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A Decision Support Simulation Model for the Management of an Elective Surgery Waiting System

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Abstract

This paper describes the design of a simulation model to provide decision support for the scheduling of patients waiting for elective surgery in the public hospital system. Patients nominated for surgery by doctors are categorised by urgency and type of operation. The simulation model can be used as an operational tool to match hospital availability and patient need. It can also be used to report upon the performance of the system, and as a planning tool to compare the effectiveness of alternative policies in this multi-criteria decision environment.

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References

  1. A.Y. Asa, M.W. Carter and L.M. Nagle, A decision support system to meet the fluctuating needs of a hospital nursing unit, Medinfo 8(2) (1995) 1418.

    Google Scholar 

  2. P. Boothe and B.A. Finegan, Changing the admission process for elective surgery — an economic analysis, Canadian Journal of Anaesthesia 42(5) (1995) 391-394.

    Google Scholar 

  3. J. Coast, The role of economic-evaluation in setting priorities for elective surgery, Health Policy 24(3) (1993) 243-257.

    Google Scholar 

  4. B. Diamond and S. Lamperti, Extend™: Simulation Software for the Next Millennium (Imagine That Inc., San José, 1997).

    Google Scholar 

  5. Y. Gerchak, D. Gupta and M. Henig, Reservation planning for elective surgery under uncertain demand for emergency-surgery, Management Science 42(3) (1996) 321-334.

    Google Scholar 

  6. A. Gissel and P. Knauth, Knowledge-based support for the participatory design and implementation of shift systems, Scandinavian Journal of Work, Environment & Health 24(3) (1998) 88-95.

    Google Scholar 

  7. Glan Clwyd Trust, Patients' Charter Standards, URL http://www. glanclwyd.demon.co.uk/charter.htm (1997).

  8. F. Hashimoto and S. Bell, Improving outpatient clinic staffing and scheduling with computer simulation, Journal of General Internal Medicine 11(3) (1996) 182-184.

    Google Scholar 

  9. Health Services Utilization and Research Commission of Saskatchewan, Elective surgery prioritization, URL http://www.sdh.sk.ca/ hsurc/elective.htm (1997).

  10. S. Kassicieh and H. Smith, Using computer systems for improved scheduling, Healthcare Informatics 9(5) (1992) 62-68.

    Google Scholar 

  11. K.H. Lamden and A.J. Sudell, Access to elective surgery at electoral ward level — the impact of the private-sector, Journal of Public Health Medicine 17(1) (1995) 63-64.

    Google Scholar 

  12. A.R. Mahachek, An introduction to patient flow simulation for healthcare managers, Journal of the Society for Health Systems 3(3) (1992) 73-81.

    Google Scholar 

  13. G. Malone, NHS waiting times falling year after year says health minister, URL http://www.twoten.press.net/stories/96/08/22/headlines/ HEALTH NHS Waiting.html (1996).

  14. M. Myllykangas, O.P. Ryynanen, J. Kinnunen and J. Takala, Attitudes to cuts in expenditure and increased fees in health-care, Public Health 111(2) (1997) 71-75.

    Google Scholar 

  15. National Coding Centre, Procedure Classification ICD-9-CM (Faculty of Health Sciences, University of Sydney, Australia, 1996).

    Google Scholar 

  16. Queensland State Government, Surgery on time program, URL http: //www.qld.gov.au/html/yourqld/healthy/lists.html (1996).

  17. C. Ramsay and M. Walker, Waiting your Turn: Hospital Waiting Lists in Canada, 6th Ed. (Fraser Institute, Vancouver, 1996).

    Google Scholar 

  18. G.T. Reardon, S. Blumenfield, A.L. Weissman and G. Rosenberg, Findings and implications from preadmission screening of elderly patients waiting for elective surgery, Social Work in Health Care 13(3) (1988) 51-63.

    Google Scholar 

  19. R.C. Reiter, J.B. Lench and J.C. Gambone, Consumer advocacy, elective surgery, and the golden era of medicine, Obstetrics and Gynaecology 74(5) (1989) 815-817.

    Google Scholar 

  20. M. Ryan, E. McIntosh, T. Dean and P. Old, Trade-offs between location and waiting times in the provision of health care: the case of elective surgery on the Isle of Wight, Journal of Public Health Medicine 22(2) (2000) 202-210.

    Google Scholar 

  21. O.P. Ryynanen, M. Myllykangas, J. Kinnunen and J. Takala, Doctors willingness to refer elderly patients for elective surgery, Family Practice 14(3) (1997) 216-219.

    Google Scholar 

  22. D. Scipione, V. Zavadsky, X. Dong, L. Scipione, F. Sullivan, T. Betlach, C. Coker, J. Scipione, J. Cook, P. Scipione et al., Optimizing staff scheduling by Monte-Carlo simulation, in: Proceedings of the Annual Symposium on Computer Application in Medical Care (1992) pp. 678-681.

  23. South Australian State Government, 20 000 extra admissions to SA's hospitals over the past 2 years, URL http://dino.slsa.sa.gov.au/sagov/ media/2805961b.htm (1996).

  24. Sydney Morning Herald, Carr pledges $80m funding boost for hospitals, URL http://www.smh.com.au/daily/content/970520/national (1997).

  25. Sydney Morning Herald, Hospital staff ban corridor treatment in new beds, URL http://www.smh.com.au/daily/content/970719/pageone (1997).

  26. Sydney Morning Herald, Waiting list pressure builds on hospitals, March 12, URL http://www.smh.com.au/daily/content/970312/ pageone (1997).

  27. Victoria State Government (1997a) Public Hospitals Policy and Funding Guidelines 1997–1998, URL http://hna.ffh.vic.gov.au/ahs/as/ap31. htm (1997).

  28. Victoria State Government, Evaluation of the Hospital in the Home Program, URL http://hna.ffh.vic.gov.au/ahs/hsr/0397/0397f11.htm (1997).

  29. Victoria State Government, Hospital Services Report: Access To Elective Surgery, URL http://hna.ffh.vic.gov.au/ahs/hsr/0697/0697t64.htm (1997).

  30. L.M. Wallace, Informed consent to elective surgery â€" the therapeutic value, Social Science & Medicine 22(1) (1986) 29-33.

    Google Scholar 

  31. West Australian, Red faces over PMH waiting list, April 11 (1998) 7.

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Everett, J. A Decision Support Simulation Model for the Management of an Elective Surgery Waiting System. Health Care Management Science 5, 89–95 (2002). https://doi.org/10.1023/A:1014468613635

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