A Norm Utilisation for Scarce Hospital Resources: Evidence from Operating Rooms in a Dutch University HospitalReport as inadecuate




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Journal of Medical Systems

, Volume 31, Issue 4, pp 231–236

First Online: 19 April 2007Received: 14 November 2006Accepted: 28 February 2007

Abstract

BackgroundUtilisation of operating rooms is high on the agenda of hospital managers and researchers. Many efforts in the area of maximising the utilisation have been focussed on finding the holy grail of 100% utilisation. The utilisation that can be realised, however, depends on the patient mix and the willingness to accept the risk of working in overtime.

Materials and methodsThis is a mathematical modelling study that investigates the association between the utilisation and the patient mix that is served and the risk of working in overtime. Prospectively, consecutively, and routinely collected data of an operating room department in a Dutch university hospital are used. Basic statistical principles are used to establish the relation between realistic utilisation rates, patient mixes, and accepted risk of overtime.

ResultsAccepting a low risk of overtime combined with a complex patient mix results a low utilisation rate. If the accepted risk of overtime is higher and the patient mix is less complex, the utilisation rate that can be reached is closer to 100%.

ConclusionBecause of the inherent variability of health-care processes, the holy grail of 100% utilisation is unlikely to be found. The method proposed in this paper calculates a realistic benchmark utilisation that incorporates the patient mix characteristics and the willingness to accept risk of overtime.

KeywordsHospitals Health care costs Econometrics  Download fulltext PDF



Author: Mark Van Houdenhoven - Erwin W. Hans - Jan Klein - Gerhard Wullink - Geert Kazemier

Source: https://link.springer.com/







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