The creation of short-term flexibility in health care capacity management
Paper in proceeding, 2019
Objective: The purpose of this paper is to explore where and to what extent the major types of tools for short-term flexibility on the supply side are used in the healthcare system.
Method: A questionnaire was developed and distributed among department managers (N = 237; n = 106) in the Region Västra Götaland healthcare system. The respondents were asked to indicate on a seven-point Likert-type scale to what extent they used each tool to create short-term flexibility in capacity. Each manager’s unit was positioned on an acute/planned scale and on an inpatient/outpatient scale, and classified as primarily medical, surgical or psychiatrical. Data were analyzed with multiple regression.
Results: A number of significant tendencies were found, for example, that acute units tend to use overtime and internal staffing pools to create flexibility to a larger extent, and patient queues and external healthcare providers to a smaller extent, than planned units do.
Conclusion: In order to manage capacity efficiently on an aggregate level in the healthcare system, the prerequisites as well as the required managerial approaches differ substantially between different parts of the system. These differences must be addressed when, for example, capacity pools are considered.
Sahlgrenska University Hospital
Chalmers, Technology Management and Economics, Innovation and R&D Management, Innovation and R&D Management
University of Gothenburg
PLANs Forsknings- och tillämpningskonferens 2019
Capacity pooling in health care systems
Jan Wallanders och Tom Hedelius stiftelse, 2018-01-01 -- 2021-12-31.
Production Engineering, Human Work Science and Ergonomics
Other Computer and Information Science
Transport Systems and Logistics