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A model is presented to compare hospital admission systems based on (i) patient census and (ii) nursing work load. It is shown that nursing costs are lower under the work load-based system than under the patient-based one. Sensitivity studies show that the difference between the two systems is due to the fact that the work load-based policy takes into account patient differences.

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This paper introduces patient state and physician state of information as two unifying concepts for the analysis of health-care systems. The concepts are presented in the context of four specific problem areas. As a demonstration of the utility of these concepts, a technique for evaluating alternative facility macroplans is described and some results from an actual application are presented and reviewed.

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