11
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Using stochastic simulation modelling to study occupancy levels of decentralised admission avoidance units in Norway

      research-article
      a , b , c , a , b , d
      Health Systems
      Taylor & Francis
      Admission avoidance, community-based, healthcare, discrete event simulation, Erlang, regression

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          ABSTRACT

          Identifying alternatives to acute hospital admission is a priority for many countries. Over 200 decentralised municipal acute units (MAUs) were established in Norway to divert low-acuity patients away from hospitals. MAUs have faced criticism for low mean occupancy and not relieving pressures on hospitals. We developed a discrete time simulation model of admissions and discharges to MAUs to test scenarios for increasing absolute mean occupancy. We also used the model to estimate the number of patients turned away as historical data was unavailable. Our experiments suggest that mergers alone are unlikely to substantially increase MAU absolute mean occupancy as unmet demand is generally low. However, merging MAUs offers scope for up to 20% reduction in bed capacity, without affecting service provision. Our work has relevance for other admissions avoidance units and provides a method for estimating unconstrained demand for beds in the absence of historical data.

          Related collections

          Most cited references68

          • Record: found
          • Abstract: not found
          • Article: not found

          Application of discrete-event simulation in health care clinics: A survey

            Bookmark
            • Record: found
            • Abstract: found
            • Article: found

            Admission avoidance hospital at home

            Admission avoidance hospital at home provides active treatment by healthcare professionals in the patient's home for a condition that otherwise would require acute hospital inpatient care, and always for a limited time period. This is the third update of the original review.
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Discrete event simulation for performance modelling in health care: a review of the literature

                Bookmark

                Author and article information

                Journal
                Health Syst (Basingstoke)
                Health Syst (Basingstoke)
                Health Systems
                Taylor & Francis
                2047-6965
                2047-6973
                15 February 2023
                2023
                15 February 2023
                : 12
                : 3
                : 317-331
                Affiliations
                [a ]Health Services Research Unit, Akershus University Hospital Trust; , Lørenskog, Norway
                [b ]Institute of Clinical Medicine, University of Oslo; , Oslo, Norway
                [c ]Clinical Operational Research Unit, Department of Mathematics, University College London; , London, UK
                [d ]Image Analysis and Earth Observation, Norwegian Computing Centre; , Oslo, Norway
                Author notes
                CONTACT Meetali Kakad meetalikakad@ 123456gmail.com Health Services Research Unit, Akershus University Hospital Trust; , Lørenskog 1478, Norway
                Author information
                https://orcid.org/0000-0003-1708-0847
                https://orcid.org/0000-0001-9928-1516
                https://orcid.org/0000-0002-6835-0985
                Article
                2174453
                10.1080/20476965.2023.2174453
                10583632
                37860598
                bd2c665f-438b-4d0f-be55-535e79444101
                © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.

                History
                Page count
                Figures: 1, Tables: 4, References: 71, Pages: 15
                Categories
                Research Article
                Research Article

                admission avoidance,community-based,healthcare,discrete event simulation,erlang,regression

                Comments

                Comment on this article