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2013 | OriginalPaper | Buchkapitel

1. Improving Access to Healthcare: Models of Adaptive Behavior

verfasst von : Carri W. Chan, Linda V. Green

Erschienen in: Handbook of Healthcare Operations Management

Verlag: Springer New York

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Abstract

Patient access to healthcare is a major problem area due to inadequate supplies and misallocation of resources including physicians, nurses, and hospital beds. Increasing patient demands due to an aging and more chronically ill population will exacerbate this situation, leading to longer delays for care, hurried treatment times, and adverse clinical outcomes. Though there is a significant operations literature focused on methods to mitigate these effects, suggested remedies may be ineffective due to adaptive behavior by both physicians and patients. This chapter will focus on the quantification and impact of such adaptive behavior on the ability to provide timely patient access to limited health services.

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Nächstes Kapitel Queueing Models for Healthcare Operations

Baker DW, Stevens CD, Brook RH (1991) Patients who leave a public hospital emergency department without being seen by a physician. Causes and consequences. JAMA 266: 1085–1090CrossRef

Bendoly E, Donohue K, Schultz KL (2006) Behavior in operations management: Assessing recent findings and revisiting old assumptions. J Oper Manag 24(6):737–752CrossRef

Bertsekas DP (2005) Dynamic programming and optimal control. Athena Scientific, Nashua, NH

Boudreau J, Hopp W, McClain JO, Thomas LJ (2003) On the interface between operations and human resource management. MSOM 5:179–202CrossRef

Buist MD, Moore GE, Bernard SA, Waxman BP, Anderson JN, Nguyen TV (2002) Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: Preliminary study. Br Med J 324:387–390CrossRef

Burt CW, Schappert SM (2004) Ambulatory care visits to physician offices, hospital outpatient departments, and emergency departments: United States, 1999–2000. Vital Health Stat 13(157):1–70

Cardoen B, Demeulemeester E, Belien J (2009) Operating room planning and scheduling: A literature review. Eur J Oper Res 201:921–932CrossRef

Chagaturu S, Vallabhaneni S (2005) Aiding and abetting - nursing crises at home and abroad. New Engl J Med 353(17):1761–1763CrossRef

Chalfin DB, Trzeciak S, Likourezos A, Baumann BM, Dellinger RP (2007) Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Crit Care Med 35:1477–1483CrossRef

Chan CW, Farias VF, Bambos N, Escobar G (2011) Maximizing throughput of hospital intensive care units with patient readmissions. Working Paper, Columbia Business School

Chan PS, Krumholz HM, Nichol G, Nallamothu BK (2008) Delayed time to defibrillation after in-hospital cardiac arrest. New Engl J Med 358(1):9–17CrossRef

Committee on the Future of Emergency Care in the United States (2007) Emergency medical services at the crossroads. The National Academies Press, Washington, DC

Cooper R, Getzen T, McKee H, Laud P (2002) Economic and demographic trends signal an impending physician shortage. Health Aff 21(1):140–154CrossRef

Denton BT, Miller AJ, Balasubramanian HJ, Huschka TR (2010) Optimal allocation of surgery blocks to operating rooms under uncertainty. Oper Res 58(4):802–816CrossRef

Derlet R, Richards J (2000) Overcrowding in the nations emergency departments: Complex causes and disturbing effects. Ann Emerg Med 35:63–68CrossRef

De Luca G, Suryapranata H, Ottervanger JP, Antman EM (2004) Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction: Every minute of delay counts. Circulation 109(10):1223–1225CrossRef

Dobson G, Lee H-H, Pinker E (2010) A model of ICU bumping. Oper Res 58:1564–1576CrossRef

Dobson G, Hasija S, Pinker EJ (2011) Reserving capacity for urgent patients in primary care. Prod Oper Manag 20(3):456–473CrossRef

Durbin CG, Kopel RF (1993) A case-control study of patients readmitted to the intensive care unit. Crit Care Med 21:1547–1553CrossRef

Fernandes CM, Price A, Christenson JM (1997) Does reduced length of stay decrease the number of emergency department patients who leave without seeing a physician? J Emerg Med 15: 397–399CrossRef

Galucci G, Swartz W, Hackerman F (2005) Impact of the wait for an initial appointment on the rate of kept appointments at a mental health center. Psychiatr Serv 56:344–346CrossRef

Green LV, Savin S (2008) Reducing delays for medical appointments: A queueing approach. Oper Res 56:1526–1538CrossRef

Green LV, Savin S, Savva N (2011) ‘Nursevendor problem’: Personnel staffing in the presence of endogenous Absenteeism. Working paper, Columbia Business School

Green RA, Wyer PC, Giglio J (2002) ED walkout rate correlated with ED length of stay but not with ED volume or hospital census [abstract]. Acad Emerg Med 9:514CrossRef

Kc D, Terwiesch C (2009) Impact of workload on service time and patient safety: An econometric analysis of hospital operations. Manag Sci 55:1486–1498CrossRef

Kc D, Terwiesch C (2012) An Econometric Analysis of Patient Flows in the Cardiac ICU. MSOM 14(1):50–65CrossRef

Kleinrock L (1975) Queueing systems, volume I: Theory. Wiley Interscience, New York

Kolker A (2008) Process modeling of emergency department patient flow: Effect of patient length of stay on ED diversion. J Med Syst 32:389–401CrossRef

Litvak E, Buerhaus PI, Davidoff F, Long MC, McManus ML, Berwick DM (2005) Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. Joint Comm J Qual Patient Saf 31:330–338

Liu N, Ziya S, Kulkarni V (2010) Dynamic scheduling of outpatient appointments under patient no-shows and cancellations. MSOM 12:347–364CrossRef

McManus ML, Long MC, Cooper A, Mandell J, Berwick DM, Pagano M, Litvak E (2003) Variability in surgical caseload and access to intensive care services. Anesthesiology 98: 1491–1496CrossRef

Merritt J, Hawkins J, Miller PB (2004) Will the last physician in America please turn off the lights? A look at America’s looming doctor shortage. Technical report, Practice Support Resources, Inc., Irving, TX

Moore CG, Wilson-Witherspoon P, Probst JC (2001) Time and money: Effects of no-shows at a family practice residency clinic. Fam Med 33:522–527

Murray M, Berwick DM (2003) Advance access: Reducing waiting and delays in primary care. J Am Med Assoc 289:1035–1039CrossRef

Poon EG, Gandhi TK, Sequist TD, Murff HJ, Karson AS, Bates DW (2004) ‘I wish i had seen this test result earlier!’: Dissatisfaction With test result management systems in primary care. Arch Intern Med 164:2223–2228CrossRef

Price C, Golden B, Harrington M, Konewko R, Wasil E, Herring W (2011) Reducing boarding in a post-anesthesia care unit. Production and Operations Management 20(3):431–441CrossRef

Renaud B, Santin A, Coma E, Camus N, Van Pelt D, Hayon J, Gurgui M, Roupie E, Hervé J, Fine MJ, Brun-Buisson C, Labarère J (2009) Association between timing of intensive care unit admission and outcomes for emergency department patients with community-acquired pneumonia. Crit Care Med 37(11):2867–2874CrossRef

Rincon F, Mayer SA, Rivolta J, Stillman J, Boden-Albala B, Elkind MSV, Marshall R, Chong JY (2010) Impact of delayed transfer of critically ill stroke patients from the emergency department to the neuro-ICU. Neurocrit Care 13:75–81CrossRef

Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. New Engl J Med 345(19):1368–1377CrossRef

Salsberg ES, Forte GJ (2002) Trends in the physician workforce, 1980–2000. Health Aff 21: 165–173CrossRef

Strunk BC, Cunningham PJ (2002) Treading water: Americans access to needed medical care, Report, 1997–2001. Center for Studying Health System Change, Washington, DC

Swenson MD (1992) Scarcity in the intensive care unit: Principles of justice for rationing ICU beds. Am J Med 92:552–555CrossRef

Wilper AP, Woolhandler S, Lasser KE, McCormick D, Cutrona SL, Bor DH, Himmelstein DU (2008) Waits to see an emergency department physician: U.S. trends and predictors, 1997–2004. Health Aff 27:w84–w95CrossRef

Wooldridge JM (2002) Econometric analysis of cross section and panel data. MIT, Cambridge

Yankovic N (2009) Models for assessing the impact of resource allocation in hospitals. PhD thesis, Columbia Business School

Yankovic N, Glied S, Green LV, Grams M (2010) The Impact of Ambulance Diversion on Heart Attack Deaths. Inquiry. 47(1):81–91CrossRef

Titel: Improving Access to Healthcare: Models of Adaptive Behavior
verfasst von: Carri W. Chan
Linda V. Green
Verlag: Springer New York
Buch: Handbook of Healthcare Operations Management
Print ISBN: 978-1-4614-5884-5

Electronic ISBN: 978-1-4614-5885-2

Copyright-Jahr: 2013
DOI: https://doi.org/10.1007/978-1-4614-5885-2_1