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Capacity Planning for Publicly Funded Community Based Long-Term Care Services

In: Community-Based Operations Research

Author

Listed:
  • Feng Lin

    (Purdue University)

  • Nan Kong

    (Purdue University)

  • Mark Lawley

    (Purdue University)

Abstract

Long-term care (LTC) provides medical and non-medical services to people with chronic disease or disability, many of whom are older adults eligible for receiving care through public funding sources. Annual spending on LTC in the United States exceeds $200 billion per year and is increasing rapidly. As a large portion of the population receives publicly-paid LTC, the public programs supporting LTC face increasing financial pressures. Although nursing home care has been a viable option, it is three times more costly than community-based care, which offers a flexible alternative by providing care at home and in the community. However, little is known on how much infrastructure is needed to provide such care. We showcase the potential of operations research to support decision making to improve the LTC delivery system. We formulate an optimal control problem to determine the infrastructure capacity of community-based care from a cost saving viewpoint. This example shows that methodologies of operations research can provide valuable insights in improving LTC delivery.

Suggested Citation

  • Feng Lin & Nan Kong & Mark Lawley, 2012. "Capacity Planning for Publicly Funded Community Based Long-Term Care Services," International Series in Operations Research & Management Science, in: Michael P. Johnson (ed.), Community-Based Operations Research, chapter 0, pages 297-315, Springer.
  • Handle: RePEc:spr:isochp:978-1-4614-0806-2_12
    DOI: 10.1007/978-1-4614-0806-2_12
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    Citations

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    Cited by:

    1. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2016. "Moving towards an equitable long-term care network: A multi-objective and multi-period planning approach," Omega, Elsevier, vol. 58(C), pages 69-85.
    2. Mohammadi Bidhandi, Hadi & Patrick, Jonathan & Noghani, Pedram & Varshoei, Peyman, 2019. "Capacity planning for a network of community health services," European Journal of Operational Research, Elsevier, vol. 275(1), pages 266-279.
    3. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2015. "An integrated approach for planning a long-term care network with uncertainty, strategic policy and equity considerations," European Journal of Operational Research, Elsevier, vol. 247(1), pages 321-334.
    4. Paul Intrevado & Vedat Verter & Lucie Tremblay, 2019. "Patient-centric design of long-term care networks," Health Care Management Science, Springer, vol. 22(2), pages 376-390, June.

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