Locating specialized service capacity in a multi-hospital network
Multi-hospital systems have become very common in today's healthcare environment. However, there has been limited published research examining the opportunities and challenges of pooling specialized services to a subset of hospitals in the network. Therefore, this paper considers how hospital networks with multiple locations can leverage pooling benefits when deciding where to position specialized services, such as magnetic resonance imaging (MRI), transplants, or neonatal intensive care. Specifically, we develop an optimization model to determine how many and which of a hospital network's hospitals should be set up to deliver a specialized service. Importantly, this model takes into account both financial considerations and patient service levels. Computational results illustrate the value of optimally pooling resources across a subset of hospitals in the network versus two alternate approaches: (1) delivering the service at all locations and requiring each site to handle its own demand, or (2) locating the service at one hospital that handles all network demand.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Fournier, Gary M & Mitchell, Jean M, 1992.
"Hospital Costs and Competition for Services: A Multiproduct Analysis,"
The Review of Economics and Statistics,
MIT Press, vol. 74(4), pages 627-34, November.
- Fournier, G.M. & Mitchell. J.M., 1991. "Hospital Costs and Competition for Services : A Multiproduct Analysis," Working Papers 1991_03_6, Department of Economics, Florida State University.
- Ahmed, Mohamed A. & Alkhamis, Talal M., 2009. "Simulation optimization for an emergency department healthcare unit in Kuwait," European Journal of Operational Research, Elsevier, vol. 198(3), pages 936-942, November.
- Alptekinoglu, Aydin & Tang, Christopher S., 2005. "A model for analyzing multi-channel distribution systems," European Journal of Operational Research, Elsevier, vol. 163(3), pages 802-824, June.
- Panagiotis Mitropoulos & Ioannis Mitropoulos & Ioannis Giannikos & Aris Sissouras, 2006. "A biobjective model for the locational planning of hospitals and health centers," Health Care Management Science, Springer, vol. 9(2), pages 171-179, May.
- Robert S. Huckman & Gary P. Pisano, 2006. "The Firm Specificity of Individual Performance: Evidence from Cardiac Surgery," Management Science, INFORMS, vol. 52(4), pages 473-488, April.
- 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.
- 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.
- Vedia F. Dökmeci, 1977. "A Quantitative Model to Plan Regional Health Facility Systems," Management Science, INFORMS, vol. 24(4), pages 411-419, December.
- Bendoly, Elliot & Blocher, Doug & Bretthauer, Kurt M. & Venkataramanan, M.A., 2007. "Service and cost benefits through clicks-and-mortar integration: Implications for the centralization/decentralization debate," European Journal of Operational Research, Elsevier, vol. 180(1), pages 426-442, July.
- R. Jean Ruth, 1981. "A Mixed Integer Programming Model for Regional Planning of a Hospital Inpatient Service," Management Science, INFORMS, vol. 27(5), pages 521-533, May.
When requesting a correction, please mention this item's handle: RePEc:eee:ejores:v:212:y:2011:i:3:p:596-605. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Shamier, Wendy)
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 references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.