IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v30y2010i3p366-379.html
   My bibliography  Save this article

Implementing Regulation Policy in Brazilian Health Care Regulation Centers

Author

Listed:
  • Márcia Elizabeth Marinho da Silva

    (DATA SUS, Ministry of Health, Rio de Janeiro, Brazil)

  • Eduardo R. Santos

    (Escola de Administração, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil)

  • Denis Borenstein

    (Escola de Administração, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil, denisb@ea.ufrgs.br)

Abstract

The regulation of specialist medical appointments represents one of the problematic areas of the Brazilian Public Health System. In this regulation process, 2 issues stand out: 1) which patients should have the highest attendance priority, and 2) which service suppliers can best resolve the specific health problem of a patient? Based on the consideration of the existing Brazilian context in the field of medical assistance, this study proposes a model designed to aid regulation centers deal with the decisions related to the process of allocating specialist medical appointments. The model integrates multicriteria decision analysis and linear programming for the specialist medical appointment allocation, in which the allocation of patients is defined as a function of the relative significance of a set of criteria related to the notion of effectiveness of the specialist medical care and the capability of the accredited specialist health care units. The integrated model was implemented in a computer-based system and validated using cardiology and vein surgery data from the regulation center in Porto Alegre, Brazil. The validated computational system was applied to mammography services in another regulation center. The system successfully implemented a prioritization scheme, decreasing significantly the examination waiting time of severe cases.

Suggested Citation

  • Márcia Elizabeth Marinho da Silva & Eduardo R. Santos & Denis Borenstein, 2010. "Implementing Regulation Policy in Brazilian Health Care Regulation Centers," Medical Decision Making, , vol. 30(3), pages 366-379, May.
    • Handle: RePEc:sae:medema:v:30:y:2010:i:3:p:366-379
    DOI: 10.1177/0272989X09344748
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X09344748
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X09344748?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
    ---><---

    References listed on IDEAS

    as
    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. Ralph L. Keeney & Kelly E. See & Detlof von Winterfeldt, 2006. "Evaluating Academic Programs: With Applications to U.S. Graduate Decision Science Programs," Operations Research, INFORMS, vol. 54(5), pages 813-828, October.
    Full references (including those not matched with items on IDEAS)

    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. G.J. Melman & A.K. Parlikad & E.A.B. Cameron, 2021. "Balancing scarce hospital resources during the COVID-19 pandemic using discrete-event simulation," Health Care Management Science, Springer, vol. 24(2), pages 356-374, June.
    2. Sung-Shun Weng & Yang Liu & Yen-Ching Chuang, 2019. "Reform of Chinese Universities in the Context of Sustainable Development: Teacher Evaluation and Improvement Based on Hybrid Multiple Criteria Decision-Making Model," Sustainability, MDPI, vol. 11(19), pages 1-23, October.
    3. 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.
    4. van Oostrum, J.M. & Parlevliet, T. & Wagelmans, A.P.M. & Kazemier, G., 2008. "A method for clustering surgical cases to allow master surgical scheduling," Econometric Institute Research Papers EI 2008-26, Erasmus University Rotterdam, Erasmus School of Economics (ESE), Econometric Institute.
    5. Roger Chapman Burk & Richard M. Nehring, 2023. "An Empirical Comparison of Rank-Based Surrogate Weights in Additive Multiattribute Decision Analysis," Decision Analysis, INFORMS, vol. 20(1), pages 55-72, March.
    6. Aisha Tayyab & Saif Ullah & Mohammed Fazle Baki, 2023. "An Outer Approximation Method for Scheduling Elective Surgeries with Sequence Dependent Setup Times to Multiple Operating Rooms," Mathematics, MDPI, vol. 11(11), pages 1-15, May.
    7. 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.
    8. Wang, Derek D., 2019. "Performance-based resource allocation for higher education institutions in China," Socio-Economic Planning Sciences, Elsevier, vol. 65(C), pages 66-75.
    9. Zhang, Ganggang & Wu, Jie & Zhu, Qingyuan, 2020. "Performance evaluation and enrollment quota allocation for higher education institutions in China," Evaluation and Program Planning, Elsevier, vol. 81(C).
    10. 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.
    11. Kumar, Ashwani & Costa, Alysson M. & Fackrell, Mark & Taylor, Peter G., 2018. "A sequential stochastic mixed integer programming model for tactical master surgery scheduling," European Journal of Operational Research, Elsevier, vol. 270(2), pages 734-746.
    12. Belií«n, Jeroen & Demeulemeester, Erik, 2008. "A branch-and-price approach for integrating nurse and surgery scheduling," European Journal of Operational Research, Elsevier, vol. 189(3), pages 652-668, September.
    13. Burdett, Robert L & Corry, Paul & Yarlagadda, Prasad & Cook, David & Birgan, Sean & McPhail, Steven M, 2023. "A mathematical framework for regional hospital case mix planning and capacity appraisal," Operations Research Perspectives, Elsevier, vol. 10(C).
    14. 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.
    15. Laure Cabantous & Jean-Pascal Gond, 2011. "Rational Decision Making as Performative Praxis: Explaining Rationality's Éternel Retour," Organization Science, INFORMS, vol. 22(3), pages 573-586, June.
    16. Paola Cappanera & Filippo Visintin & Carlo Banditori, 2018. "Addressing conflicting stakeholders’ priorities in surgical scheduling by goal programming," Flexible Services and Manufacturing Journal, Springer, vol. 30(1), pages 252-271, June.
    17. 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.
    18. Angela Testi & Elena Tànfani, 2009. "Tactical and operational decisions for operating room planning: Efficiency and welfare implications," Health Care Management Science, Springer, vol. 12(4), pages 363-373, December.
    19. Fainman, Emily Zhu & Kucukyazici, Beste, 2020. "Design of financial incentives and payment schemes in healthcare systems: A review," Socio-Economic Planning Sciences, Elsevier, vol. 72(C).
    20. E. Demeulemeester & W. Sermeus & J. Beliën & B. Cardoen, 2007. "Clinical pathways and operations management. It takes two to tango," Review of Business and Economic Literature, KU Leuven, Faculty of Economics and Business (FEB), Review of Business and Economic Literature, vol. 0(3), pages 451-470.

    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:sae:medema:v:30:y:2010:i:3:p:366-379. 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: SAGE Publications (email available below). General contact details of provider: .

    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.