IDEAS home Printed from https://ideas.repec.org/a/eee/jomega/v37y2009i4p853-863.html
   My bibliography  Save this article

Health economic modeling to support surgery management at a Swedish hospital

Author

Listed:
  • Persson, Marie
  • Persson, Jan A.

Abstract

Elective surgery management typically deals with a queue of patients that have to be scheduled for surgery within a certain time frame, considering both medical and economic constraints. In order to prevent the patient queue and waiting times from growing, surgery management has to decide whether to temporarily increase patient throughput at the regional hospital or have some patients scheduled for surgery at another hospital. In Sweden, a newly passed law states that patients who decide to receive surgery should not have to wait more than 90 days before this surgery is carried out. Therefore, if a patient decides to apply the new law by requesting surgery within 90 days, the regional hospital is obliged to arrange and pay for either in-house surgery or surgery at another hospital. In this paper, we suggest an approach using simulation including optimization for modeling surgery management decisions. We study a case based on data from a General Surgery Department at a Swedish hospital and present our results as a health economic evaluation. The results indicate an increase in the mean waiting times for medium prioritized patients when the new law is applied.

Suggested Citation

  • Persson, Marie & Persson, Jan A., 2009. "Health economic modeling to support surgery management at a Swedish hospital," Omega, Elsevier, vol. 37(4), pages 853-863, August.
    • Handle: RePEc:eee:jomega:v:37:y:2009:i:4:p:853-863
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0305-0483(08)00052-2
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    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. Alexopoulos, Christos & Goldsman, David & Fontanesi, John & Kopald, David & Wilson, James R., 2008. "Modeling patient arrivals in community clinics," Omega, Elsevier, vol. 36(1), pages 33-43, February.
    2. J B Jun & S H Jacobson & J R Swisher, 1999. "Application of discrete-event simulation in health care clinics: A survey," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 50(2), pages 109-123, February.
    3. Kim, Seung-Chul & Horowitz, Ira, 2002. "Scheduling hospital services: the efficacy of elective-surgery quotas," Omega, Elsevier, vol. 30(5), pages 335-346, October.
    4. Lagergren, Marten, 1998. "What is the role and contribution of models to management and research in the health services? A view from Europe," European Journal of Operational Research, Elsevier, vol. 105(2), pages 257-266, March.
    5. 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.
    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. Michael Samudra & Carla Van Riet & Erik Demeulemeester & Brecht Cardoen & Nancy Vansteenkiste & Frank E. Rademakers, 2016. "Scheduling operating rooms: achievements, challenges and pitfalls," Journal of Scheduling, Springer, vol. 19(5), pages 493-525, October.
    2. Mielczarek, Bożena, 2014. "Simulation modelling for contracting hospital emergency services at the regional level," European Journal of Operational Research, Elsevier, vol. 235(1), pages 287-299.
    3. Michael Samudra & Erik Demeulemeester & Brecht Cardoen & Nancy Vansteenkiste & Frank E. Rademakers, 2017. "Due time driven surgery scheduling," Health Care Management Science, Springer, vol. 20(3), pages 326-352, September.
    4. 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.
    5. Pazoki, Mostafa & Samarghandi, Hamed, 2021. "Regulating patient care in walk-in clinics," Omega, Elsevier, vol. 99(C).
    6. Francisco Ballestín & Ángeles Pérez & Sacramento Quintanilla, 2019. "Scheduling and rescheduling elective patients in operating rooms to minimise the percentage of tardy patients," Journal of Scheduling, Springer, vol. 22(1), pages 107-118, February.
    7. Fagerholt, Kjetil & Christiansen, Marielle & Magnus Hvattum, Lars & Johnsen, Trond A.V. & Vabø, Thor J., 2010. "A decision support methodology for strategic planning in maritime transportation," Omega, Elsevier, vol. 38(6), pages 465-474, December.
    8. Rafael L. Patrão & Reinaldo C. Garcia & João M. da Silva, 2022. "An Integrated Two-Level Integer Linear Program (ILP) Model for Elective Surgery Scheduling: A Case Study in an Italian Hospital," Mathematics, MDPI, vol. 10(11), pages 1-18, June.
    9. Shuwan Zhu & Wenjuan Fan & Shanlin Yang & Jun Pei & Panos M. Pardalos, 2019. "Operating room planning and surgical case scheduling: a review of literature," Journal of Combinatorial Optimization, Springer, vol. 37(3), pages 757-805, April.
    10. Hejer Khlif Hachicha & Farah Zeghal Mansour, 2018. "Two-MILP models for scheduling elective surgeries within a private healthcare facility," Health Care Management Science, Springer, vol. 21(3), pages 376-392, September.
    11. Francesca Guerriero & Rosita Guido, 2011. "Operational research in the management of the operating theatre: a survey," Health Care Management Science, Springer, vol. 14(1), pages 89-114, March.

    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. Mielczarek, Bożena, 2014. "Simulation modelling for contracting hospital emergency services at the regional level," European Journal of Operational Research, Elsevier, vol. 235(1), pages 287-299.
    2. Michael Samudra & Carla Van Riet & Erik Demeulemeester & Brecht Cardoen & Nancy Vansteenkiste & Frank E. Rademakers, 2016. "Scheduling operating rooms: achievements, challenges and pitfalls," Journal of Scheduling, Springer, vol. 19(5), pages 493-525, October.
    3. Cardoen, Brecht & Demeulemeester, Erik & Beliën, Jeroen, 2010. "Operating room planning and scheduling: A literature review," European Journal of Operational Research, Elsevier, vol. 201(3), pages 921-932, March.
    4. Mahdavi, Mahdi & Malmström, Tomi & van de Klundert, Joris & Elkhuizen, Sylvia & Vissers, Jan, 2013. "Generic operational models in health service operations management: A systematic review," Socio-Economic Planning Sciences, Elsevier, vol. 47(4), pages 271-280.
    5. T Eldabi & R J Paul & T Young, 2007. "Simulation modelling in healthcare: reviewing legacies and investigating futures," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(2), pages 262-270, February.
    6. Thomas Rohleder & Peter Lewkonia & Diane Bischak & Paul Duffy & Rosa Hendijani, 2011. "Using simulation modeling to improve patient flow at an outpatient orthopedic clinic," Health Care Management Science, Springer, vol. 14(2), pages 135-145, June.
    7. Carter, Michael W. & Busby, Carolyn R., 2023. "How can operational research make a real difference in healthcare? Challenges of implementation," European Journal of Operational Research, Elsevier, vol. 306(3), pages 1059-1068.
    8. 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.
    9. Kim, Seung-Chul & Horowitz, Ira, 2002. "Scheduling hospital services: the efficacy of elective-surgery quotas," Omega, Elsevier, vol. 30(5), pages 335-346, October.
    10. 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.
    11. 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.
    12. 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.
    13. repec:ipg:wpaper:2013-014 is not listed on IDEAS
    14. Syam, Siddhartha S. & Côté, Murray J., 2010. "A location-allocation model for service providers with application to not-for-profit health care organizations," Omega, Elsevier, vol. 38(3-4), pages 157-166, June.
    15. 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.
    16. Steffen Heider & Jan Schoenfelder & Thomas Koperna & Jens O. Brunner, 2022. "Balancing control and autonomy in master surgery scheduling: Benefits of ICU quotas for recovery units," Health Care Management Science, Springer, vol. 25(2), pages 311-332, June.
    17. Ortiz-Barrios, Miguel & Arias-Fonseca, Sebastián & Ishizaka, Alessio & Barbati, Maria & Avendaño-Collante, Betty & Navarro-Jiménez, Eduardo, 2023. "Artificial intelligence and discrete-event simulation for capacity management of intensive care units during the Covid-19 pandemic: A case study," Journal of Business Research, Elsevier, vol. 160(C).
    18. Bohui Liang & Ayten Turkcan & Mehmet Erkan Ceyhan & Keith Stuart, 2015. "Improvement of chemotherapy patient flow and scheduling in an outpatient oncology clinic," International Journal of Production Research, Taylor & Francis Journals, vol. 53(24), pages 7177-7190, December.
    19. Mousazadeh, M. & Torabi, S. Ali & Pishvaee, M.S. & Abolhassani, F., 2018. "Accessible, stable, and equitable health service network redesign: A robust mixed possibilistic-flexible approach," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 111(C), pages 113-129.
    20. Rachuba, Sebastian & Imhoff, Lisa & Werners, Brigitte, 2022. "Tactical blueprints for surgical weeks – An integrated approach for operating rooms and intensive care units," European Journal of Operational Research, Elsevier, vol. 298(1), pages 243-260.
    21. Lixiang Jiang & Ronald Giachetti, 2008. "A queueing network model to analyze the impact of parallelization of care on patient cycle time," Health Care Management Science, Springer, vol. 11(3), pages 248-261, September.

    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:eee:jomega:v:37:y:2009:i:4:p:853-863. 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: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/375/description#description .

    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.