 Health economic modeling to support surgery management at a Swedish hospitalMarie Persson and Jan A. Persson Omega, 2009, vol. 37, issue 4, 853-863 Abstract: Elective surgery management typically deals with a queue of patients that have to be scheduled for surgery within a certain time frame, considering both medical and economic constraints. In order to prevent the patient queue and waiting times from growing, surgery management has to decide whether to temporarily increase patient throughput at the regional hospital or have some patients scheduled for surgery at another hospital. In Sweden, a newly passed law states that patients who decide to receive surgery should not have to wait more than 90 days before this surgery is carried out. Therefore, if a patient decides to apply the new law by requesting surgery within 90 days, the regional hospital is obliged to arrange and pay for either in-house surgery or surgery at another hospital. In this paper, we suggest an approach using simulation including optimization for modeling surgery management decisions. We study a case based on data from a General Surgery Department at a Swedish hospital and present our results as a health economic evaluation. The results indicate an increase in the mean waiting times for medium prioritized patients when the new law is applied. Keywords: Simulation; Optimization; Health; service; Scheduling; Management (search for similar items in EconPapers) Downloads: (external link) Related works: Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text Persistent link: https://EconPapers.repec.org/RePEc:eee:jomega:v:37:y:2009:i:4:p:853-863 Ordering information: This journal article can be ordered from Access Statistics for this article Omega is currently edited by B. Lev More articles in Omega from Elsevier |
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