Health economic modeling to support surgery management at a Swedish hospital

Persson, Marie; Persson, Jan

doi:10.1016/j.omega.2008.05.007

Cited by 52 publications

(25 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This category groups criteria related to, for instance, the use of additional capacity of specific resources [58,95,102,114,117], delays in PACU admissions [34,82] or operating room target allocation [13,14,23,101].…”

Section: Performance Measuresmentioning

confidence: 99%

Operating room planning and scheduling: A literature review

Cardoen

Demeulemeester

Beliën

2010

European Journal of Operational Research

902

539

View full text Add to dashboard Cite

Section: Performance Measuresmentioning

confidence: 99%

Operating room planning and scheduling: A literature review

Cardoen

Demeulemeester

Beliën

2010

European Journal of Operational Research

902

539

View full text Add to dashboard Cite

“…Other different aspects have been considered in [91][92][93] through simulation models. A coordination mechanism of surgeries carried out by two administratively independent hospital facilities represents the main aim of the work of Kim and Horowitz [91].…”

Section: Operational Levelmentioning

confidence: 99%

“…Post-operative care resources have been taken into account by Persson and Persson [92] that combined optimization techniques and simulation. The formulated optimization model captures changes in policies and resources, whereas different management decisions have been evaluated by an economic point of view with a simulation approach.…”

Section: Operational Levelmentioning

confidence: 99%

Operational research in the management of the operating theatre: a survey

Guerriero

Guido

2010

Health Care Manag Sci

417

263

View full text Add to dashboard Cite

Operating theatre represents one of the most critical and expensive hospital resources since a high percentage of the hospital admissions is due to surgical interventions. The main objectives are to guarantee the optimal utilization of medical resources, the delivery of surgery at the right time, the maximisation of profitability (i.e., patient flow) without incurring additional costs or excessive patient waiting time. The operating theatre management is a process very complex: the use of mathematical and simulation models, and quantitative techniques plays, thus a crucial role. The main aim of this paper is to provide a structured literature review on how Operational Research can be applied to the surgical planning and scheduling processes. A particular attention is on the published papers that present the most interesting mathematical (optimization and simulation) models and solution approaches developed to address the problems arising in operating theatres. Directions for future researches are also highlighted.

show abstract

“…We filtered these articles for those that model arrivals stochastically (as we think this is important in dynamic scheduling). This left us with the following set of articles: [1,9,10,11,15,20,27,28,31,35,40,42,47,52].…”

Section: Problem Description and Literature Reviewmentioning

confidence: 99%

Due Time Driven Surgery Scheduling

et al. 2015

View full text Add to dashboard Cite

In many hospitals there are patients who receive surgery later than what is medically indicated. In one of Europe's largest hospitals, the University Hospital Leuven, this is the case for approximately every third patient. Serving patients late cannot always be avoided as a highly utilized OR department will sometimes suffer capacity shortage, occasionally leading to unavoidable delays in patient care. Nevertheless, serving patients late is a problem as it exposes them to an increased health risk and hence should be avoided whenever possible.In order to improve the current situation, the delay in patient scheduling had to be quantified and the responsible mechanism, the scheduling process, had to be better understood. Drawing from this understanding, we implemented and tested realistic patient scheduling methods in a discrete event simulation model.We found that it is important to model non-elective arrivals and to include elective rescheduling decisions made on surgery day itself. Rescheduling ensures that OR related performance measures, such as overtime, will only loosely depend on the chosen patient scheduling method.We also found that capacity considerations should guide actions performed before the surgery day such as patient scheduling and patient replanning. This is the case as those scheduling strategies that ensure that

show abstract

Health economic modeling to support surgery management at a Swedish hospital

Cited by 52 publications

References 12 publications

Operating room planning and scheduling: A literature review

Operating room planning and scheduling: A literature review

Operational research in the management of the operating theatre: a survey

Due Time Driven Surgery Scheduling

Contact Info

Product

Resources

About