IDEAS home Printed from https://ideas.repec.org/a/eee/ejores/v266y2018i1p221-237.html
   My bibliography  Save this article

High-fidelity whole-system patient flow modeling to assess health care transformation policiesAuthor-Name: Esensoy, Ali Vahit

Author

Listed:
  • Carter, Michael W.

Abstract

Health systems are continuously seeking ways of transforming their capacities and processes to provide care in novel ways that are aligned with emerging best practices and patient choice while remaining responsive to fiscal pressures. These transformation policy options call for interventions across multiple sectors and patient cohorts, and expect benefits to be realized across the care system, driving policy analysts to take a whole-system point of view in their assessments. This paper presents a system dynamics simulation for the assessment of healthcare transformation policies involving alterations to patient pathways and service levels. The model takes a whole-system, strategic perspective, and is designed to evaluate the direction and magnitude of patient flow changes resulting from transformation policy implementations. The strategic simulation model is developed through a collaborative process with decision-makers across the health system. It has a simple model structure while providing detailed breakdown of cross-sector flows through the use of patient-level clinical and demographic data. A use case is presented for the assessment of the impact of Ontario's proposed stroke best practices. The results indicate significant patient flow gains from the implementation of this policy, which are contingent on significant investments in the community care sector.

Suggested Citation

  • Carter, Michael W., 2018. "High-fidelity whole-system patient flow modeling to assess health care transformation policiesAuthor-Name: Esensoy, Ali Vahit," European Journal of Operational Research, Elsevier, vol. 266(1), pages 221-237.
    • Handle: RePEc:eee:ejores:v:266:y:2018:i:1:p:221-237
    DOI: 10.1016/j.ejor.2017.09.019
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0377221717308408
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.ejor.2017.09.019?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Jennifer Gillespie & Sally McClean & Lalit Garg & Maria Barton & Bryan Scotney & Ken Fullerton, 2016. "A multi-phase DES modelling framework for patient-centred care," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 67(10), pages 1239-1249, October.
    2. D C Lane & C Monefeldt & J V Rosenhead, 2000. "Looking in the wrong place for healthcare improvements: A system dynamics study of an accident and emergency department," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 51(5), pages 518-531, May.
    3. Sundberg, Gun & Bagust, Adrian & Terent, Andreas, 2003. "A model for costs of stroke services," Health Policy, Elsevier, vol. 63(1), pages 81-94, January.
    4. Erwin W. Hans & Mark Houdenhoven & Peter J. H. Hulshof, 2012. "A Framework for Healthcare Planning and Control," International Series in Operations Research & Management Science, in: Randolph Hall (ed.), Handbook of Healthcare System Scheduling, chapter 0, pages 303-320, Springer.
    5. Oliva, Rogelio, 2003. "Model calibration as a testing strategy for system dynamics models," European Journal of Operational Research, Elsevier, vol. 151(3), pages 552-568, December.
    6. S C Brailsford & V A Lattimer & P Tarnaras & J C Turnbull, 2004. "Emergency and on-demand health care: modelling a large complex system," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 55(1), pages 34-42, January.
    7. Rashwan, Wael & Abo-Hamad, Waleed & Arisha, Amr, 2015. "A system dynamics view of the acute bed blockage problem in the Irish healthcare system," European Journal of Operational Research, Elsevier, vol. 247(1), pages 276-293.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mohammad Reza Davahli & Waldemar Karwowski & Redha Taiar, 2020. "A System Dynamics Simulation Applied to Healthcare: A Systematic Review," IJERPH, MDPI, vol. 17(16), pages 1-27, August.
    2. Amin Mahmoudian-Dehkordi & Somayeh Sadat, 2017. "Sustaining critical care: using evidence-based simulation to evaluate ICU management policies," Health Care Management Science, Springer, vol. 20(4), pages 532-547, December.
    3. Doris A. Behrens & Marion S. Rauner & Margit Sommersguter-Reichmann, 2022. "Why Resilience in Health Care Systems is More than Coping with Disasters: Implications for Health Care Policy," Schmalenbach Journal of Business Research, Springer, vol. 74(4), pages 465-495, December.
    4. Negar Darabi & Niyousha Hosseinichimeh, 2020. "System dynamics modeling in health and medicine: a systematic literature review," System Dynamics Review, System Dynamics Society, vol. 36(1), pages 29-73, January.
    5. Alberto Sardi & Enrico Sorano, 2019. "Dynamic Performance Management: An Approach for Managing the Common Goods," Sustainability, MDPI, vol. 11(22), pages 1-22, November.
    6. Rashwan, Wael & Abo-Hamad, Waleed & Arisha, Amr, 2015. "A system dynamics view of the acute bed blockage problem in the Irish healthcare system," European Journal of Operational Research, Elsevier, vol. 247(1), pages 276-293.
    7. S Vanderby & M W Carter, 2010. "An evaluation of the applicability of system dynamics to patient flow modelling," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 61(11), pages 1572-1581, November.
    8. T Eldabi & R J Paul & T Young, 2007. "Simulation modelling in healthcare: reviewing legacies and investigating futures," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(2), pages 262-270, February.
    9. Sebastian Hof & Andreas Fügener & Jan Schoenfelder & Jens O. Brunner, 2017. "Case mix planning in hospitals: a review and future agenda," Health Care Management Science, Springer, vol. 20(2), pages 207-220, June.
    10. Thomas Rohleder & Diane Bischak & Leland Baskin, 2007. "Modeling patient service centers with simulation and system dynamics," Health Care Management Science, Springer, vol. 10(1), pages 1-12, February.
    11. D C Lane & E Husemann, 2008. "System dynamics mapping of acute patient flows," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 59(2), pages 213-224, February.
    12. A. Sardi & E. Sorano, 2021. "Dynamic Performance Management: An Approach for Managing the Common Goods," Papers 2102.04090, arXiv.org.
    13. S P Santos & V Belton & S Howick, 2008. "Enhanced performance measurement using OR: a case study," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 59(6), pages 762-775, June.
    14. Francesco Tonini & Francesco Davide Sanvito & Fabrizio Colombelli & Emanuela Colombo, 2022. "Improving Sustainable Access to Electricity in Rural Tanzania: A System Dynamics Approach to the Matembwe Village," Energies, MDPI, vol. 15(5), pages 1-17, March.
    15. David C. Lane & Özge Pala & Yaman Barlas & Lambertus P. J. Nistelrooij & Etiënne A.J.A. Rouwette & Ilse M. Verstijnen & Jac A.M. Vennix, 2015. "The Eye of the Beholder: A Case Example of Changing Clients' Perspectives Through Involvement in the Model Validation Process," Systems Research and Behavioral Science, Wiley Blackwell, vol. 32(4), pages 437-449, July.
    16. Bob Walrave, 2016. "Determining intervention thresholds that change output behavior patterns," System Dynamics Review, System Dynamics Society, vol. 32(3-4), pages 261-278, July.
    17. Dutta, Amitava & Puvvala, Abhinay & Roy, Rahul & Seetharaman, Priya, 2017. "Technology diffusion: Shift happens — The case of iOS and Android handsets," Technological Forecasting and Social Change, Elsevier, vol. 118(C), pages 28-43.
    18. Pedro Pérez-Cutillas & Pedro Baños Páez & Isabel Banos-González, 2020. "Variability of Water Balance under Climate Change Scenarios. Implications for Sustainability in the Rhône River Basin," Sustainability, MDPI, vol. 12(16), pages 1-22, August.
    19. A. G. Leeftink & R. J. Boucherie & E. W. Hans & M. A. M. Verdaasdonk & I. M. H. Vliegen & P. J. Diest, 2018. "Batch scheduling in the histopathology laboratory," Flexible Services and Manufacturing Journal, Springer, vol. 30(1), pages 171-197, June.
    20. Cassidy, Rachel & Tomoaia-Cotisel, Andrada & Semwanga, Agnes Rwashana & Binyaruka, Peter & Chalabi, Zaid & Blanchet, Karl & Singh, Neha S. & Maiba, John & Borghi, Josephine, 2021. "Understanding the maternal and child health system response to payment for performance in Tanzania using a causal loop diagram approach," Social Science & Medicine, Elsevier, vol. 285(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:ejores:v:266:y:2018:i:1:p:221-237. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/eor .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.