Capacity Management in Health Care Services: Review and Future Research Directions*

Decision Sciences - Tập 19 Số 4 - Trang 889-919 - 1988
Vicki L. Smith‐Daniels1,2, Sharon Schweikhart3, Dwight E. Smith‐Daniels1
1College of Business, Arizona State University, Tempe, AZ 85287-4706
2Vicki L. Smith-Daniels is Assistant Professor of Operations Management in the Department of Purchasing, Transportation and Operations at Arizona State University. She received her Ph.D. from The Ohio State University and a B.B.A. from the University of San Diego. Her current research interests are in the areas of process industries scheduling, multistage lot sizing, sequence-dependent setup-time sequencing, lot sizing in a project scheduling environment, and health care operations. Her articles have appeared in IIE Transactions, Journal of Operations Management, International Journal of Production Research, and Production and Inventory Management. She is a member of the Decision Sciences Institute, TIMS, ORSA, and APICS.
3Carlson School of Management, University of Minnesota, Minneapolis, MN 55455

Tóm tắt

ABSTRACTHealth care has undergone a number of radical changes during the past five years. These include increased competition, fixed‐rate reimbursement systems, declining hospital occupancy rates, and growth in health maintenance organizations and preferred provider organizations. Given these changes in the manner in which health care is provided, contracted, and paid for, it is appropriate to review the past research on capacity management and to determine its relevance to the changing industry. This paper provides a review, classification, and analysis of the literature on this topic. In addition, future research needs are discussed and specific problem areas not dealt with in the previous literature are targeted.

Từ khóa


Tài liệu tham khảo

Abernathy W. J., 1971, The nurse staffing problem: Issues and prospects, Sloan Management Review, 13, 87

10.1287/opre.21.3.693

10.1287/opre.20.3.629

10.1097/00004479-198602000-00007

10.1080/05695558108974536

10.1287/mnsc.32.1.30

Barber R. W., 1977, A unified model for scheduling elective admissions, Health Services Research, 12, 407

Barnoon S., 1968, Scheduling a multiple operating system: A simulation approach, Health Services Research, 3, 272

Berry R. E., 1967, Returns to scale in the production of hospital services, Health Services Research, 2, 122

10.1287/opre.17.1.48

10.1111/j.1540-5915.1979.tb00035.x

Cavaiola L. J., 1980, An integrated system for patient assessment and classification and nurse staff allocation for long term care facilities, Health Services Research, 15, 281

10.1016/0272-6963(84)90009-3

10.1287/mnsc.29.9.1037

10.1056/NEJM197910113011504

Coddington D. C., 1985, Strategies for survival in the hospital industry, Harvard Business Review, 63, 129

Cohen M. A., 1980, Analysis of capacity decisions for progressive patient care hospital facilities, Health Services Research, 15, 145

10.1097/00005650-198501000-00004

10.1016/0272-6963(84)90006-8

Connors M. M., 1970, A stochastic elective admissions scheduling algorithm, Health Services Research, 5, 308

10.1097/00004010-198501040-00009

10.1287/mnsc.24.4.411

10.1097/00005650-198210000-00001

Egdahl R. H., 1984, Should we shrink the health care system, Harvard Business Review, 62, 125

Elwood P. M., 1984, Here come the SuperMeds

Enthoven A. C., 1980, Health plan: The only practical solution to the soaring costs of medical care

10.1097/00005650-198508000-00008

Esogbue A. M. O., 1969, Experiments on scheduling disciplines in surgery: A simulated queuing approach

10.1287/opre.24.5.884

10.2307/133526

10.2307/134141

10.1287/opre.13.5.689

10.1097/00005650-196911000-00004

Folland S. T., 1983, Predicting hospital market shares, Inquiry, 20, 34

Geller N. L., 1975, Regional planning of maternity services, Health Services Research, 10, 63

10.2307/1251197

10.1287/mnsc.22.12.1289

Goldman J., 1968, Evaluating bed allocation policy with computer simulation, Health Services Research, 3, 119

Goldman J., 1969, An evaluation of operation room scheduling policies, Hospital Management, 107, 40

Goldsmith J. C., 1981, Outlook for hospitals: Systems are the solution, Harvard Business Review, 59, 130

10.1056/NEJM197802092980604

Gupta I., 1971, Hospital manpower planning by use of queuing theory, Health Services Research, 6, 76

Hancock W. M., 1978, Parameters affecting hospital occupancy and implications for faculty sizing, Health Services Research, 13, 276

Hancock W. M., 1978, Simulation‐based occupancy recommendations for adult medical/surgical units using admissions scheduling systems, Inquiry, 15, 25

Hancock W. M., 1976, Cost containment in hospitals

Handyside A. J., 1967, Simulation of emergency bed occupancy, Health Services Research, 2, 287

Hefty T. R., 1969, Returns to scale in hospitals: A critical review of recent research, Health Services Research, 4, 267

10.1111/j.1540-5915.1974.tb00595.x

10.1287/opre.29.1.1

Hornbrook M. C., 1985, The contribution of case‐mix severity to the hospital cost‐output relation, Inquiry, 22, 259

10.2307/3145346

10.1287/mnsc.24.10.1001

Johnson W. L., 1968, Factors affecting waiting time in ambulatory care services, Health Services Research, 3, 286

Kao E. P. C., 1972, A semi‐Markov model to predict recovery progress of coronary patients, Health Services Research, 7, 191

10.1109/TSMC.1973.4309243

10.1287/opre.22.4.683

10.1287/mnsc.31.5.608

10.1287/mnsc.27.5.507

10.1016/0038-0121(81)90027-6

Kaplan R. S., 1975, Analysis and control of nurse staffing, Health Services Research, 10, 278

10.1111/j.1540-5915.1973.tb00563.x

10.1287/mnsc.16.6.B384

Kralewski J., 1982, Patterns of interorganizational relationships between hospitals and HMOs, Inquiry, 19, 357

10.1287/mnsc.22.9.982

Lamont C. A., 1974, An O. R. block booking system—A review, Hospital Administration in Canada., 16, 26

10.1080/00036847200000014

Liebman J. S., 1972, Allocation of nursing personnel in an extended care facility, Health Services Research, 7, 209

10.1111/j.1540-5915.1979.tb00012.x

Luft H. S., 1980, Regionalization of services within a multihospital health maintenance organization, Health Services Research, 15, 231

Lyons J. P., 1976, A staff allocation model for mental health facilities, Health Services Research, 11, 53

Magerlein J. M., 1978, Surgical demand scheduling: A review, Health Services Research, 13, 418

McClain J. O., 1978, A model for regional obstetric bed planning, Health Services Research, 13, 378

McGuirk M. A., 1984, Spatial patterns of hospital utilization: The impact of distance and time, Inquiry, 21, 84

10.1287/opre.24.5.857

10.1287/mnsc.19.6.646

Morgan D. M., 1972, Block booking in the O.R.—A solution to a multitude of sins, Canadian Hospital, 49, 54

Morgan D. M., 1973, Improved scheduling through block booking, Canadian Hospital, 50, 41

10.1097/00004010-198400920-00007

Navarro V., 1969, A systems approach to health planning, Health Services Research, 4, 96

Navarro V., 1970, A stochastic and deterministic model of medical care utilization, Health Services Research, 5, 342

Nunnally J. C., 1967, Psychometric Theory

10.1287/mnsc.19.2.132

10.1287/opre.24.5.991

Parker R. D., 1968, Variation of the occupancy of two medical units with the amount of sharing between the units, Health Services Research, 3, 214

10.1287/mnsc.30.7.777

10.2105/AJPH.72.1.55

10.1287/opre.21.5.1030

Robinson G. H., 1968, Computer simulation of hospital patient scheduling, Health Services Research, 3, 130

10.1287/mnsc.27.5.521

10.1287/opre.20.6.1171

10.1287/opre.23.5.869

Shannon G. W., 1969, The concept of distance as a factor in accessibility and utilization of health care, Medical Care Review, 26, 143

10.2307/2284331

10.1287/opre.21.4.952

Shulka R. K., 1985, Admissions monitoring and scheduling to improve work flow in hospitals, Inquiry, 22, 92

Shuman L. J., 1973, Location of ambulatory care centers in a metropolitan area, Health Services Research, 8, 121

Shuman L. J., 1971, Manpower mix for health services: A prescriptive regional planning model, Health Services Research, 6, 103

10.1287/opre.24.5.815

10.1016/0272-6963(84)90022-6

Sorkin A. L., 1986, Health care and the changing economic environment

10.2307/3212231

10.1016/0272-6963(82)90013-4

Studnicki J., 1975, The geographic fallacy: Hospital planning and spatial behavior, Hospital Administration, 20, 10

Sumner A. J., 1972, Long range predictions of examining room requirements, Health Service Research, 7, 221

Swain R. W., 1977, Implementation of a model for census prediction and control, Health Services Research, 12, 380

Swartzman G., 1970, The patient arrival process in hospitals: Statistical analysis, Health Services Research, 5, 320

Thomas D. E., 1976, How many beds should a hospital department serve, Health Services Research, 11, 241

Thomas W. H., 1968, A model for predicting recovery progress of coronary patients, Health Services Research, 3, 185

Thompson J. D., 1969, Economics of occupancy with varying mixes of private and other patient accommodations: A simulation, Health Services Research, 4, 42

10.1287/opre.19.6.1363

10.1287/opre.29.5.1019

10.1287/mnsc.22.9.972

10.1080/05695557908974479

10.1097/00004010-198501040-00003

10.1287/opre.24.5.842

10.1287/mnsc.19.4.411

Weiss G. H., 1965, A semi‐Markov model for clinical trials, Journal of Applied Probability, 2, 269, 10.2307/3212194

Willemain T. R., 1974, Planning a medical practice using paramedical personnel, Health Services Research, 9, 53

10.1287/opre.24.5.973

10.1097/00006199-196501430-00011

10.1097/00006199-196501440-00004

Young J. P., 1962, A queuing theory approach to the control of hospital inpatient census

Zimmerman O. C., 1963, Utilizing operating room time, Hospital Topics, 41, 99, 10.1080/00185868.1963.12082429

10.1177/0002716283468001015