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Concentration and the variability of orthopaedic demand

Author

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  • J Bowers

    (University of Stirling)

  • G Mould

    (University of Stirling)

Abstract

Concentrating health services with centres providing selected, specialist care offers a number of potential advantages. The benefits may include the opportunity to improve the quality of care by providing more specialist services and greater expertise, more attractive working conditions with a larger pool of specialists providing the on-call rota and an enhanced opportunity for training. Concentration will produce greater volumes of patients in the selected specialties with the possibility of various economies of scale. A series of simulation experiments explored the potential for efficiencies associated with the increasing volume of non-elective patients in an orthopaedic specialty. As the annual volume of patients increases so the relative variability of the demand for operating theatre time declines: concentrating non-elective orthopaedic activity could offer considerable savings in the theatre time allocated to trauma patients. However, the impact on the wards is much less significant, with concentration having a negligible effect on the requirement for beds.

Suggested Citation

  • J Bowers & G Mould, 2002. "Concentration and the variability of orthopaedic demand," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 53(2), pages 203-210, February.
    • Handle: RePEc:pal:jorsoc:v:53:y:2002:i:2:d:10.1057_palgrave.jors.2601272
    DOI: 10.1057/palgrave.jors.2601272
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    Citations

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    Cited by:

    1. Vissers, Jan M.H. & Adan, Ivo J.B.F. & Dellaert, Nico P., 2007. "Developing a platform for comparison of hospital admission systems: An illustration," European Journal of Operational Research, Elsevier, vol. 180(3), pages 1290-1301, August.
    2. R B van der Meer & L A Rymaszewski & H Findlay & J Curran, 2005. "Using OR to support the development of an integrated musculo-skeletal service," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 56(2), pages 162-172, February.
    3. Ketelhöhn, Niels & Sanz, Luis, 2016. "Healthcare management priorities in Latin America: Framework and responses," Journal of Business Research, Elsevier, vol. 69(9), pages 3835-3838.
    4. Bowers, John & Mould, Gillian, 2004. "Managing uncertainty in orthopaedic trauma theatres," European Journal of Operational Research, Elsevier, vol. 154(3), pages 599-608, May.
    5. Martin Utley & Mark Jit & Steve Gallivan, 2008. "Restructuring routine elective services to reduce overall capacity requirements within a local health economy," Health Care Management Science, Springer, vol. 11(3), pages 240-247, September.
    6. Adrian Fletcher & Dave Worthington, 2009. "What is a ‘generic’ hospital model?—a comparison of ‘generic’ and ‘specific’ hospital models of emergency patient flows," Health Care Management Science, Springer, vol. 12(4), pages 374-391, December.

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    Keywords

    health; simulation;

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