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Combining simulation and goal programming for healthcare planning in a medical assessment unit

Author

Listed:
  • Oddoye, J.P.
  • Jones, D.F.
  • Tamiz, M.
  • Schmidt, P.

Abstract

This paper describes a detailed simulation model for healthcare planning in a medical assessment unit (MAU) of a general hospital belonging to the national health service (NHS), UK. The MAU is established to improve the quality of care given to acute medical patients on admission, and to provide the organisational means of rapid assessment and investigation in order to avoid unnecessary admissions. The simulation model enables different scenarios to be tested to eliminate bottlenecks in order to achieve optimal clinical workflow. The link between goal programming (GP) and simulation for efficient resource planning is explored. A GP model is developed for trade-off analysis of the results obtained from the simulation. The implications of MAU management preferences to various objectives are presented.

Suggested Citation

  • Oddoye, J.P. & Jones, D.F. & Tamiz, M. & Schmidt, P., 2009. "Combining simulation and goal programming for healthcare planning in a medical assessment unit," European Journal of Operational Research, Elsevier, vol. 193(1), pages 250-261, February.
  • Handle: RePEc:eee:ejores:v:193:y:2009:i:1:p:250-261
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    References listed on IDEAS

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    1. Blake, John T. & Carter, Michael W., 2002. "A goal programming approach to strategic resource allocation in acute care hospitals," European Journal of Operational Research, Elsevier, vol. 140(3), pages 541-561, August.
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    Cited by:

    1. Abo-Hamad, Waleed & Arisha, Amr, 2013. "Simulation-based framework to improve patient experience in an emergency department," European Journal of Operational Research, Elsevier, vol. 224(1), pages 154-166.
    2. Adan, Ivo & Bekkers, Jos & Dellaert, Nico & Jeunet, Jully & Vissers, Jan, 2011. "Improving operational effectiveness of tactical master plans for emergency and elective patients under stochastic demand and capacitated resources," European Journal of Operational Research, Elsevier, vol. 213(1), pages 290-308, August.
    3. H. Romero & N. Dellaert & S. Geer & M. Frunt & M. Jansen-Vullers & G. Krekels, 2013. "Admission and capacity planning for the implementation of one-stop-shop in skin cancer treatment using simulation-based optimization," Health Care Management Science, Springer, vol. 16(1), pages 75-86, March.
    4. Kortbeek, N. & Braaksma, A. & Burger, C.A.J. & Bakker, P.J.M. & Boucherie, R.J., 2015. "Flexible nurse staffing based on hourly bed census predictions," International Journal of Production Economics, Elsevier, vol. 161(C), pages 167-180.
    5. Asteris, Michael & Collins, Alan & Jones, Dylan F., 2012. "Container port infrastructure in north-west Europe: Policy-level modeling," Journal of Policy Modeling, Elsevier, vol. 34(2), pages 312-324.
    6. Jones, Dylan, 2011. "A practical weight sensitivity algorithm for goal and multiple objective programming," European Journal of Operational Research, Elsevier, vol. 213(1), pages 238-245, August.

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