System Dynamic Modelling of Patient Flow and Transferral Problem in a Mixed Public-Private Healthcare System: A Case Study of Hong Kong SAR
| Autor: | Carman K. M. Lee, W.C. Tai, K. K. H. Ng |
|---|---|
| Přispěvatelé: | School of Mechanical and Aerospace Engineering |
| Rok vydání: | 2020 |
| Předmět: |
021103 operations research
Scenario Analysis business.industry 0211 other engineering and technologies 02 engineering and technology Dynamic modelling Patient flow InformationSystems_GENERAL Industrial engineering [Engineering] Control and Systems Engineering General partnership Workforce Sustainability System Dynamic Models 0202 electrical engineering electronic engineering information engineering 020201 artificial intelligence & image processing Private healthcare Operations management Scenario analysis Human resources business Information Systems |
| Zdroj: | Journal of Systems Science and Systems Engineering. 29:590-608 |
| ISSN: | 1861-9576 1004-3756 |
| DOI: | 10.1007/s11518-019-5454-4 |
| Popis: | The current healthcare system in Hong Kong is experiencing pressure due to constrained resources, with dramatic increases in inpatient services queue lengths, dissatisfaction with the working environment, unacceptable workforce arrangements and high turnover rate of hospital staff. To maintain the robustness of the healthcare system and a sustainable inpatients flow, the Food and Health Bureau launched a public-private partnership programme to utilise the resources of the public and private hospitals. This research investigates the potential for extension of the programme and further enhancing the sustainability of the long-term inpatient services under a mixed public-private healthcare policy via system dynamic modelling. The findings show that an increase of human resources in public hospitals does not substantially improve inpatient flow rate performance. Further, the results from the system dynamic approach provide insights into the expansion of the service areas of the programme and suggest increasing the number of referrals to private hospitals. Nanyang Technological University The research was supported by the Hong Kong Polytechnic University, Hong Kong and Nanyang Technological University, Singapore. Our gratitude is also extended to the Research Committee and the Department of Industrial and Systems Engineering of the Hong Kong Polytechnic University for supporting this project (G-UA7X). |
| Databáze: | OpenAIRE |
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