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Surgical block scheduling in a system of hospitals: an application to resource and wait list management in a British Columbia health authority

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  • Pablo Santibáñez
  • Mehmet Begen
  • Derek Atkins

Abstract

Scheduling surgical specialties in a medical facility is a very complex process. The choice of schedules and resource availability impact directly on the number of patients treated by specialty, cancellations, wait times, and the overall performance of the system. In this paper we present a system-wide model developed to allow management to explore trade-offs between OR availability, bed capacity, surgeons’ booking privileges, and wait lists. We developed a mixed integer programming model to schedule surgical blocks for each specialty into ORs and applied it to the hospitals in a British Columbia Health Authority, considering OR time availability and post-surgical resource constraints. The results offer promising insights into resource optimization and wait list management, showing that without increasing post-surgical resources hospitals could handle more cases by scheduling specialties differently. Copyright Springer Science+Business Media, LLC 2007

Suggested Citation

  • Pablo Santibáñez & Mehmet Begen & Derek Atkins, 2007. "Surgical block scheduling in a system of hospitals: an application to resource and wait list management in a British Columbia health authority," Health Care Management Science, Springer, vol. 10(3), pages 269-282, September.
    • Handle: RePEc:kap:hcarem:v:10:y:2007:i:3:p:269-282
    DOI: 10.1007/s10729-007-9019-6
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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.
    2. Guinet, Alain & Chaabane, Sondes, 2003. "Operating theatre planning," International Journal of Production Economics, Elsevier, vol. 85(1), pages 69-81, July.
    3. John T. Blake & Joan Donald, 2002. "Mount Sinai Hospital Uses Integer Programming to Allocate Operating Room Time," Interfaces, INFORMS, vol. 32(2), pages 63-73, April.
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