Optimal control of ICU patient discharge: from theory to implementationHealth Care Management Science - Tập 18 - Trang 234-250 - 2015
Fermín Mallor, Cristina Azcárate, Julio Barado
This paper deals with the management of scarce health care resources. We consider a control problem in which the objective is to minimize the rate of patient rejection due to service saturation. The scope of decisions is limited, in terms both of the amount of resources to be used, which are supposed to be fixed, and of the patient arrival pattern, which is assumed to be uncontrollable. This means...... hiện toàn bộ
Estimating the waiting time of multi-priority emergency patients with downstream blockingHealth Care Management Science - Tập 17 - Trang 88-99 - 2013
Di Lin, Jonathan Patrick, Fabrice Labeau
To characterize the coupling effect between patient flow to access the emergency department (ED) and that to access the inpatient unit (IU), we develop a model with two connected queues: one upstream queue for the patient flow to access the ED and one downstream queue for the patient flow to access the IU. Building on this patient flow model, we employ queueing theory to estimate the average waiti...... hiện toàn bộ
Patient flow improvement for an ophthalmic specialist outpatient clinic with aid of discrete event simulation and design of experimentHealth Care Management Science - Tập 18 - Trang 137-155 - 2014
Chong Pan, Dali Zhang, Audrey Wan Mei Kon, Charity Sue Lea Wai, Woo Boon Ang
Continuous improvement in process efficiency for specialist outpatient clinic (SOC) systems is increasingly being demanded due to the growth of the patient population in Singapore. In this paper, we propose a discrete event simulation (DES) model to represent the patient and information flow in an ophthalmic SOC system in the Singapore National Eye Centre (SNEC). Different improvement strategies t...... hiện toàn bộ
Modelling healthcare systems with phase-type distributionsHealth Care Management Science - Tập 12 - Trang 11-26 - 2008
Mark Fackrell
Phase-type distributions constitute a very versatile class of distributions. They have been used in a wide range of stochastic modelling applications in areas as diverse as telecommunications, finance, biostatistics, queueing theory, drug kinetics, and survival analysis. Their use in modelling systems in the healthcare industry, however, has so far been limited. In this paper we introduce phase-ty...... hiện toàn bộ
Cost accounting methodologies in price setting of acute inpatient services in HungaryHealth Care Management Science - Tập 9 - Trang 243-250 - 2006
Peter Gaal, Nóra Stefka, Júlia Nagy
On the basis of documentary analysis and interviews with decision makers, this paper discusses the cost accounting methodologies used for price setting of inpatient services in the Hungarian health care system focusing on sector of acute inpatient care, which is financed through the Hungarian adaptation of Diagnosis Related Groups since 1993. Hungary has a quite sophisticated DRG system, which had...... hiện toàn bộ
Developing a Bayesian belief network for the management of geriatric hospital careHealth Care Management Science - - 2001
A.H. Marshall, S.I. McClean, C.M. Shapcott, I.R. Hastie, P.H. Millard
Resource management is an essential feature of hospital management. This is especially true for geriatric services, as older people often have complex medical and social needs. Hospital management should benefit from an explanatory model that provides predictions of duration of stay and destination on discharge. We describe how a Bayesian belief network models the behaviour of geriatric patients u...... hiện toàn bộ