimal screening schedules for risk groups by considering cost and effectiveness outcomes as well as budget constraints. The quality of the screening technology depend...
Article
Full-text available
Prague. The conference participants were researchers, academicians, and practitioners interested in operational research, mathematical modelling and quantitative economic analysis. The number of participants was higher than 2,000 persons form various countries of the world, making the Prague conference the largest EURO conference ever. The high num...
Article
This paper analyzes changes in the treatment patterns of inpatients due to the effects of the new Austrian performance-oriented inpatient payment system (LKF-system) introduced in 1997. The primary variables of interest are the inpatients’ length of stay (LOS) and the associated reimbursement points (LKF-points). We applied regression models to inv...
Article
Operations research, internet, and e-learning highly increased the potential of management games for teaching and policy making in the last years. First, we give a short overview on general management games. Due to increased health care costs, health care games play a key role in teaching, policy, and research. We review and classify health care ma...
Article
This paper provides the first taxonomy of hospital efficiency studies that uses data envelopment analysis (DEA) and related techniques. We provide a systematic review of 79 such studies published from 1984–2004 that represent 12 countries. Only studies written in English are considered. A cross-national comparison reveals significant differences wi...
Article
We have developed an internet-based management game to illustrate the economic and organisational decision-making process in a hospital by using discrete event simulation. Up to six hospitals compete against each other for inpatients with different disease categories and budget depending on hospital mission, regional health policy, inpatient reimbu...
Article
Full-text available
Hepatitis C (HCV) is a serious infection caused by a blood-borne virus. It is a contagious disease spreading via a variety of transmission mechanisms including contaminated tattoo equipment. Effectively regulating commercial tattoo parlours can greatly reduce this risk. This paper models the cost-effectiveness and optimal timing of such interventio...
Article
To the best of our knowledge, this paper describes the first ant colony optimization (ACO) approach applied to nurse scheduling, analyzing a dynamic regional problem which is currently under discussion at the Vienna hospital compound. Each day, pool nurses have to be assigned for the following days to public hospitals while taking into account a va...
Article
In this paper, we present the first published healthcare application of discrete-event simulation embedded in an ant colony optimization model. We consider the problem of choosing optimal screening policies for retinopathy, a serious complication of diabetes. In order to minimize the screening cost per year of sight saved, compared with a situation...
Article
Galt das letzte Jahrhundert und insbesondere das letzte Jahrzehnt als das elektronische Jahrhundert bzw. als das Jahrzehnt der Informationstechnologie, so wird die neu angebrochene Dekade häufig mit den Biowissenschaften und der Erforschung von Biosystemen in Verbindung gebracht. Die Bundesregierung hat das Jahr 2001 als das Jahr der sogenannten li...
Article
Diabetes mellitus affects approximately 171 million individuals worldwide. The costs of the adult form of diabetic mellitus account for up to 6% of total health care expenditures in industrialized countries. About 25% of these diabetics develop disabling and most painful foot complications accounting for about 17% of the direct lifetime costs. Diab...
Article
This study presents a nonlinear optimisation model for investigating the optimal allocation of both budgets and inpatients with different treatments among hospitals within a geographic region such as Vienna. The objective function maximises the overall quality of treatment provided by regional hospitals. We compare the effects of two different reim...
Article
HIV/AIDS affects over 40 million people worldwide, and more than 70% of these people live in Africa. Mother-to-child transmission of HIV accounts for over 90% of all HIV infections in children under the age of 15 years. However, implementing HIV prevention policies in Africa is extremely difficult because of the poor medical and socio-economic infr...
Article
Full-text available
Occupational injuries are a great burden on health care costs worldwide. We present the first detailed analysis of the total direct and indirect costs of individual occupational injury claims for a given year covering costs for: a general injury insurance company, the AUVA, employers, and the Austrian economy. We calculated total lifetime costs dis...
Article
Full-text available
This is the preface to a special issue of the Central European Journal of Operations Research (CEJOR) that reflects on recent OR contributions using various methods and modelling techniques for innovative quantitative decision support in the health care sector. The aim is to better understand relevant segments of the health service structure and th...
Article
Diabetes mellitus is a massive health care problem worldwide with a current prevalence of 150 million diabetic cases estimated to increase to 300 million cases in 2025. The costs of the adult form of the disease account for approximately 3 - 6% of the total health care expenditures in industrialized countries. Diabetic foot syndrome represents one...
Article
This paper compares two different funding policies for inpatients, the case-based approach in Austria versus the global budgeting approach in Canada. It examines the impact of these funding policies on length of stay of inpatients as one key measure of health outcome. In our study, six major clinical categories for inpatients are selected in which...
Article
We developed an innovative decision model combined with an integer programming model to analyse the cost-effectiveness of semi-automated early defibrillators (AEDs) for the Austrian Red Cross. To estimate the costs of this intervention per quality-adjusted life-year (QALY) gained, we calculated the acquisition and maintenance costs of defibrillator...
Article
Abstract. This paper analyses the effects of the new Austrian performance-oriented inpatient payment system on discharge strategies of hospitals by investigating length-of-stay (LOS) distributions. Using generalised linear models applied to data from 1998, we calculate the impact of day and month of admission as well as types of admission and disch...
Article
In spite of advanced therapies and the success of additional prevention programs, the HIV/AIDS epidemic still remains a challenge. Our paper refers academics, health care managers, and policy makers to the relevance of AIDS policy simulators in better decision-making. By highlighting the types of decisions AIDS policy models can support, we demonst...
Article
The World Health Organization reported that in 1996, for the first time in the course of the AIDS epidemic, there had been a marked decrease in deaths among people with AIDS in many industrialized countries due to the administration of advanced drug therapies and the performance of prevention programs. In response to such changes, policy makers can...
Article
In Austria, a new performance-oriented reimbursement system for inpatients was introduced in 1997. The system is aimed at implementing a more effective and efficient health care payment strategy that will contain costs. It reverses reimbursement on a per inpatient per day basis resulting in a cost explosion that has exceeded the limits of the overa...
Article
The main objective of this study was to investigate selected attributes of strategic technology management in hospitals with regard to hospital ownership and purpose, status, and medical specialisation. Therefore, we aimed at disclosing the scope as well as the current and potential future role of strategic technology management for Vienna hospital...
Article
Decisions about HIV prevention and treatment programs are based on factors such as program costs and health benefits, social and ethical issues, and political considerations. AIDS policy models--that is, models that evaluate the monetary and non-monetary consequences of decisions about HIV/AIDS interventions--can play a role in helping policy maker...
Article
First, we analyse the healthcare delivery system in Austria. We describe the old reimbursement system for in-patients that led to mismanagement and financial problems. Then, we characterise the new performance-oriented reimbursement system for in-patients and illustrate its interplay with medical technology management. We explain the external and t...
Conference Paper
First, we briefly discuss different approaches for inpatient reimbursement systems. Then, we outline the way from the old per diem payment system in Austria to the new performance-oriented reimbursement strategy called performance-oriented hospital financing (abb. LKF) with limited budget. The LKF-system is split into two main parts: the national c...

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