The creation of short-term flexibility in health care capacity management
Paper i 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.
flexibility
questionnaire
Capacity planning
healthcare management
Författare
Carina Fagefors
Sahlgrenska universitetssjukhuset
Björn Lantz
Chalmers, Teknikens ekonomi och organisation, Innovation and R&D Management
Peter Rosén
Göteborgs universitet
PLANs Forsknings- och tillämpningskonferens 2019
Linköping, Sweden,
Poolning av kapacitet i sjukvårdssystem
Jan Wallanders och Tom Hedelius stiftelse, 2018-01-01 -- 2021-12-31.
Ämneskategorier
Produktionsteknik, arbetsvetenskap och ergonomi
Annan data- och informationsvetenskap
Transportteknik och logistik
Företagsekonomi
Datavetenskap (datalogi)