Tactical resource allocation and elective patient admission planning in care processes.
Tactical planning of resources in hospitals concerns elective patient admission planning and the intermediate term allocation of resource capacities. Its main objectives are to achieve equitable access for patients, to meet production targets/to serve the strategically agreed number of patients, and...
| Published in: | Health Care Management Science Vol. 16; no. 2; pp. 152 - 167 |
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| Main Authors: | , , , |
| Format: | research Journal Article |
| Published: |
Springer Nature
Jun2013
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104270361&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104270361 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13869620 BSE jtl: Health Care Management Science issn: 13869620 maglogo: N pubinfo: dt: Jun2013 vid: 16 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104270361 NLM23288631 2012082562 10.1007/s10729-012-9219-6 NLM23288631 104270361 ppf: 152 ppct: 15 formats: tig: atl: Tactical resource allocation and elective patient admission planning in care processes. aug: au: Hulshof, Peter J H Boucherie, Richard J Hans, Erwin W Hurink, Johann L affil: Center for Healthcare Operations Improvement and Research (CHOIR), University of Twente, P.O. Box 217, 7500 AE, Enschede, The Netherlands, p.j.h.hulshof@utwente.nl. sug: subj: Health Resource Allocation Statistics and Numerical Data Bed Occupancy Statistics and Numerical Data Patient Admission Statistics and Numerical Data Planning Techniques Human Models, Statistical Netherlands ab: Tactical planning of resources in hospitals concerns elective patient admission planning and the intermediate term allocation of resource capacities. Its main objectives are to achieve equitable access for patients, to meet production targets/to serve the strategically agreed number of patients, and to use resources efficiently. This paper proposes a method to develop a tactical resource allocation and elective patient admission plan. These tactical plans allocate available resources to various care processes and determine the selection of patients to be served that are at a particular stage of their care process. Our method is developed in a Mixed Integer Linear Programming (MILP) framework and copes with multiple resources, multiple time periods and multiple patient groups with various uncertain treatment paths through the hospital, thereby integrating decision making for a chain of hospital resources. Computational results indicate that our method leads to a more equitable distribution of resources and provides control of patient access times, the number of patients served and the fraction of allocated resource capacity. Our approach is generic, as the base MILP and the solution approach allow for including various extensions to both the objective criteria and the constraints. Consequently, the proposed method is applicable in various settings of tactical hospital management. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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