IDEAS home Printed from https://ideas.repec.org/a/pal/jorsoc/v58y2007i12d10.1057_palgrave.jors.2602315.html
   My bibliography  Save this article

A multi-objective model to determine efficient resource levels in a medical assessment unit

Author

Listed:
  • J P Oddoye

    (University of Portsmouth)

  • M A Yaghoobi

    (University of Kerman)

  • M Tamiz

    (University of Portsmouth)

  • D F Jones

    (University of Portsmouth)

  • P Schmidt

    (Queen Alexandra Hospital)

Abstract

This paper details models that determine the efficient allocation of resources on a medical assessment unit (MAU) of a general hospital belonging to the National Health Service (NHS) UK. The MAU was established to improve the quality of care given to acute medical patients on admission, and also provide the organizational means of rapid assessment and investigation in order to avoid unnecessary admissions. To analyse the performance of the MAU, doctors, nurses and beds are considered as the three main resources. Then a model is developed using the goal programming approach in multiobjective decision making and solved to deal with MAU performance. The developed model is solved under three different sets of patient admissions with the same resource levels using past data from the MAU. The results of the model are used to analyse the needed resource levels. Conclusions as to the appropriate staffing levels and functions of the MAU are drawn.

Suggested Citation

  • J P Oddoye & M A Yaghoobi & M Tamiz & D F Jones & P Schmidt, 2007. "A multi-objective model to determine efficient resource levels in a medical assessment unit," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(12), pages 1563-1573, December.
    • Handle: RePEc:pal:jorsoc:v:58:y:2007:i:12:d:10.1057_palgrave.jors.2602315
    DOI: 10.1057/palgrave.jors.2602315
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1057/palgrave.jors.2602315
    File Function: Abstract
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1057/palgrave.jors.2602315?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    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. A. Charnes & W. W. Cooper & R. O. Ferguson, 1955. "Optimal Estimation of Executive Compensation by Linear Programming," Management Science, INFORMS, vol. 1(2), pages 138-151, January.
    2. 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.
    3. Dowsland, Kathryn A., 1998. "Nurse scheduling with tabu search and strategic oscillation," European Journal of Operational Research, Elsevier, vol. 106(2-3), pages 393-407, April.
    4. Jones, D. F. & Tamiz, M., 1995. "Expanding the flexibility of goal programming via preference modelling techniques," Omega, Elsevier, vol. 23(1), pages 41-48, February.
    5. D C Lane & C Monefeldt & J V Rosenhead, 2000. "Looking in the wrong place for healthcare improvements: A system dynamics study of an accident and emergency department," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 51(5), pages 518-531, May.
    6. P R Harper & A K Shahani, 2002. "Modelling for the planning and management of bed capacities in hospitals," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 53(1), pages 11-18, January.
    7. C Vasilakis & A H Marshall, 2005. "Modelling nationwide hospital length of stay: opening the black box," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 56(7), pages 862-869, July.
    8. J D Griffiths & N Price-Lloyd & M Smithies & J E Williams, 2005. "Modelling the requirement for supplementary nurses in an intensive care unit," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 56(2), pages 126-133, February.
    9. J Lovegrove & C Sherlaw-Johnson & O Valencia & T Treasure & S Gallivan, 1999. "Monitoring the performance of cardiac surgeons," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 50(7), pages 684-689, July.
    10. S C K Chu & M P P Ho & K K Y Lee & H P Lo, 2000. "Nurses allocation models for maternal and child health services," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 51(10), pages 1193-1204, October.
    11. Steffen Flessa, 2000. "Where efficiency saves lives: A linear programme for the optimal allocation of health care resources in developing countries," Health Care Management Science, Springer, vol. 3(3), pages 249-267, June.
    12. 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.
    13. Flessa, Steffen, 2003. "Priorities and allocation of health care resources in developing countries: A case-study from the Mtwara region, Tanzania," European Journal of Operational Research, Elsevier, vol. 150(1), pages 67-80, October.
    14. M Arenas & A Bilbao & R Caballero & T Gómez & M V Rodríguez & F Ruiz, 2002. "Analysis via goal programming of the minimum achievable stay in surgical waiting lists," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 53(4), pages 387-396, April.
    15. Tamiz, Mehrdad & Jones, Dylan & Romero, Carlos, 1998. "Goal programming for decision making: An overview of the current state-of-the-art," European Journal of Operational Research, Elsevier, vol. 111(3), pages 569-581, December.
    16. S-U Rahman & D K Smith, 1999. "Deployment of rural health facilities in a developing country," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 50(9), pages 892-902, September.
    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. Emily Zhu & Beste Kucukyazici & Yasmina Maizi, 2020. "Designing Observation Units for Heart Failure Patients: Capacity and Patient Flow Considerations," Service Science, INFORMS, vol. 12(1), pages 8-25, March.
    2. 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.
    3. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2016. "Moving towards an equitable long-term care network: A multi-objective and multi-period planning approach," Omega, Elsevier, vol. 58(C), pages 69-85.
    4. X Li & P Beullens & D Jones & M Tamiz, 2009. "An integrated queuing and multi-objective bed allocation model with application to a hospital in China," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 60(3), pages 330-338, March.
    5. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2015. "An integrated approach for planning a long-term care network with uncertainty, strategic policy and equity considerations," European Journal of Operational Research, Elsevier, vol. 247(1), pages 321-334.
    6. 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.
    7. Bokhorst, Jos A.C. & van der Vaart, Taco, 2018. "Acute medical unit design – The impact of rearranged patient flows," Socio-Economic Planning Sciences, Elsevier, vol. 62(C), pages 75-83.

    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. 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.
    2. Chang, Ching-Ter, 2011. "Multi-choice goal programming with utility functions," European Journal of Operational Research, Elsevier, vol. 215(2), pages 439-445, December.
    3. P R Harper & N H Powell & J E Williams, 2010. "Modelling the size and skill-mix of hospital nursing teams," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 61(5), pages 768-779, May.
    4. Tom Rihm & Philipp Baumann, 2018. "Staff assignment with lexicographically ordered acceptance levels," Journal of Scheduling, Springer, vol. 21(2), pages 167-189, April.
    5. Şeyda Gür & Tamer Eren, 2018. "Scheduling and Planning in Service Systems with Goal Programming: Literature Review," Mathematics, MDPI, vol. 6(11), pages 1-16, November.
    6. Mathirajan, M. & Ramanathan, R., 2007. "A (0-1) goal programming model for scheduling the tour of a marketing executive," European Journal of Operational Research, Elsevier, vol. 179(2), pages 554-566, June.
    7. Cinzia Colapinto & Raja Jayaraman & Simone Marsiglio, 2017. "Multi-criteria decision analysis with goal programming in engineering, management and social sciences: a state-of-the art review," Annals of Operations Research, Springer, vol. 251(1), pages 7-40, April.
    8. N C Proudlove & S Black & A Fletcher, 2007. "OR and the challenge to improve the NHS: modelling for insight and improvement in in-patient flows," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(2), pages 145-158, February.
    9. D C Lane & E Husemann, 2008. "System dynamics mapping of acute patient flows," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 59(2), pages 213-224, February.
    10. J Aznar & F Guijarro, 2007. "Modelling aesthetic variables in the valuation of paintings: an interval goal programming approach," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(7), pages 957-963, July.
    11. Romero, Carlos, 2004. "A general structure of achievement function for a goal programming model," European Journal of Operational Research, Elsevier, vol. 153(3), pages 675-686, March.
    12. Hamalainen, Raimo P. & Mantysaari, Juha, 2002. "Dynamic multi-objective heating optimization," European Journal of Operational Research, Elsevier, vol. 142(1), pages 1-15, October.
    13. Demirci, Mehmet & Bettinger, Pete, 2015. "Using mixed integer multi-objective goal programming for stand tending block designation: A case study from Turkey," Forest Policy and Economics, Elsevier, vol. 55(C), pages 28-36.
    14. John Bowers, 2013. "Balancing operating theatre and bed capacity in a cardiothoracic centre," Health Care Management Science, Springer, vol. 16(3), pages 236-244, September.
    15. Tamiz, Mehrdad & Azmi, Rania A. & Jones, Dylan F., 2013. "On selecting portfolio of international mutual funds using goal programming with extended factors," European Journal of Operational Research, Elsevier, vol. 226(3), pages 560-576.
    16. X Li & P Beullens & D Jones & M Tamiz, 2009. "An integrated queuing and multi-objective bed allocation model with application to a hospital in China," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 60(3), pages 330-338, March.
    17. Stelios Rozakis & Alexandra Sintori & Konstantinos Tsiboukas, 2009. "Utility-derived Supply Function of Sheep Milk: The Case of Etoloakarnania, Greece," Working Papers 2009-11, Agricultural University of Athens, Department Of Agricultural Economics.
    18. Arben Asllani & Silvana Trimi, 2022. "COVID-19 vaccine distribution: exploring strategic alternatives for the greater good," Service Business, Springer;Pan-Pacific Business Association, vol. 16(3), pages 601-619, September.
    19. 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.
    20. van Calker, K.J. & Berentsen, P.B.M. & Giesen, G.W.J. & Huirne, R.B.M., 2008. "Maximising sustainability of Dutch dairy farming systems for different stakeholders: A modelling approach," Ecological Economics, Elsevier, vol. 65(2), pages 407-419, April.

    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:pal:jorsoc:v:58:y:2007:i:12:d:10.1057_palgrave.jors.2602315. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.palgrave-journals.com/ .

    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.