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A non-homogeneous discrete time Markov model for admission scheduling and resource planning in a cost or capacity constrained healthcare system

Biomedical Sciences Research Institute Computer Science Research Institute Environmental Sciences Research Institute Nanotechnology & Advanced Materials Research Institute

Garg, L, McClean, S, Meenan, BJ and Millard, P (2010) A non-homogeneous discrete time Markov model for admission scheduling and resource planning in a cost or capacity constrained healthcare system. Health Care Management Science, 13 (2). pp. 155-169. [Journal article]

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URL: http://www.springerlink.com/content/911423v24k63p7h8/

DOI: 10.1007/s10729-009-9120-0

Abstract

Healthcare resource planners need to develop policies that ensure optimal allocation of scarce healthcare resources. This goal can be achieved by forecasting daily resource requirements for a given admission policy. If resources are limited, admission should be scheduled according to the resource availability. Such resource availability or demand can change with time. We here model patient flow through the care system as a discrete time Markov chain. In order to have a more realistic representation, a non-homogeneous model is developed which incorporates time-dependent covariates, namely a patient’s present age and the present calendar year. The model presented in this paper can be used for admission scheduling, resource requirement forecasting and resource allocation, so as to satisfy the demand or resource constraints or to meet the expansion or contraction plans in a hospital and community based integrated care system. Such a model can be used with both fixed and variable numbers of admissions per day and should prove to be a useful tool for care managers and policy makers who require to make strategic management decisions. We also describe an application of the model to an elderly care system, using a historical dataset from the geriatric department of a London hospital.

Item Type:Journal article
Keywords:Resource management . Admission scheduling . Non-homogeneous Markov model . Stochasticoptimalcontrol
Faculties and Schools:Faculty of Computing & Engineering
Faculty of Computing & Engineering > School of Engineering
Research Institutes and Groups:Engineering Research Institute
Engineering Research Institute > Nanotechnology & Integrated BioEngineering Centre (NIBEC)
ID Code:12658
Deposited By:Professor Brian Meenan
Deposited On:25 Mar 2010 14:25
Last Modified:14 Sep 2012 11:41

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