IDEAS home Printed from https://ideas.repec.org/a/pal/jorsoc/v56y2005i2d10.1057_palgrave.jors.2601898.html
   My bibliography  Save this article

Geographical simulation modelling for the regional planning of oral and maxillofacial surgery across London

Author

Listed:
  • P R Harper

    (University of Southampton)

  • S Phillips

    (University of Southampton)

  • J E Gallagher

    (King's College)

Abstract

Oral and maxillofacial surgery (OMFS) is a recognized surgical specialty, with its foundations in dentistry. The current configuration of OMFS services across London has evolved over time and reflects historical rather than contemporary patterns of care. The creation of a London Health Region in 1998 provided the opportunity for rational planning of hospital services to serve the resident population of London (7.2 million) and beyond, with recent change focusing on London's five sectors that are represented within this planning model. A detailed geographical simulation model has been developed and has enabled planners to consider a number of OMFS service configurations and evaluate their impact on providers, variations in caseload, travelling distances and times for patients, and thus inform consultation over change. The research confirms that any in-patient service rationalization which concentrates care in one designated hub (main centre) per sector, involves a significant increase in caseload for the designated hub. Average travelling distances and times for in-patient admissions also increase significantly. However, it does suggest that current commissioned provision of day surgery patterns may not be well aligned to the geographical distribution of need for services, resulting in many patients travelling further than necessary for day surgery treatment. These may be overcome by sending patients to their local centre, which may be out with their sector of residence.

Suggested Citation

  • P R Harper & S Phillips & J E Gallagher, 2005. "Geographical simulation modelling for the regional planning of oral and maxillofacial surgery across London," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 56(2), pages 134-143, February.
    • Handle: RePEc:pal:jorsoc:v:56:y:2005:i:2:d:10.1057_palgrave.jors.2601898
    DOI: 10.1057/palgrave.jors.2601898
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1057/palgrave.jors.2601898
    File Function: Abstract
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1057/palgrave.jors.2601898?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. Constantine Toregas & Ralph Swain & Charles ReVelle & Lawrence Bergman, 1971. "The Location of Emergency Service Facilities," Operations Research, INFORMS, vol. 19(6), pages 1363-1373, October.
    2. P R Harper & J Yates & H Wilderspin & A K Shahani & C Bowie & C Duff, 2004. "Population needs assessment and access modelling for cardiac services," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 55(5), pages 529-534, May.
    3. Ridge, J. C. & Jones, S. K. & Nielsen, M. S. & Shahani, A. K., 1998. "Capacity planning for intensive care units," European Journal of Operational Research, Elsevier, vol. 105(2), pages 346-355, March.
    4. P R Harper & A K Shahani, 2002. "Modelling for the planning and management of bed capacities in hospitals," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 53(1), pages 11-18, January.
    5. Marianov, Vladimir & Serra, Daniel, 2001. "Hierarchical location-allocation models for congested systems," European Journal of Operational Research, Elsevier, vol. 135(1), pages 195-208, November.
    6. Charles Revelle & David Marks & Jon C. Liebman, 1970. "An Analysis of Private and Public Sector Location Models," Management Science, INFORMS, vol. 16(11), pages 692-707, July.
    7. Harper, P. R. & Shahani, A. K., 2003. "A decision support system for the care of HIV and AIDS patients in India," European Journal of Operational Research, Elsevier, vol. 147(1), pages 187-197, May.
    8. Daniel Serra & Charles Revelle, 1992. "The PQ-Median problem: Location and districting of hierarchical facilities. Part I," Economics Working Papers 12, Department of Economics and Business, Universitat Pompeu Fabra.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Simon Jones & Jessica Wardlaw & Susan Crouch & Michelle Carolan, 2011. "Modelling catchment areas for secondary care providers: a case study," Health Care Management Science, Springer, vol. 14(3), pages 253-261, September.
    2. Yiting Xing & Ling Li & Zhuming Bi & Marzena Wilamowska‐Korsak & Li Zhang, 2013. "Operations Research (OR) in Service Industries: A Comprehensive Review," Systems Research and Behavioral Science, Wiley Blackwell, vol. 30(3), pages 300-353, May.
    3. Bożena Mielczarek, 2016. "Review of modelling approaches for healthcare simulation," Operations Research and Decisions, Wroclaw University of Science and Technology, Faculty of Management, vol. 26(1), pages 55-72.
    4. De Boeck, Kim & Decouttere, Catherine & Jónasson, Jónas Oddur & Vandaele, Nico, 2022. "Vaccine supply chains in resource-limited settings: Mitigating the impact of rainy season disruptions," European Journal of Operational Research, Elsevier, vol. 301(1), pages 300-317.

    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. Harper, P. R. & Shahani, A. K. & Gallagher, J. E. & Bowie, C., 2005. "Planning health services with explicit geographical considerations: a stochastic location-allocation approach," Omega, Elsevier, vol. 33(2), pages 141-152, April.
    2. Shariat-Mohaymany, Afshin & Babaei, Mohsen & Moadi, Saeed & Amiripour, Sayyed Mahdi, 2012. "Linear upper-bound unavailability set covering models for locating ambulances: Application to Tehran rural roads," European Journal of Operational Research, Elsevier, vol. 221(1), pages 263-272.
    3. J D Griffiths & N Price-Lloyd & M Smithies & J E Williams, 2005. "Modelling the requirement for supplementary nurses in an intensive care unit," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 56(2), pages 126-133, February.
    4. Soo-Haeng Cho & Hoon Jang & Taesik Lee & John Turner, 2014. "Simultaneous Location of Trauma Centers and Helicopters for Emergency Medical Service Planning," Operations Research, INFORMS, vol. 62(4), pages 751-771, August.
    5. Yue Zhang & Martin L. Puterman & Matthew Nelson & Derek Atkins, 2012. "A Simulation Optimization Approach to Long-Term Care Capacity Planning," Operations Research, INFORMS, vol. 60(2), pages 249-261, April.
    6. repec:dgr:rugsom:02a63 is not listed on IDEAS
    7. Ting L. Lei & Richard L. Church, 2014. "Vector Assignment Ordered Median Problem," International Regional Science Review, , vol. 37(2), pages 194-224, April.
    8. Josephine Varney & Nigel Bean & Mark Mackay, 2019. "The self-regulating nature of occupancy in ICUs: stochastic homoeostasis," Health Care Management Science, Springer, vol. 22(4), pages 615-634, December.
    9. Vahab Vahdat & Jacqueline Griffin & James E. Stahl, 2018. "Decreasing patient length of stay via new flexible exam room allocation policies in ambulatory care clinics," Health Care Management Science, Springer, vol. 21(4), pages 492-516, December.
    10. Grubesic, Tony H. & Matisziw, Timothy C. & Murray, Alan T., 2012. "Assessing geographic coverage of the essential air service program," Socio-Economic Planning Sciences, Elsevier, vol. 46(2), pages 124-135.
    11. Katta G. Murty & Philipp A. Djang, 1999. "The U.S. Army National Guard's Mobile Training Simulators Location and Routing Problem," Operations Research, INFORMS, vol. 47(2), pages 175-182, April.
    12. Kim, Seung-Chul & Horowitz, Ira, 2002. "Scheduling hospital services: the efficacy of elective-surgery quotas," Omega, Elsevier, vol. 30(5), pages 335-346, October.
    13. Wang, Wei & Wu, Shining & Wang, Shuaian & Zhen, Lu & Qu, Xiaobo, 2021. "Emergency facility location problems in logistics: Status and perspectives," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 154(C).
    14. Berta, P. & Lovaglio, P.G. & Paruolo, P. & Verzillo, S., 2020. "Real Time Forecasting of Covid-19 Intensive Care Units demand," Health, Econometrics and Data Group (HEDG) Working Papers 20/16, HEDG, c/o Department of Economics, University of York.
    15. J K Cochran & K Roche, 2008. "A queuing-based decision support methodology to estimate hospital inpatient bed demand," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 59(11), pages 1471-1482, November.
    16. G Leonardi, 1981. "A Unifying Framework for Public Facility Location Problems—Part 1: A Critical Overview and Some Unsolved Problems," Environment and Planning A, , vol. 13(8), pages 1001-1028, August.
    17. ReVelle, C. S. & Eiselt, H. A., 2005. "Location analysis: A synthesis and survey," European Journal of Operational Research, Elsevier, vol. 165(1), pages 1-19, August.
    18. H K Smith & G Laporte & P R Harper, 2009. "Locational analysis: highlights of growth to maturity," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 60(1), pages 140-148, May.
    19. Hoon Jang, 2019. "Designing capacity rollout plan for neonatal care service system in Korea," OR Spectrum: Quantitative Approaches in Management, Springer;Gesellschaft für Operations Research e.V., vol. 41(3), pages 809-830, September.
    20. Arnoud Bruin & A. Rossum & M. Visser & G. Koole, 2007. "Modeling the emergency cardiac in-patient flow: an application of queuing theory," Health Care Management Science, Springer, vol. 10(2), pages 125-137, June.
    21. Brailsford, Sally & Vissers, Jan, 2011. "OR in healthcare: A European perspective," European Journal of Operational Research, Elsevier, vol. 212(2), pages 223-234, July.

    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:pal:jorsoc:v:56:y:2005:i:2:d:10.1057_palgrave.jors.2601898. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.palgrave-journals.com/ .

    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.