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Using OR to support the development of an integrated musculo-skeletal service

Author

Listed:
  • R B van der Meer

    (University of Strathclyde)

  • L A Rymaszewski

    (The Musculo-Skeletal Unit, Stobhill Hospital and Glasgow Royal Infirmary)

  • H Findlay

    (The Musculo-Skeletal Unit, Stobhill Hospital and Glasgow Royal Infirmary)

  • J Curran

    (University of Strathclyde)

Abstract

This paper discusses the question of how operational research in general, and discrete event simulation in particular, can help to meet management challenges in hospital-based orthopaedics medicine. It focuses on the reduction of waiting times for elective patients, both for a first outpatient appointment and for the subsequent commencement of in-patient treatment. The research is based on a series of projects carried out by students from the Department of Management Science, University Strathclyde in Stobhill Hospital and the Glasgow Royal Infirmary between 1999 and 2003. An increasingly detailed and complex simulation model was developed for the musculo-skeletal service provided by these hospitals. The paper discusses the application of a modelling methodology—based on the idea of requisite models evolving over time—that is participatory, iterative and focused on enhancing the clients' understanding of the main performance drivers of the service. It concludes that this methodology fits well with successful strategies to sustain reductions in waiting times.

Suggested Citation

  • 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.
    • Handle: RePEc:pal:jorsoc:v:56:y:2005:i:2:d:10.1057_palgrave.jors.2601893
    DOI: 10.1057/palgrave.jors.2601893
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    References listed on IDEAS

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    1. J Bowers & G Mould, 2002. "Concentration and the variability of orthopaedic demand," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 53(2), pages 203-210, February.
    2. Jones, Lyn M. & Hirst, Andrew J., 1987. "Visual simulation in hospitals: A managerial or a political tool?," European Journal of Operational Research, Elsevier, vol. 29(2), pages 167-177, May.
    3. 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.
    4. Davies, R & Davies, HTO, 1994. "Modelling patient flows and resource provision in health systems," Omega, Elsevier, vol. 22(2), pages 123-131, March.
    5. B Lehaney & S A Clarke & R J Paul, 1999. "A case of an intervention in an outpatients department," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 50(9), pages 877-891, September.
    6. Davies, Huw T. O. & Davies, Ruth, 1995. "Simulating health systems: modelling problems and software solutions," European Journal of Operational Research, Elsevier, vol. 87(1), pages 35-44, November.
    7. 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.
    8. Rauner, M. S. & Vissers, J. M. H., 2003. "OR applied to health services: Planning for the future with scarce resources," European Journal of Operational Research, Elsevier, vol. 150(1), pages 1-2, October.
    9. Delesie, Luc, 1998. "Bridging the gap between clinicians and health managers," European Journal of Operational Research, Elsevier, vol. 105(2), pages 248-256, March.
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    Cited by:

    1. 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.
    2. R Sachdeva & T Williams & J Quigley, 2007. "Mixing methodologies to enhance the implementation of healthcare operational research," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(2), pages 159-167, February.

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