Planning midwifery services to deliver continuity of care

This paper presents a survey of the literature on the application of Operational Research (OR) in healthcare, with a particular focus on behavioural considerations. In order to explore the extent to which behavioural aspects are included, we perform a search of the most relevant OR journals for articles with content related to the representation of behaviour in models, evidence of behavioural change using models, and the impact on organisations beyond the use of a model. A detailed analysis of 130 articles is presented and shows that the majority are focused on improving service delivery at an organisational level. The most common OR methods depicting behaviour are simulation and qualitative methods, but there is evidence of the use across a range of methods. However, in many cases, authors do not necessarily acknowledge the behavioural aspects in their papers. Given many aspects of healthcare are influenced by human behaviour, it is important that that future work makes more explicit the assumptions used to represent behaviour, test the sensitivity of models to different behavioural assumptions, and offer more information about how users employ models to make decisions.

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An application of simulation to analyse resource sharing among health‐care organisations

Pasin

Jobin

Cordeau

2002

International Journal of Operations &Amp; Production Management

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In the field of inventory management, it is a well‐known fact that centralisation, by sharing the risk between several entities, helps reduce the inventory required to provide a certain level of service. In practice, centralisation can be difficult to accomplish, because improvements to the system’s general performance may be achieved at the expense of some of the entities involved. This paper describes a simulation‐based methodology used to study the impacts of equipment pooling on a group of local community service centres (CLSCs) in the Montreal (Canada) region. In addition to quantifying the benefits of the pooling process, the approach allowed the stakeholders to reach an agreement by appraising various pooling scenarios and identifying the conditions that would help ensure fairness.

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Planning midwifery services to deliver continuity of care

Cited by 4 publications

References 1 publication

Looking in the wrong place for healthcare improvements: A system dynamics study of an accident and emergency department

Looking in the wrong place for healthcare improvements: A system dynamics study of an accident and emergency department

A review of implementation of behavioural aspects in the application of OR in healthcare

An application of simulation to analyse resource sharing among health‐care organisations

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