Decision Support System Using System Dynamics Simulation Modelling for Projection of Dentist Supply

Samah, Azurah A.; Wah, Lau Kee; Desa, Muhammad Ishak; Majid, Hairudin Abdul; Azmi, Nurulhuda Firdaus Mohd; Salleh, Nordin; Bakar, Azlina Abu; Manual, Adilius

doi:10.1109/cash.2014.18

Cited by 5 publications

(4 citation statements)

References 2 publications

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“…However, there is a scarcity of scenario models concerning the long-term requirements for the nurse workforce. A recent systematic literature review conducted by Davahli et al [52] on system dynamics simulation studies related to workforces in the healthcare sector identified several relevant studies [53][54][55][56][57][58][59][60][61][62] but found that only one study was about nurses [61]. From this, we conclude that there seems to be a lack of long-term scenario studies about the nurse workforce.…”

Section: Short-and Long-term Perspectives On the Nurse Workforcementioning

confidence: 79%

Slack Is Needed to Solve the Shortage of Nurses

Van Merode,

Groot,

Somers

2024

Healthcare

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Healthcare systems are facing a shortage of nurses. This article identifies some of the major causes of this and the issues that need to be solved. We take a perspective derived from queuing theory: the patient–nurse relationship is characterized by a scarcity of time and resources, requiring comprehensive coordination at all levels. For coordination, we take an information-theoretic perspective. Using both perspectives, we analyze the nature of healthcare services and show that ensuring slack, meaning a less than exhaustive use of human resources, is a sine qua non to having a good, functioning healthcare system. We analyze what coordination efforts are needed to manage relatively simple office hours, wards, and home care. Next, we address the level of care where providers cannot themselves prevent the complexity of organization that possibly damages care tasks and job quality. A lack of job quality may result in nurses leaving the profession. Job quality, in this context, depends on the ability of nurses to coordinate their activities. This requires slack resources. The availability of slack that is efficient depends on a stable inflow and retention rate of nurses. The healthcare system as a whole should ensure that the required nurse workforce will be able to coordinate and execute their tasks. Above that, workforce policies need more stability.

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Section: Short-and Long-term Perspectives On the Nurse Workforcementioning

confidence: 79%

Slack Is Needed to Solve the Shortage of Nurses

Van Merode,

Groot,

Somers

2024

Healthcare

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“…One of the main research areas of healthcare is workforce demand. The objectives of the selected papers on workforce demand are planning and predicting the number of workforces, including medical specialists [ 65 , 66 ], the pediatric workforce [ 67 ], the cardiac surgery workforce [ 68 ], dentists [ 69 ], the ophthalmologist workforce [ 70 ], the radiology specialization workforce [ 71 ], physicians [ 72 , 73 ], registered nurses [ 74 ], and physical therapists [ 75 ]. Interestingly, the average simulation time among the selected papers in this area is 24.5 years, which is higher than that for previous research areas of healthcare.…”

Section: Discussionmentioning

confidence: 99%

“…Wu and associates [ 67 ] mention that the predicted decline in the supply of Taiwanese pediatricians could be delayed by interventions, while Vanderby and associates [ 68 ] model the future Canadian cardiac surgery workforce with different scenarios and a predict short-term excess of cardiac surgeons by 2030. Samah and associates [ 69 ] state that, according to the simulation, the total available Malaysian clinical dentists in the year 2030 will be fewer than the required dentists, while a study conducted about Singapore [ 70 ] reports that in all scenarios, the number of Singaporeans with eye conditions will double and thus there will be a significant increase in eyecare demand and a great need for ophthalmologists. Taba and associates [ 71 ] indicate that the Australian system will never meet the demand for radiologists in the simulation time.…”

Section: Discussionmentioning

confidence: 99%

A System Dynamics Simulation Applied to Healthcare: A Systematic Review

Davahli

Karwowski

Taı̈ar

2020

IJERPH

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In recent years, there has been significant interest in developing system dynamics simulation models to analyze complex healthcare problems. However, there is a lack of studies seeking to summarize the available papers in healthcare and present evidence on the effectiveness of system dynamics simulation in this area. The present paper draws on a systematic selection of published literature from 2000 to 2019, in order to form a comprehensive view of current applications of system dynamics methodology that address complex healthcare issues. The results indicate that the application of system dynamics has attracted significant attention from healthcare researchers since 2013. To date, articles on system dynamics have focused on a variety of healthcare topics. The most popular research areas among the reviewed papers included the topics of patient flow, obesity, workforce demand, and HIV/AIDS. Finally, the quality of the included papers was assessed based on a proposed ranking system, and ways to improve the system dynamics models’ quality were discussed.

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“…Dengan menggunakan model simulasi, evaluasi efektivitas berbagai kebijakan dapat dinilai dalam kerangka kerja yang sama. Pemodelan simulasi telah menjadi alat penting dalam menetapkan implementasi strategis, analisis kebijakan dan desain di banyak bidang (Samah et al 2015). Dalam hal ini, sistem dinamik dapat membantu pembuat kebijakan untuk memvisualisasikan secara efektif untuk memprediksi sesuatu yang tidak terduga bisa terjadi.…”

Section: Sistem Dinamikunclassified

Pemodelan Simulasi Sistem Dinamik untuk Meningkatkan Jumlah Pendapatan Unit Rawat Inap Rumah Sakit Islam Surabaya A.Yani

Romadhon

Suryani

2020

JTIIK

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Perkembangan rumah sakit di Indonesia semakin meningkat, sejak tahun 2012 sampai 2018 mengalami peningkatan dengan rata – rata 5.2%. Tentunya hal tersebut memiliki dampak terhadap daya saing yang lebih kompetitif. Kebijakan pemerintah Indonesia yang mengharuskan rumah sakit bekerja sama dengan Jaminan Kesehatan Nasional (JKN) guna pemerataan pelayanan kesehatan mempengaruhi jumlah pendapatan. Faktanya asuransi BPJS Kesehatan mengalami defisit anggaran yang nilainya sangat besar. Manajement rumah sakit harus mencari strategi dan kebijakan yang tepat dalam upaya memaksimalkan pendapatan khususnya di era JKN. Pembatasan jumlah kunjungan tidak mungkin dilakukan mengingat sebagian besar pasien berasal dari peserta BPJS Kesehatan. Tujuan penelitian ini dilakukan untuk menemukan kebijakan dan solusi yang tepat bagi rumah sakit untuk mendapatkan keuntungan finasial dalam kondisi defisitnya anggaran asuransi kesehatan. Penting informasi membuat manajemen rumah sakit berupaya untuk memanfaatkan teknologi informasi sebagai media untuk merancang strategi bisnisnya, simulasi komputer seperti pemodelan sistem dinamik mempu menggambarkan dan mensimulasikan sistem secara nyata yang mengacu pada data, sehingga pemangku kepentingan dapat memprediksi kondisi yang bisa terjadi dimasa depan. Hasil penelitian menunjukkan bahwasanya dengan merubah sistem pembayaran dari Fee For Services menjadi INA - Case Base Groups dapat memberikan keuntungan lebih bagi rumah sakit, hal ini dikarenakan tarif yang ditetapkan menyesuaikan dengan tarif rumah sakit di seluruh Indonesia. Temuan lain yang perlu diperhatikan adalah piutang pihak asuransi mengalami peningkatan, tentunya hal tersebut perlu perhatian lebih, serta bisa dijadikan bahan pertimbangan untuk mengubah sistem pembayaran karena sesuai hasil simulasi dapat memaksimalkan jumlah pendapatan . Lokasi penelitian di unit rawat inap, rumah sakit islam surabaya, diharapkan dari hasil pemodelan simulasi bisa dijadikan sebagai gambaran atau acuan bagi manajemen puncak rumah sakit dalam mengambil sebuah keputusan sebagai strategi bisnis. AbstractHospital development in Indonesia has increased, from 2012 to 2018 has increased by an average of 5.2%.. Of course this has an impact on more competitive competitiveness. Indonesian government policy that requires hospitals to work closely with the National Health Insurance (JKN) in order to equalize health services affects the amount of revenue. The fact is that BPJS Health insurance has a very large budget deficit. Hospital management must find the right strategy and policy in an effort to maximize revenue, especially in the JKN era. Limiting the number of visits is not possible considering that most patients come from BPJS Health participants. The purpose of this study was to find the right policies and solutions for hospital to obtain financial benefits in the health insurance budget deficit. Important information makes hospital management strive to utilize information technology as media for designing business strategies, computer simulations such as dynamic system modeling can describe and simulate real systems that refer to data, so that stakeholders can predict conditions that can occur in the future. The results showed that by changing the payment system from Fee For Services to INA - Case Base Groups can provide more benefits for hospital, this is because the rates set adjust to hospital rates throughout Indonesia. Another finding that needs to be considered is that the insurance receivables have increased, of course it needs more attention, and can be taken into consideration to change the payment system because according to the simulation results can maximize the amount of income. The location of research in the inpatient unit, Surabaya Islamic hospital, is expected from the results of simulation modeling can be used as an illustration or reference for top management of the hospital in making a decision as a business strategy.

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Decision Support System Using System Dynamics Simulation Modelling for Projection of Dentist Supply

Cited by 5 publications

References 2 publications

Slack Is Needed to Solve the Shortage of Nurses

Slack Is Needed to Solve the Shortage of Nurses

A System Dynamics Simulation Applied to Healthcare: A Systematic Review

Pemodelan Simulasi Sistem Dinamik untuk Meningkatkan Jumlah Pendapatan Unit Rawat Inap Rumah Sakit Islam Surabaya A.Yani

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