The impact of discharge decisions on health care quality

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dc.citation.epage415en_US
dc.citation.issueNumber3en_US
dc.citation.spage400en_US
dc.citation.volumeNumber44en_US
dc.contributor.authorBerk, E.en_US
dc.contributor.authorMoinzadeh, K.en_US
dc.date.accessioned2019-02-04T17:33:18Z
dc.date.available2019-02-04T17:33:18Z
dc.date.issued1998en_US
dc.departmentDepartment of Managementen_US
dc.description.abstractIn this paper, we present a normative study that describes the impact of discharging decisions in the face of resource shortages. We develop a model that represents the dynamics of a health care unit. Then, to capture the essence of discharge decisions, we consider discharge policies that incorporate both the occupancy level of the unit and the status of patients measured by their stage of recovery and the time they have spent in that stage. We believe that our model can be used as an aid to physicians and administrators to better assess discharge and/or capacity decisions. In addition, we investigate the impact of discharge decisions on the measures that represent the quality of care at a facility such as average hospital stays, system accessibility, and average complication risk of discharged patients. Our findings illustrate that inclusion of early discharge option improves system accessibility significantly and does not jeopardize care equity among patients. Furthermore, introduction of early discharge option has more pronounced effects on increasing care unit capacity than addition of open beds with no early discharges.en_US
dc.description.provenanceSubmitted by Merve Nalbant (merve.nalbant@bilkent.edu.tr) on 2019-02-04T17:33:18Z No. of bitstreams: 1 The_Impact_of_Discharge_Decisions_on_Health_Care_Quality.pdf: 186603 bytes, checksum: 2dcb519b737a6482a4bc1594e25e1c25 (MD5)en
dc.description.provenanceMade available in DSpace on 2019-02-04T17:33:18Z (GMT). No. of bitstreams: 1 The_Impact_of_Discharge_Decisions_on_Health_Care_Quality.pdf: 186603 bytes, checksum: 2dcb519b737a6482a4bc1594e25e1c25 (MD5) Previous issue date: 1998en
dc.identifier.doi10.1287/mnsc.44.3.400en_US
dc.identifier.eissn1526-5501
dc.identifier.issn0025-1909
dc.identifier.urihttp://hdl.handle.net/11693/48821
dc.language.isoEnglishen_US
dc.publisherInstitute for Operations Research and the Management Sciences (INFORMS)en_US
dc.relation.isversionofhttps://doi.org/10.1287/mnsc.44.3.400en_US
dc.source.titleManagement Scienceen_US
dc.subjectHealth care managementen_US
dc.subjectDischarge policyen_US
dc.subjectCapacity analysisen_US
dc.subjectService operationsen_US
dc.titleThe impact of discharge decisions on health care qualityen_US
dc.typeArticleen_US

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