Geodesic
Optimization of costs policy in a~geriatric queuing model with extra beds provision
Sibirskij žurnal vyčislitelʹnoj matematiki, Tome 6 (2003) no. 2, pp. 139-147.

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The planning of a hospital geriatric department is a complex task, concerning both health care itself and the corresponding financial issues. The long-term geriatric services frequently occupy hospital beds for long periods of time incurring high costs. On the other hand, there are a lot of elderly people who are unable to obtain a hospital bed, because they are all occupied. The aim of this paper is to analyze the influence of the admission policy and bed allocation upon the hospital costs. Such methodology can be used by health service managers to optimize the geriatric department activity. 
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Florin Gorunescu; Marina Gorunescu. Optimization of costs policy in a~geriatric queuing model with extra beds provision. Sibirskij žurnal vyčislitelʹnoj matematiki, Tome 6 (2003) no. 2, pp. 139-147. http://geodesic.mathdoc.fr/item/SJVM_2003_6_2_a3/

[1] Aboud E., Uridge C., Millard P. H., “Progress in medicine for older patients”, Practitioner, 243 (1999), 190–201

[2] R. Cape, R. Coe, I. Rossman (eds.), Fundamentals of Geriatric Medicine, Raven Press, New York, 1984

[3] Davies H. T. O., Davies R., “Simulating health systems: modelling problems and software solutions”, European J. Oper. Research, 87 (1995), 35–44 | DOI | Zbl

[4] Ellis R. D., Goldberg J. H., Detweiller M. C., “Predicting age-related differences in visual information processing using a two-stage queuing model”, J. Gerontology B, 7 (1996), 155–165

[5] Seymour D. G., “Health care modelling and the National Health Service”, Health Care Management Science, 4 (2001), 5–10 | DOI | MR

[6] Gorunescu F., McClean S. I., Millard P. H., “A queuing model for bed occupancy management and planning of hospitals”, J. Oper. Research Society, 53:1 (2002), 19–24 | DOI | Zbl

[7] Gorunescu F., McClean S. I., Millard P. H., “Using a queuing model to help plan a geriatric department with a waiting room”, Health Care Management Science to be published (to appear)

[8] Gorunescu F., Mackay M., Millard P. H., McClean S. I., “Queuing models of the dynamics of bed occupancy in hospital systems with fixed or limited capacity”, Proc. Appl. Stochastic Models Data Anal., 10, no. 2, eds. G. Govaert, J. Janssen, N. Limnios, 2001, 475–480

[9] Ho C. J., Lau H., “Minimizing total cost in scheduling outpatient appointment”, Management Science, 38 (1992), 1750–1764 | DOI | Zbl

[10] Whitaker J. B., A General Purpose Planning Model for the Management of Waiting Lists in Health Services, M. Sc. Dissertation, Lancaster University, 1990

[11] Worthington D. J., “Hospital waiting list management models”, J. Oper. Research Society, 42 (1991), 833–843 | Zbl

[12] Millard P. H., Geriatric Medicine: A New Method of Measuring Bed Usage and a Theory of Planning, M. D. Thesis, University of London, 1988

[13] Tijms H. C., Stochastic Modelling and Analysis. A Computational Approach, J. Wiley and Sons, Chichester–New York, 1986 | MR

[14] Ross S. M., Introduction to Probability Models, Sixth Edition, Academic Press, 1997

[15] Bagust A., Place M., Posnett J., “Dynamics of bed use in accommodating emergency admissions: stochastic simulation model”, BMJ, 319 (1999), 155–158

[16] Harrison G. W., Millard P. H., “Balancing acute and long-stay care: the mathematics of throughput in departments of geriatric medicine”, Methods of Information in Medicine, 30 (1991), 221–228

[17] McClean S. I., Millard P. H., “Patterns of length of stay after admissions in geriatric medicine: an event history approach”, The Statistician, 42 (1993), 263–274 | DOI