Relevant bibliographies by topics / Operational research on health services

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
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  6. Reports

Academic literature on the topic 'Operational research on health services'

Author: Grafiati
Published: 4 June 2021
Last updated: 8 February 2022

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Journal articles on the topic "Operational research on health services"

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Flagle, Charles D. "OPERATIONAL RESEARCH IN THE HEALTH SERVICES." Annals of the New York Academy of Sciences 107, no. 2 (December 15, 2006): 748–59. http://dx.doi.org/10.1111/j.1749-6632.1963.tb13318.x.

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Dexter, Franklin, Eric Marcon, and Xiaolan Xie. "Operational research applied to health services 2007 special issue." Health Care Management Science 12, no. 2 (February 21, 2009): 117–18. http://dx.doi.org/10.1007/s10729-009-9102-2.

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Peltokorpi, Antti, Juri Matinheikki, Jere Lehtinen, and Risto Rajala. "Revisiting the unholy alliance of health-care operations: payor–provider integration of occupational health services." International Journal of Operations & Production Management 40, no. 4 (April 6, 2020): 357–87. http://dx.doi.org/10.1108/ijopm-04-2019-0326.

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PurposeTo investigate the effects of payor–provider integration on the operational performance of health service provision. The research explores whether integration governs agency problems and tilts the incentives of diverse actors toward more systematic outcomes.Design/methodology/approachA two stage multimethod case study of occupational health services. A qualitative stage aimed to understand the reasons, mechanisms, and outcomes of payor–provider integration. A quantitative stage evaluated the performance of the integrated hospital against fee-for-service partner hospitals with a sample of 2,726 patients.FindingsPayor–provider integration mitigates agency problems on multiple levels of the service system by complementing formal governance mechanisms with informal mechanisms. Compared to partner hospitals, the integrated hospital yielded 9% lower the total costs of occupational injuries achieved primarily by emphasizing conservative care and faster recovery.Research limitations/implicationsFocuses on occupational health services in Finland. Provides initial evidence of the effects of payor–provider integration on the operational performance.Practical implicationsVertical integration may provide systematic outcomes but requires mindful implementation of multiple mechanisms. Rigorous change management initiative is advised.Social implicationsFor patients, the research shows payor–provider integration of health services can be implemented in a manner that it reduces care costs while not compromising care quality and customer satisfaction.Originality/valueThis study provides a rare longitudinal analysis of payor–provider integration in health-care operations management. The study adds to the knowledge of operational performance improvement of health services.
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Nafi’ah, Zumrotun, and Sri Wiranti Setiyanti. "PENGARUH AUDIT OPERASIONAL DAN PENGENDALIAN INTERNAL TERHADAP EFEKTIVITAS PELAYANAN KESEHATAN PADA RUMAH SAKIT UMUM FASTABIQ SEHAT PKU MUHAMMADIYAH PATI." Fokus Ekonomi : Jurnal Ilmiah Ekonomi 13, no. 2 (December 20, 2018): 358–68. http://dx.doi.org/10.34152/fe.13.2.358-368.

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The hospital is a health institution engaged in the field of services that are required to create good health services in operational services. In creating good service, research is needed. This study aims to determine (1) the influence of Operational Audit on the Effectiveness of Health Services at the Hospital (2) the influence of Internal Control on the Effectiveness of Health Services at the Hospital (3) Pengauh Audit Operational and Internal Control on Health Services Effectiveness at the Hospital.The selected population is all employees at RSU Fastabiq Sehat PKU Muhammadiyah Pati which amounted to 200 people. Sampling technique using purposive sampling technique with sample amounted to 90 people. Variabe in this research is operational audit, internal control, and effectiveness of health service. Data collection techniques through questionnaires. Data analysis methods include analytical prerequisite test and hypothesis test. Prerequisite test analysis includes linearity test, multicollinearity test and heteroscedasticity test. Hypothesis test in this research using multiple regression analysis, coefficient of determination, partial test (t test) and simultaneous test (F test).Considering the multiple linear regression model, Y = 6,229 + 0,237X1 + 0,594 X2. The results of this study indicate that the Operational Audit and Internal Control there is a positive and significant influence on the Effectiveness of Health Services at the Hospital.Based on the results of the study, it is recommended that Fastabiq Health Hospital PKU Muhammadiyah Pati should add a good medical tool so that the services provided to be more effective. As well as Accounting and Management Information Systems owned by the hospital should be developed better again to improve internal control of the hospital, so as to improve the effectiveness of health services at the hospital.
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Pay, Dece Mery Natalia, Mindo Sinaga, and Marthen R. Pelokilla. "Utilization of Health Operational Assistance (BOK) in Nutrition Services in Public Health Center." Jurnal Kesehatan Masyarakat 12, no. 2 (March 14, 2017): 313–22. http://dx.doi.org/10.15294/kemas.v12i2.6045.

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Since BOK was launched in 2010, BOK utilization rate continued to increase while the NTT provincial nutrition service coverage did not increase, until 2013. This research aimed to analyze the relationship between the availability of operational funds, the availability of human resources, officers knowledge, infrastructure support, heads support and the appropriateness of fund utilization using BOK in nutritional services. This was a quantitative research which supported by a qualitative, cross-sectional design in 2015. The total sample of 250 health workers in 26 health centers of North Central Timor regency was included in this study. Data analysis was done using descriptive, bivariate and multivariate analyses. The results of the bivariate analysis using chi square test showed an association of (p <0.05) the availability of human resources (p = 0.017), officers knowledge (p = 0.000), infrastructure support (p = 0.004), heads support (p = 0.000) and the appropriateness of BOK fund utilization (p = 0.000) with the use of BOK in nutritional services. Meanwhile, the availability of operational funds is not associated with the use of BOK in nutritional services. Multivariate analysis showed that health centers with adequate human resources availability are seven times more likely to take advantage and make a good use of the nutritional services using BOK compared to health centers with the lack of human resources, after the infrastructure and head variable controlled. The government is required to provide adequate human resources, including financial administrative personnel and operational funding for health centers to optimize nutritional services. The government also needs to monitor the use of funds regularly and tiered to improve service coverage at the health center.
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Bawono, Bambang Tri. "LEGAL PROTECTION OF DOCTORS IN PROVIDING HEALTH SERVICES." International Journal of Law Reconstruction 4, no. 1 (April 30, 2020): 24. http://dx.doi.org/10.26532/ijlr.v4i1.9634.

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Cases of alleged malpractice committed by doctors or health workers have become an interesting issue that has been widely discussed by the public. Malpractice is basically due to the emergence of differences in perception between patients and doctors or health workers. The research method used in this study is library research, library research limits its activities to library collections. While the approach used in this study is normative juridical, the results of the study mentioned that the standards that must be met by doctors to obtain legal protection are professional standards, operational procedures standards, and medical service standards. These three standards, doctors are also obliged to make informed consent as part of health service standards, and carry out the obligations as contained in Article 51 of Law No. 29 of 2004 concerning Medical Practice. In addition, doctors can be free from allegations of medical malpractice when providing health services in accordance with professional standards and operational procedures, providing medical services based on informed consent and the principle of non-vit inura volenti law or the assumption of risk, respectable minority rules and error of in judgment, as well as contribution negligence.
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Banerji, Debabar. "The World Health Organization and Public Health Research and Practice in Tuberculosis in India." International Journal of Health Services 42, no. 2 (April 2012): 341–57. http://dx.doi.org/10.2190/hs.42.2.k.

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Two major research studies carried out in India fundamentally affected tuberculosis treatment practices worldwide. One study demonstrated that home treatment of the disease is as efficacious as sanatorium treatment. The other showed that BCG vaccination is of little protective value from a public health viewpoint. India had brought together an interdisciplinary team at the National Tuberculosis Institute (NTI) with a mandate to formulate a nationally applicable, socially acceptable, and epidemiologically sound National Tuberculosis Programme (NTP). Work at the NTI laid the foundation for developing an operational research approach to dealing with tuberculosis as a public health problem. The starting point for this was not operational research as enunciated by experts in this field; rather, the NTI achieved operational research by starting from the people. This approach was enthusiastically welcomed by the World Health Organization's Expert Committee on Tuberculosis of 1964. The NTP was designed to “sink or sail with the general health services of the country.” The program was dealt a major blow when, starting in 1967, a virtual hysteria was worked up to mobilize most of the health services for imposing birth control on the people. Another blow to the general health services occurred when the WHO joined the rich countries in instituting a number of vertical programs called “Global Initiatives.” An ill-conceived, ill-designed, and ill-managed Global Programme for Tuberculosis was one outcome. The WHO has shown rank public health incompetence in taking a very casual approach to operational research and has been downright quixotic in its thinking on controlling tuberculosis worldwide.
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Fox, Amanda, Glenn Gardner, and Sonya Osborne. "A theoretical framework to support research of health service innovation." Australian Health Review 39, no. 1 (2015): 70. http://dx.doi.org/10.1071/ah14031.

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Objective Health service managers and policy makers are increasingly concerned about the sustainability of innovations implemented in health care settings. The increasing demand on health services requires that innovations are both effective and sustainable; however, research in this field is limited, with multiple disciplines, approaches and paradigms influencing the field. These variations prevent a cohesive approach, and therefore the accumulation of research findings, in the development of a body of knowledge. The purpose of this paper is to provide a thorough examination of the research findings and provide an appropriate theoretical framework to examine sustainability of health service innovation. Methods This paper presents an integrative review of the literature available in relation to sustainability of health service innovation and provides the development of a theoretical framework based on integration and synthesis of the literature. Results A theoretical framework serves to guide research, determine variables, influence data analysis and is central to the quest for ongoing knowledge development. This research outlines the sustainability of innovation framework; a theoretical framework suitable for examining the sustainability of health service innovation. Conclusion If left unaddressed, health services research will continue in an ad hoc manner, preventing full utilisation of outcomes, recommendations and knowledge for effective provision of health services. The sustainability of innovation theoretical framework provides an operational basis upon which reliable future research can be conducted. What is known about the topic? Providers of health services are rapidly implementing innovations in an effort to provide effective health care. Little research has been conducted to evaluate the sustainability of these health service innovations. What does this paper add? This paper aims presents an integration and synthesis of the current body of knowledge to provide a theoretical framework to evaluate the sustainability of health service innovation. What are the implications for the practitioner? An improved body of knowledge surrounding the sustainability of health service innovations generated from research will consequently result in more appropriate use of resources and improved provision of health services.
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Daskalopoulou, Athanasia, Josephine Go Jefferies, and Alexandros Skandalis. "Transforming technology-mediated health-care services through strategic sense-giving." Journal of Services Marketing 34, no. 7 (October 5, 2020): 909–20. http://dx.doi.org/10.1108/jsm-11-2019-0452.

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Purpose Service research has previously documented service providers’ role in addressing the barriers of technology mediation, mostly at the service delivery level. The purpose of this study is to enhance our understanding about the role of service providers who hold strategic and operational roles, as well as investigate the impact of coordinated, organization-wide initiatives in dealing with the demands and associated emotional ambivalence of technology-mediated services. Design/methodology/approach This qualitative study draws from a series of in-depth interviews with health-care service providers who hold strategic and operational roles in health-care organizations along with participant observation to develop an understanding of the broader organizational context of telehealth services. Findings This paper outlines the strategic sense-giving process and highlights how health-care service providers who hold strategic and operational roles enact the sense-giver role. This study illustrates that strategic sense-giving involves the recognition of sense-making gaps; identification of sense-giving opportunities; and provision of templates of action. Originality/value This study illustrates that sense-giving can be performed by a number of organizational members in a more formalized way which extends informal sense-giving efforts at the peer-to-peer level. The importance of strategic sense-giving in providing templates of action for service providers and consumers is highlighted. This study also shows how strategic sense-giving safeguards against confusion and errors by communicating appropriate ways of using technology. Finally, the role of strategic sense-giving in helping service providers and consumers cope with the emotional ambivalence of technology-mediated service interactions are demonstarted.
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Selvaraju, P. "Operational Efficiency of the Pondicherry Health Employees Co-operative Society: A Study." Asian Review of Social Sciences 7, no. 2 (August 5, 2018): 74–79. http://dx.doi.org/10.51983/arss-2018.7.2.1427.

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Activity in a Co-operative Spirit and in a commercial spirit has distinction. In Co-operative activity the purpose is not to earn profit but it is collective activity of the members for common purpose. No one is owner of the Co-operative activity but all are members of such activity. The urban credit co-operatives including Employees’ Cooperative Banks were registered under All India Co-operative Societies Act 1912. Subsequently, urban credit co-operatives/ employees’’ co-operatives were organized in various parts of the country. Among the non-agricultural credit co-operatives next to the urban co-operative banks, prominent are the employees’ co-operative credit societies, salary earners’ co-operatives and employees’’ co-operative banks. This paper will argue that cooperatives present a strong alternative for playing an important role in the health-set up of the country. On this line, health care employees play a vital role in facilitating and providing medical services to people. This service may be considered as Nobel service to humanity. Further, economic viability of those people is great factor for doing their profession effectively, in order to fulfill their credit needs and banking services, formal system take place in such a healthy way. In this way, health care employees’ cooperative credit societies are functioning to promote their involvement in doing health services indirectly by way of fulfilling their credit needs and which creates healthy attitude to perform duty well. The prime objective of the study is to examine the working performance of the PHECCS. This study is an Empirical Research in nature.
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Dissertations / Theses on the topic "Operational research on health services"

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Woolcott, John Clifford. "A health care operations research analysis of elderly fallers' emergency department services utilization and cost." Thesis, University of British Columbia, 2011. http://hdl.handle.net/2429/39804.

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Introduction: Falls in the elderly are a significant cause of morbidity. Prescription medication use has been identified as an independent risk factor for falls. Among all Emergency Department (ED) presentations by elderly persons, 14-40% are due to falls, placing considerable strain on ED resources. Aims: In my thesis I aimed to 1) Provide updated estimates of the association between the use of specific medications and falling, 2) Determine whether the care provided to elderly fallers while patients in the ED follows published recommendations and was provided in a timely fashion, 3) Estimate the cost per fall resulting in an ED presentation, 4) Design a discrete event simulation (DES) model simulating care and then simulating other approaches to care including hypothetical changes. Methods: 1) A Bayesian meta-analysis of studies assessing the association between specific classes of medication use and risk of a fall. 2) A cohort study of elderly fallers presenting to the ED. 3) DES of the ED care received by elderly fallers. Results: Use of anti-hypertensives, diuretics, sedatives and hypnotics, neuroleptics and anti-psychotics, antidepressants, benzodiazepines, and non-steroidal antiinflammatory drugs are associated with an increased risk of falling. 1) In a sample of 101 ED fall presentations, 38% of elderly fallers leave the ED without a geriatric assessment and 14% are assessed by a physiotherapist. Less than 8% of fallers received care which met the wait time benchmarks. The estimated cost per fall causing an ED presentation is $11,408 with the cost per fall-related hospitalization estimated to be $29,363. 2) Providing care in a timely fashion could significantly reduce the time an elderly faller spends in the ED and the opportunity costs associated with waiting to be seen by physician or admission to hospital. Summary: Many commonly used medications are associated with falls. The care provided by the elderly faller in the ED does not currently meet the recommendations of published guidelines, nor is it provided in a timely fashion. The economic burden of falls is significant. By not providing ED care that meets recommended wait time benchmarks significant opportunity costs are incurred by the ED.
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Hagtvedt, Reidar. "Applications of Decision Analysis to Health Care." Diss., Georgia Institute of Technology, 2007. http://hdl.handle.net/1853/22535.

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This dissertation deals with three problems in health care. In the first, we consider the incentives to change prices and capital levels at hospitals, using optimal control under the assumption that private payers charge higher prices if patients consume more hospital services. The main results are that even with fixed technology, investment and prices exhibit explosive growth, and that prices and capital stock grow in proportion to one another. In the second chapter, we study the flow of nosocomial infections in an intensive care unit. We use data from Cook County Hospital, along with numerous results from the literature, to construct a discrete event simulation. This model highlights emergent properties from treating the flow of patients and pathogens in one interconnected system, and sheds light on how nosocomial infections relate to hospital costs. We find that the system is not decomposable to individual systems, exhibiting behavior that would be difficult to explain in isolation. In the third chapter, we analyze a proposed change in diversion policies at hospitals, in order to increase the number of patients served, without an increase in resources. Overcrowding in hospital emergency departments is caused in part by the inability to send patients to main hospital wards, due to limited capacity. When a hospital is completely full, the hospital often goes on ambulance diversion, until some spare capacity has opened up. Diversion is costly, and often leads to waves of diversions in systems of hospitals, a situation that is regarded as highly problematic in public health. We construct and analyze a continuous-time Markov chain model for one hospital. The intuition behind the model is that load-balancing between various hospitals in a metro area may hinder full congestion. We find that a more flexible contract may benefit all parties, through the partial diversion of federally insured patients, when a hospital is very close to full. Discrete event simulation models are run to assess the effect, using data from DeKalb Medical Center, and also to show that in a two-hospital system, more federally insured patients are served using this mechanism.
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Beojone, Caio Vítor [UNESP]. "Avaliação do desempenho e cenários alternativos em um samu utilizando o modelo hipercubo estacionário e não-estacionário." Universidade Estadual Paulista (UNESP), 2017. http://hdl.handle.net/11449/152022.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Vários Sistemas de Atendimento Emergenciais (SAE’s) sofrem com as variações diárias da demanda e da disponibilidade das ambulâncias. Nesses sistemas pode haver flutuação do desempenho ao longo do dia devido, por exemplo, a mudança no número de servidores e nas taxas de chegada, levando à necessidade de considerar explicitamente tais variações em uma extensão ao modelo hipercubo ainda não explorada na literatura. Como ocorre em alguns SAE’s, as ambulâncias melhor equipadas são reservadas para o atendimento exclusivo de chamados com risco de vida. Dessa maneira, a política de despacho pode ser diferenciada com a finalidade de reservar totalmente o atendimento de alguns servidores para certas gravidades de ocorrências. Além disso, somam-se à natureza aleatória desses sistemas, como por exemplo, as incertezas da disponibilidade das ambulâncias, a chegada de um novo chamado e sua localização. Nesse contexto, os objetivos do presente estudo são: (i) estender o modelo hipercubo de filas para reserva total de capacidade, dependendo do tipo do chamado; (ii) estender o modelo hipercubo de filas para torná-lo mais eficiente computacionalmente, sem haver perda de precisão durante a modelagem e resolução; e (iii) propor uma abordagem baseada no modelo hipercubo não-estacionário para organização do trabalho das ambulâncias em qualquer momento do dia. Para verificar a viabilidade e a aplicabilidade dessas abordagens, é realizado um estudo de caso no SAMU da cidade de Bauru (SAMU-Bauru) que, além de reservar suas ambulâncias avançadas para ocorrências mais graves, é afetado pelas variações diárias na demanda e disponibilidade das ambulâncias. Além da configuração original do SAMU-Bauru, estudada em duas etapas, foram analisados um total de quatro cenários alternativos que consideram questões importantes: o impacto do aumento na demanda do período mais congestionado; a mitigação desse impacto incluindo uma nova ambulância; a alteração do horário das pausas diárias; e o impacto de aumentos na demanda em horários específicos do dia. Foram calculadas importantes medidas de desempenho para cada cenário como a carga de trabalho, tempos médios de espera e tempos médios de resposta. Os resultados mostram que as extensões realizadas no modelo hipercubo são capazes de analisar satisfatoriamente sistemas como o SAMU-Bauru, além de possibilitar a criação e mensuração de propostas de melhorias nos níveis táticos e operacionais.
Many Emergency Service Systems face daily variations on demand and ambulance availability. These systems may suffer, for example, performance fluctuations throughout the day, changes on the number of servers and on arrival rates, leading to the need to explicitly consider such variations in a hypercube model extension not yet explored in the literature. As occurs in some SAMU’s, which reserve their best equipped ambulances to exclusively serve life-threating requests. Therefore, the dispatch policy can be differentiated in order to completely reserve the service of some ambulances to more severe requests. These problems add up to the random nature of these systems with uncertainties upon ambulance availability or the arrival of a new request and its location. Thus, this study aims to: (i) extend the hypercube queueing model to be able to capture the complete capacity reservation of advanced ambulances, depending on the request classification; (ii) extend the hypercube model in order to make it more computationally efficient, without losing any information during modeling and resolution. (iii) propose an approach based on nonstationary hypercube queueing model to organize the operation of ambulances at any time of the day. To verify the feasibility of these approaches, a case study is carried out on the SAMU from Bauru city (SAMU-Bauru), which, in addition to the advanced ambulance reservation for life-threating requests, is affected by daily variations in demand and ambulance availability. In addition to the original configuration of SAMU-Bauru, studied on a two-step approach, we studied a total of four alternative scenarios that exploited important matters as: the impact of average demand increase on the congestion peak; mitigation of this impact by including a new ambulance; changing the schedule of daily breaks; and the impact of increases in the demand at specific hours of the day. We calculated important performance measures for each scenario, such as workload, mean waiting times and mean response times. Results show that the proposed extensions to the hypercube model are capable of satisfactorily analyze systems such as SAMU-Bauru, besides making it possible to create and to measure improvements proposals in tactical and operational levels.
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Hayes-Burrell, Ingrid Monique. "Financing School-Based Health Centers: Sustaining Business Operational Services." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1684.

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Walden University College of Management and Technology This is to certify that the doctoral study by Ingrid Hayes-Burrell has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Ify Diala, Committee Chairperson, Doctor of Business Administration Faculty Dr. Anne Davis, Committee Member, Doctor of Business Administration Faculty Dr. Yvette Ghormley, University Reviewer, Doctor of Business Administration Faculty Chief Academic Officer Eric Riedel, Ph.D. Walden University 2015 â?? School-based health centers (SBHCs) have faced challenges in securing adequate funding for operations and developing sound business systems for billing and reimbursement. Specifically, administrators often lack strategies to develop and sustain funding levels to support appropriate resources for business operations. The focus of this descriptive study was to explore best practice strategies to develop and sustain funding through the experiences of SBHC administrators. The conceptual framework included Elkington's sustainability theory, which posits that corporate social responsibility, stakeholder involvement, and citizenship improve manager's effect on the business system. Twenty full-time SBHC administrators working in separate locations throughout the state of Maryland participated in semistructured telephone interviews. The van Kaam process was used to cluster descriptive experiences in data analysis that resulted in the development of thematic strategies for implementing best practices relevant to developing and sustaining funding for SBHC business operations. Major themes provided by the participants were interagency communications, creating marketing plans, and disparities in the allocation of funding for programs and professional staff. Findings indicated SBHC administrators continue to face challenges in developing and sustaining adequate funding for operations in the state of Maryland. Suggestions for future research include how administrators can develop marketing plans and explore long-range funding for SBHC services. The findings in this study may contribute to positive social change by demonstrating to officials in the Maryland State Department of Education the significance of SBHCs, and the need to increase mental health services.
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Gage, Heather. "Papers in health services research." Thesis, University of Surrey, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.417521.

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Lee, Seung Yup. "Proactive Coordination in Healthcare Service Systems through Near Real-Time Analytics." Thesis, Wayne State University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10839804.

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The United States (U.S.) healthcare system is the most expensive in the world. To improve the quality and safety of care, health information technology (HIT) is broadly adopted in hospitals. While EHR systems form a critical data backbone for the facility, we need improved 'work-flow' coordination tools and platforms that can enhance real-time situational awareness and facilitate effective management of resources for enhanced and efficient care. Especially, these IT systems are mostly applied for reactive management of care services and are lacking when they come to improving the real-time "operational intelligence" of service networks that promote efficiency and quality of operations in a proactive manner. In particular, we leverage operations research and predictive analytics techniques to develop proactive coordination mechanisms and decision methods to improve the operational efficiency of bed management service in the network spanning the emergency department (ED) to inpatient units (IUs) in a hospital, a key component of healthcare in most hospitals. The purpose of this study is to deepen our knowledge on proactive coordination empowered by predictive analytics in dynamic healthcare environments populated by clinically heterogeneous patients with individual information changing throughout ED caregiving processes. To enable proactive coordination for improved resource allocation and patient flow in the ED-IU network, we address two components of modeling/analysis tasks, i.e., the design of coordination mechanisms and the generation of future state information for ED patients.

First, we explore the benefits of early task initiation for the service network spanning the emergency department (ED) and inpatient units (IUs) within a hospital. In particular, we investigate the value of proactive inpatient bed request signals from the ED to reduce ED patient boarding. Using data from a major healthcare system, we show that the EDs suffer from severe crowding and boarding not necessarily due to high IU bed occupancy but due to poor coordination of IU bed management activity. The proposed proactive IU bed allocation scheme addresses this coordination requirement without requiring additional staff resources. While the modeling framework is designed based on the inclusion of two analytical requirements, i.e., ED disposition decision prediction and remaining ED length of stay (LoS) estimation, the framework also accounts for imperfect patient disposition predictions and multiple patient sources (besides ED) to IUs. The ED-IU network setting is modeled as a fork-join queueing system. Unlike typical fork-join queue structures that respond identically to a transition, the proposed system exhibits state-dependent transition behaviors as a function of the types of entities being processed in servers. We characterize the state sets and sequences to facilitate analytical tractability. The proposed proactive bed allocation strategy can lead to significant reductions in bed allocation delay for ED patients (up to ~50%), while not increasing delays for other IU admission sources. We also demonstrate that benefits of proactive coordination can be attained even in the absence of highly accurate models for predicting ED patient dispositions. The insights from our models should give confidence to hospital managers in embracing proactive coordination and adaptive work flow technologies enabled by modern health IT systems.

Second, we investigate the quantitative modeling that analyzes the patterns of decreasing uncertainty in ED patient disposition decision making throughout the course of ED caregiving processes. The classification task of ED disposition decision prediction can be evaluated as a hierarchical classification problem, while dealing with temporal evolution and buildup of clinical information throughout the ED caregiving processes. Four different time stages within the ED course (registration, triage, first lab/imaging orders, and first lab/imaging results) are identified as the main milestone care stages. The study took place at an academic urban level 1 trauma center with an annual census of 100,000. Data for the modeling was extracted from all ED visits between May 2014 and April 2016. Both a hierarchical disposition class structure and a progressive prediction modeling approach are introduced and combined to fully facilitate the operationalization of prediction results. Multinomial logistic regression models are built for carrying out the predictions under three different classification group structures: (1) discharge vs. admission, (2) discharge vs. observation unit vs. inpatient unit, and (3) discharge vs. observation unit vs. general practice unit vs. telemetry unit vs. intensive care unit. We characterize how the accumulation of clinical information for ED patients throughout the ED caregiving processes can help improve prediction results for the three-different class groups. Each class group can enable and contribute to unique proactive coordination strategies according to the obtained future state information and prediction quality, to enhance the quality of care and operational efficiency around the ED. We also reveal that for different disposition classes, the prediction quality evolution behaves in its own unique way according to the gain of relevant information. (Abstract shortened by ProQuest.)

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Harper, Paul Robert. "Operational modelling for the planning and management of healthcare resources." Thesis, University of Southampton, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.249668.

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Tiwari, Vikram. "Information sharing and coordinated capacity management in service delivery networks." [Bloomington, Ind.] : Indiana University, 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3331249.

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Thesis (Ph.D.)--Indiana University, Kelley School of Business, 2008.
Title from PDF t.p. (viewed on Jul 23, 2009). Source: Dissertation Abstracts International, Volume: 69-11, Section: A, page: 4414. Advisers: Kurt M. Bretthauer; Munirpallam A. Venkataramanan.
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Oliff, Monique. "Integration of STI services into reproductive health services in Tanzania : an operational analysis of oppertunities, barriers & achievements." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.396342.

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Fewell, Zoe. "Causal modelling in epidemiology and health services research." Thesis, University of Bristol, 2007. http://hdl.handle.net/1983/f12fb11d-0826-46d6-a5ed-7a87fa582b63.

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Books on the topic "Operational research on health services"

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K, Pillsbury Barbara L., Nicholas David 1936-, United States. Agency for International Development., and Primary Health Care Operations Research (Project : Center for Human Services), eds. Operations research issues. Chevy Chase, Md. (5530 Wisconsin Ave., Chevy Chase 20815): Primary Health Care Operations Research, Center for Human Services, 1985.

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Reynolds, Jack. Operations research methods. Chevy Chase, Md. (5530 Wisconsin Ave., Chevy Chase 20815): Primary Health Care Operations Research, Center for Human Services, 1985.

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Schaefer, Morris. Operations research issues. Chevy Chase, Md. (5530 Wisconsin Ave., Chevy Chase 20815): Primary Health Care Operations Research, Center for Human Services, 1985.

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Roger, Beech, ed. Health operations management: Patient flow logistics in health care. New York, NY: Routledge, 2005.

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European, Working Group on Operational Research Applied to Health Services (24th 1998 Roma Italy). Monitoring, evaluating, planning health services: ORAHS'98 : 24th meeting of the European Working Group on Operational Research Applied to Health Services, Roma, Italy, July 19-24, 1998. Singapore: World Scientific, 1999.

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Russell, Sharon Stanton. Operations research issues. Chevy Chase, Md. (5530 Wisconsin Ave., Chevy Chase 20815): Primary Health Care Operations Research, Center for Human Services, 1985.

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Strategic management for health care entities: Creative frameworks for financial and operational analysis. Chicago: American Hospital Pub., 1998.

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Duckett, Stephen J. Operations research for health planning and administration. Berlin: Springer, 1987.

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Operations research for health planning and administration. Berlin: Springer-Verlag, 1987.

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Rahim, M. A., and Jahanara Khatun. Improving planning and coordination services among providers of essential services package in urban Dhaka: Findings from an operations research. Dhaka: ICDDR,B, Centre for Health and Population Research, 2000.

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Book chapters on the topic "Operational research on health services"

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Blake, John, Michelle Rogerson, and Dorothy Harris. "Evaluating Health Care Policy Decisions: Canadian Blood Services in Atlantic Canada." In Operations Research and Health Care Policy, 365–98. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-6507-2_17.

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Kleine, Andreas, Andreas Dellnitz, and Wilhelm Rödder. "Sensitivity Analysis of BCC Efficiency in DEA with Application to European Health Services." In Operations Research Proceedings 2013, 243–48. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-07001-8_33.

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Alharethi, Salman, Abdullah Gani, and Mohd Khalit Othman. "Emergency Departments." In Advances in Intelligent Systems and Computing, 341–58. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-030-03405-4_23.

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Abstract Emergency services are essential and any person may require these services at some point in their lives. Emergency services are run by complex management and consist of many different parts. It is essential to establish effective procedures to ensure that patients are treated in a timely fashion. By obtaining real-time information, it is expected that intelligent decisions would be made. Hence, thorough analytics of problems concerning appropriate operational effective management, would help prevent patient dissatisfaction in the future. Mapping studies are utilized to configure and explore a research theme, whereas systematic reviews are utilized to combine proofs. The use of improvement strategies and quality measurements of the health care industry, specifically in emergency departments, are essential to value patients’ level of satisfaction and the quality of the service provided based on patients’ experience. This paper explores and creates momentum with all the methodologies utilized by researchers from 2010 and beyond with the stress on patient fulfillment in the emergency services segment.
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Cerdeira, J. Orestes, Manuel Cruz, and Ana Moura. "A Routing/Assignment Problem in Garden Maintenance Services." In Operational Research, 145–55. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-20328-7_9.

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Bastos, Bruno, Tiago Heleno, António Trigo, and Pedro Martins. "Web Based Application for Home Care Visits’ Optimization of Health Professionals’ Teams of Health Centers." In Operational Research, 37–52. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-20328-7_3.

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Cruz-Gomes, Sofia, Mário Amorim-Lopes, and Bernardo Almada-Lobo. "The Demand for Healthcare Services and Resources: Patterns, Trends and Challenges in Healthcare Delivery." In Operational Research, 91–106. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-10731-4_7.

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Williams, J. I., J. Höher, and K. W. Lauterbach. "Health Services Research." In Surgical Research, 533–54. New York, NY: Springer New York, 1998. http://dx.doi.org/10.1007/978-1-4612-1888-3_57.

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Smith, Peter. "Development of a Formula for Distributing Health Service Finance in England." In Operations Research Proceedings, 483–88. Berlin, Heidelberg: Springer Berlin Heidelberg, 1995. http://dx.doi.org/10.1007/978-3-642-79459-9_86.

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Schäfer, Thomas, Christian A. Gericke, and Reinhard Busse. "Health Services Research." In Handbook of Epidemiology, 837–902. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-0-387-09834-0_38.

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Williams, J. I. "Health Services Research." In Principles and Practice of Research, 290–307. New York, NY: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4684-0371-8_30.

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Conference papers on the topic "Operational research on health services"

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CLAYDEN, A. D. "OPERATIONS RESEARCH IN HEALTH SERVICES: A SUCCESS, OR IS MORE RESEARCH NECESSARY?" In Proceedings of the 24th Meeting of the European Working Group on Operational Research Applied to Health Services. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789812817839_0001.

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VISSERS, J. M. H. "HEALTH CARE MANAGEMENT MODELLING: A DEVELOPMENTAL PERSPECTIVE." In Proceedings of the 24th Meeting of the European Working Group on Operational Research Applied to Health Services. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789812817839_0007.

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Wong, D., and Y. Hiew. "Community Operational Research (OR) and Design Thinking for the Health and Social Services: A Comparative Analysis." In 2020 IEEE International Conference on Industrial Engineering and Engineering Management (IEEM). IEEE, 2020. http://dx.doi.org/10.1109/ieem45057.2020.9309850.

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DE VECCHIS, C. "METHODS FOR EVALUATION OF INSTITUTIONAL BENCHMARK IN HEALTH CARE." In Proceedings of the 24th Meeting of the European Working Group on Operational Research Applied to Health Services. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789812817839_0019.

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MOSMANS, A. "MULTICRITERIA DECISION AID FOR HELPING TO UNDERSTAND HEALTH CARE CONSUMPTION." In Proceedings of the 24th Meeting of the European Working Group on Operational Research Applied to Health Services. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789812817839_0006.

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MULLEN, P. M. "ARE INEQUALITIES IN HEALTH CARE CONSISTENT WITH EQUITY IN ACCESS?" In Proceedings of the 24th Meeting of the European Working Group on Operational Research Applied to Health Services. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789812817839_0002.

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AAGAARD, C., and E. MIKITIS. "HEALTH CARE REGIONALISATION PROJECT: DEVELOPMENT PLAN AND IMPLEMENTATION IN PILOT AREA." In Proceedings of the 24th Meeting of the European Working Group on Operational Research Applied to Health Services. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789812817839_0005.

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CLAYDEN, A. D., and E. RENVOIZE. "STRATEGIC CHANGE IN THE UK NATIONAL HEALTH SERVICE: THE VIEWS OF SOME GENERAL PRACTITIONERS." In Proceedings of the 24th Meeting of the European Working Group on Operational Research Applied to Health Services. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789812817839_0018.

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DE OLIVEIRA, M. J. FERREIRA. "3D VISUAL SIMULATION PLATFORM FOR THE PROJECT OF A NEW HOSPITAL FACILITY." In Proceedings of the 24th Meeting of the European Working Group on Operational Research Applied to Health Services. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789812817839_0004.

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DELESIE, L. "HOW TO MONITOR, EVALUATE AND PLAN MEDICAL PROGRAMMES? AN APPROACH AND AN ILLUSTRATION FOR CARDIOVASCULAR SURGERY." In Proceedings of the 24th Meeting of the European Working Group on Operational Research Applied to Health Services. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789812817839_0003.

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Reports on the topic "Operational research on health services"

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Baek, Carolyn, and Naomi Rutenberg. Addressing the family planning needs of HIV-positive PMTCT clients: Baseline findings from an operations research study. Population Council, 2005. http://dx.doi.org/10.31899/hiv14.1000.

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Preventing unintended pregnancy among HIV-positive women is an effective approach to reducing pediatric HIV infection and vital to meeting HIV-positive women’s sexual and reproductive health needs. Although contraceptive services for HIV-positive women is one of the cornerstones of a comprehensive program for prevention of mother-to-child transmission of HIV (PMTCT), a review of PMTCT programs found that implementers have not prioritized family planning (FP). While there is increasing awareness about the importance of FP and HIV integration, data about FP from PMTCT clients are lacking. The Horizons Program is conducting an operations research study testing several community-based strategies to reduce mother-to-child transmission of HIV in a densely settled urban slum in Nairobi, Kenya. Strategies being piloted include moving PMTCT services closer to the population via a mobile clinic and increasing psychosocial support for HIV-positive women. This research update presents key findings about FP at PMTCT sites, including the interaction between providers and clients as well as HIV-positive women’s fertility desires and demand for contraceptives, from the baseline cross-sectional survey and qualitative interviews with postpartum women.
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Moynihan, Ray. Evaluating Health Services: A Reporter Covers the Science of Research Synthesis. New York, NY: Milbank Memorial Fund, March 2004. http://dx.doi.org/10.1599/040330moynihan.

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Sims, C. S. Collection and analysis of Health Physics Research Reactor operational and use data. Office of Scientific and Technical Information (OSTI), April 1985. http://dx.doi.org/10.2172/5858466.

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van Dijk, Marieke, Katherine Wilson, Claudia Diaz, and Sandra Garcia. Operational research for the introduction of an adolescent health package in the context of cervical cancer prevention. Population Council, 2009. http://dx.doi.org/10.31899/rh13.1002.

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Yonally, Emilie, Nadia Butler, Santiago Ripoll, and Olivia Tulloch. Review of the Evidence Landscape on the Risk Communication and Community Engagement Interventions Among the Rohingya Refugees to Enhance Healthcare Seeking Behaviours in Cox's Bazar. Institute of Development Studies (IDS), July 2021. http://dx.doi.org/10.19088/sshap.2021.032.

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This report is the first output in a body of work undertaken to identify operationally feasible suggestions to improve risk communication and community engagement efforts (RCCE) with displaced Rohingya people in Cox’s Bazar. Specifically, these should seek to improve healthcare seeking behaviour and acceptance of essential health services in the camps where the Rohingya reside. It was developed by the Social Science in Humanitarian Action Platform (SSHAP) at the request of the UK Foreign, Commonwealth & Development Office in Bangladesh. As a first step in this process, this review paper synthesises and assesses the quality of evidence landscape available in Cox’s Bazar and how the Rohingya seek and access healthcare services in Cox’s Bazar and presents the findings from key informant interviews on the topic. Findings are structured in five discussion sections: (1) evidence quality; (2) major themes and variations in the evidence; (3) learnings drawn and recommendations commonly made; (4) persistent bottlenecks; and (5) areas for further research. This synthesis will inform a roundtable discussion with key actors working for the Rohingya refugees to identify next steps for RCCE and research efforts in Cox’s Bazar to improve health outcomes among the Rohingya.
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Author, Not Given. Report of the Work of the Biological and Medical Research, Radiological Physics, and Health Services Divisions for the Quarterly Period ending March 31, 1953. Office of Scientific and Technical Information (OSTI), April 2015. http://dx.doi.org/10.2172/12462687.

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Aalto, Juha, and Ari Venäläinen, eds. Climate change and forest management affect forest fire risk in Fennoscandia. Finnish Meteorological Institute, June 2021. http://dx.doi.org/10.35614/isbn.9789523361355.

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Forest and wildland fires are a natural part of ecosystems worldwide, but large fires in particular can cause societal, economic and ecological disruption. Fires are an important source of greenhouse gases and black carbon that can further amplify and accelerate climate change. In recent years, large forest fires in Sweden demonstrate that the issue should also be considered in other parts of Fennoscandia. This final report of the project “Forest fires in Fennoscandia under changing climate and forest cover (IBA ForestFires)” funded by the Ministry for Foreign Affairs of Finland, synthesises current knowledge of the occurrence, monitoring, modelling and suppression of forest fires in Fennoscandia. The report also focuses on elaborating the role of forest fires as a source of black carbon (BC) emissions over the Arctic and discussing the importance of international collaboration in tackling forest fires. The report explains the factors regulating fire ignition, spread and intensity in Fennoscandian conditions. It highlights that the climate in Fennoscandia is characterised by large inter-annual variability, which is reflected in forest fire risk. Here, the majority of forest fires are caused by human activities such as careless handling of fire and ignitions related to forest harvesting. In addition to weather and climate, fuel characteristics in forests influence fire ignition, intensity and spread. In the report, long-term fire statistics are presented for Finland, Sweden and the Republic of Karelia. The statistics indicate that the amount of annually burnt forest has decreased in Fennoscandia. However, with the exception of recent large fires in Sweden, during the past 25 years the annually burnt area and number of fires have been fairly stable, which is mainly due to effective fire mitigation. Land surface models were used to investigate how climate change and forest management can influence forest fires in the future. The simulations were conducted using different regional climate models and greenhouse gas emission scenarios. Simulations, extending to 2100, indicate that forest fire risk is likely to increase over the coming decades. The report also highlights that globally, forest fires are a significant source of BC in the Arctic, having adverse health effects and further amplifying climate warming. However, simulations made using an atmospheric dispersion model indicate that the impact of forest fires in Fennoscandia on the environment and air quality is relatively minor and highly seasonal. Efficient forest fire mitigation requires the development of forest fire detection tools including satellites and drones, high spatial resolution modelling of fire risk and fire spreading that account for detailed terrain and weather information. Moreover, increasing the general preparedness and operational efficiency of firefighting is highly important. Forest fires are a large challenge requiring multidisciplinary research and close cooperation between the various administrative operators, e.g. rescue services, weather services, forest organisations and forest owners is required at both the national and international level.
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Lazdane, Gunta, Dace Rezeberga, Ieva Briedite, Elizabete Pumpure, Ieva Pitkevica, Darja Mihailova, and Marta Laura Gravina. Sexual and reproductive health in the time of COVID-19 in Latvia, qualitative research interviews and focus group discussions, 2020 (in Latvian). Rīga Stradiņš University, February 2021. http://dx.doi.org/10.25143/fk2/lxku5a.

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Qualitative research is focused on the influence of COVID-19 pandemic and restriction measures on sexual and reproductive health in Latvia. Results of the anonymous online survey (I-SHARE) of 1173 people living in Latvia age 18 and over were used as a background in finalization the interview and the focus group discussion protocols ensuring better understanding of the influencing factors. Protocols included 9 parts (0.Introduction. 1. COVID-19 general influence, 2. SRH, 3. Communication with health professionals, 4.Access to SRH services, 5.Communication with population incl. three target groups 5.1. Pregnant women, 5.2. People with suspected STIs, 5.3.Women, who require abortion, 6. HIV/COVID-19, 7. External support, 8. Conclusions and recommendations. Data include audiorecords in Latvian of: 1) 11 semi-structures interviews with policy makers including representatives from governmental and non-governmental organizations involved in sexual and reproductive health, information and health service provision. 2) 12 focus group discussions with pregnant women (1), women in postpartum period (3) and their partners (3), people living with HIV (1), health care providers involved in maternal health care and emergency health care for women (4) (2021-02-18) Subject: Medicine, Health and Life Sciences Keywords: Sexual and reproductive health, COVID-19, access to services, Latvia
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Sturzenegger, Germán, Cecilia Vidal, and Sebastián Martínez. The Last Mile Challenge of Sewage Services in Latin America and the Caribbean. Edited by Anastasiya Yarygina. Inter-American Development Bank, November 2020. http://dx.doi.org/10.18235/0002878.

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Access to piped sewage in Latin America and the Caribbean (LAC) cities has been on the rise in recent decades. Yet achieving high rates of end-user connection between dwellings and sewage pipelines remains a challenge for water and sanitation utilities. Governments throughout the region are investing millions in increasing access to sewage services but are failing in the last mile. When households do not connect to the sewage system, the full health and social benefits of sanitation investments fail to accrue, and utilities can face lost revenue and higher operating costs. Barriers to connect are diverse, including low willingness to pay for connection costs and/or the associated tariffs, liquidity and credit constrains to cover the cost of upgrades or repairs, information gaps on the benefits of connecting, behavioral obstacles, and collective action failures. In contexts of weak regulation and strong social pressure, utilities typically lack the ability to enforce connection through fines and legal action. This paper explores the scope of the connectivity problem, identifies potential connection barriers, and discusses policy solutions. A research agenda is proposed in support of evidence-based interventions that have the potential to achieve higher effective sanitation coverage more rapidly and cost-effectively in LAC. This research agenda must focus on: i) quantifying the scope of the problem; ii) understanding the barriers that trigger it; and iii) identifying the most cost-effective policy and market-based solutions.
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Leavy, Michelle B., Danielle Cooke, Sarah Hajjar, Erik Bikelman, Bailey Egan, Diana Clarke, Debbie Gibson, Barbara Casanova, and Richard Gliklich. Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Report on Registry Configuration. Agency for Healthcare Research and Quality (AHRQ), November 2020. http://dx.doi.org/10.23970/ahrqepcregistryoutcome.

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Background: Major depressive disorder is a common mental disorder. Many pressing questions regarding depression treatment and outcomes exist, and new, efficient research approaches are necessary to address them. The primary objective of this project is to demonstrate the feasibility and value of capturing the harmonized depression outcome measures in the clinical workflow and submitting these data to different registries. Secondary objectives include demonstrating the feasibility of using these data for patient-centered outcomes research and developing a toolkit to support registries interested in sharing data with external researchers. Methods: The harmonized outcome measures for depression were developed through a multi-stakeholder, consensus-based process supported by AHRQ. For this implementation effort, the PRIME Registry, sponsored by the American Board of Family Medicine, and PsychPRO, sponsored by the American Psychiatric Association, each recruited 10 pilot sites from existing registry sites, added the harmonized measures to the registry platform, and submitted the project for institutional review board review Results: The process of preparing each registry to calculate the harmonized measures produced three major findings. First, some clarifications were necessary to make the harmonized definitions operational. Second, some data necessary for the measures are not routinely captured in structured form (e.g., PHQ-9 item 9, adverse events, suicide ideation and behavior, and mortality data). Finally, capture of the PHQ-9 requires operational and technical modifications. The next phase of this project will focus collection of the baseline and follow-up PHQ-9s, as well as other supporting clinical documentation. In parallel to the data collection process, the project team will examine the feasibility of using natural language processing to extract information on PHQ-9 scores, adverse events, and suicidal behaviors from unstructured data. Conclusion: This pilot project represents the first practical implementation of the harmonized outcome measures for depression. Initial results indicate that it is feasible to calculate the measures within the two patient registries, although some challenges were encountered related to the harmonized definition specifications, the availability of the necessary data, and the clinical workflow for collecting the PHQ-9. The ongoing data collection period, combined with an evaluation of the utility of natural language processing for these measures, will produce more information about the practical challenges, value, and burden of using the harmonized measures in the primary care and mental health setting. These findings will be useful to inform future implementations of the harmonized depression outcome measures.
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