Applications of Operations Research to Health Care Delivery by Brant E. Fries

By Brant E. Fries

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Ty location problem, one w~ich is brought forward by I:EIMANN AND LUSK (1976). lcorporate \Oncertainities 0 site av~ilabil\ty, governmental restrictions, funding, etc. Relaxing the assumption that facilities may only b~ loc~ted at specified disc~ete points, an alternate otpproach employing nonlinear pr')glCUM'ling techniques and an interactive comp~ter algorithm is designed by ABERNATHY AND riF-RSUEY (1372). ' related to distance), are cOI;:pared. SCHULTZ (1970) uses ·center place theory· to determine theoretically the optimal locational pattern of a hierarchy of health facilities ranging from neighborhood health centers to medical centers.

They ('xamll1c. ically significant differences in total bed utilization, although they d\d find a significant change in the utilization of particular units and in the waiting for elective admission. Other investigators disagrC'e with at least this first result, suggesti~9 that the pooling of beds improves total bee. ng the rate of turnaway (cf. untl,'1 improvement in the total occupnncy of th~ two unils if this is clone. "nploj'l! e other. Il units. tients, elcctivu surgeri, and the specificcltion of sex, room preicrenco, and initicll unit assignmcnt for each pcltient.

J at :acility, type or facility (clill~~ or private "ffice, team ~r solo phyrician) paymrnt mcchrlnism, cost, etc. earch alCjorithm to specify t:1C optimal aU

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