A Decision Support Simulation Model for the Management of an Elective Surgery Waiting System

This paper describes the design of a simulation model to provide decision support for the scheduling of patients waiting for elective surgery in the public hospital system. Patients nominated for surgery by doctors are categorised by urgency and type of operation. The simulation model can be used as an operational tool to match hospital availability and patient need. It can also be used to report upon the performance of the system, and as a planning tool to compare the effectiveness of alternative policies in this multi-criteria decision environment.

[1]  L. Wallace Informed consent to elective surgery: the 'therapeutic' value? , 1986, Social science & medicine.

[2]  G. Rosenberg,et al.  Findings and implications from preadmission screening of elderly patients waiting for elective surgery. , 1988, Social work in health care.

[3]  Consumer advocacy, elective surgery, and the "golden era of medicine". , 1989, Obstetrics and gynecology.

[4]  Mahachek Ar,et al.  An introduction to patient flow simulation for health-care managers. , 1992 .

[5]  D Scipione,et al.  Optimizing staff scheduling by Monte-Carlo simulation. , 1992, Proceedings. Symposium on Computer Applications in Medical Care.

[6]  S Kassicieh,et al.  Using computer systems for improved scheduling. , 1992, Healthcare informatics : the business magazine for information and communication systems.

[7]  J Coast,et al.  The role of economic evaluation in setting priorities for elective surgery. , 1993, Health policy.

[8]  John Eyles,et al.  Waiting Your Turn: Hospital Waiting Lists in Canada , 1994 .

[9]  A Y Asa,et al.  A decision support system to meet the fluctuating needs of a hospital nursing unit. , 1995, Medinfo. MEDINFO.

[10]  Access to elective surgery at electoral ward level: the impact of the private sector. , 1995, Journal of public health medicine.

[11]  B. Finegan,et al.  Changing the admission process for elective surgery: an economic analysis , 1995, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[12]  M. I. Henig,et al.  Reservation planning for elective surgery under uncertain demand for emergency surgery , 1996 .

[13]  O. Ryynänen,et al.  Doctors' willingness to refer elderly patients for elective surgery. , 1997, Family practice.

[14]  O. Ryynänen,et al.  Attitudes to cuts in expenditure and increased fees in health care. , 1997, Public health.

[15]  P Knauth,et al.  Knowledge-based support for the participatory design and implementation of shift systems. , 1998, Scandinavian journal of work, environment & health.

[16]  E. McIntosh,et al.  Trade-offs between location and waiting times in the provision of health care: the case of elective surgery on the Isle of Wight. , 2000, Journal of public health medicine.