Hospital volume allocation: integrating decision maker and patient perspectives
Autor: | Erica Pastore, Elisabetta Listorti, Arianna Alfieri |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: |
media_common.quotation_subject
Decision Making Psychological intervention DECISION MAKER Medicine (miscellaneous) VOLUME OF ACTIVITY Plan (drawing) HOSPITAL PLANNING Health informatics Outcome (game theory) Health administration ADJUSTED MORTALITY RATE PATIENTS Humans Operations management Quality (business) OPERATIONS RESEARCH media_common business.industry Perspective (graphical) Decision maker Hospitals ADJUSTED MORTALITY RATE DECISION MAKER HOSPITAL PLANNING OPERATIONS RESEARCH PATIENTS VOLUME OF ACTIVITY VOLUME–OUTCOME ASSOCIATION Italy Adjusted mortality rate Hospital planning Operations research Patients Volume of activity Volume–outcome association General Health Professions VOLUME–OUTCOME ASSOCIATION business Delivery of Health Care |
Popis: | Planning problems in healthcare systems have received greater attention in the last decade, especially because of the concerns recently raised about the scattering of surgical interventions among a wide number of different facilities that can undermine the quality of the outcome due to the volume-outcome association. In this paper, an approach to plan the amount of surgical interventions that a facility has to perform to assure a low adjusted mortality rate is proposed. The approach explicitly takes into account the existing interaction among patients’ choices and decision makers’ planning decisions. The first objective of the proposed approach is to find a solution able to reach quality in health outcomes and patients’ adherence. The second objective is to investigate the difference among solutions that are identified as optimal by either only one of the actors’ perspective, i.e., decision makers and patients, or by considering both the perspectives simultaneously. Following these objectives, the proposed approach is applied to a case study on Italian colon cancer interventions performed in 2014. Results confirm a variation in the hospital planned volumes when considering patients’ behaviour together with the policy maker plan, especially due to personal preferences and lack of information about hospital quality. |
Databáze: | OpenAIRE |
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