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http://hdl.handle.net/1942/31721
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DC Field | Value | Language |
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dc.contributor.author | VANBRABANT, Lien | - |
dc.contributor.author | BRAEKERS, Kris | - |
dc.contributor.author | RAMAEKERS, Katrien | - |
dc.date.accessioned | 2020-08-14T09:01:09Z | - |
dc.date.available | 2020-08-14T09:01:09Z | - |
dc.date.issued | 2021 | - |
dc.date.submitted | 2020-08-10T11:32:54Z | - |
dc.identifier.citation | Flexible services and manufacturing journal (Print), 33(3), p. 783-845 | - |
dc.identifier.uri | http://hdl.handle.net/1942/31721 | - |
dc.description.abstract | Emergency departments (EDs) are continuously exploring opportunities to improve their efficiency. A new opportunity lies in revising the patient-physician assignment process by limiting the number of patients simultaneously assigned to a single physician, which is defined as the application of a case manager approach with limited caseloads. The potential of introducing a case manager approach with limited caseloads as a way to improve physician productivity, and consequently ED performance, is investigated by use of a discrete-event simulation model based on a real-life case study. In addition, as the case manager system is characterised by three parameters that can be customised and optimised (i.e. caseload limit, pre-assignment queueing discipline and internal queueing discipline), the impact of these parameters on the effectiveness to improve ED performance in terms of length-of-stay and door-to-doctor time is evaluated. To the best of our knowledge, this paper is the first to examine the potential of a case manager system with limited caseloads in a complex service system like a real-life ED, and to investigate the impact of the three system parameters on the results. The outcomes of the study show that performance can be improved significantly by introducing a case manager system, and that the system parameters have an impact on the effect size. | - |
dc.description.sponsorship | This work is supported by the Strategic Basic Research project Data-driven logistics (S007318N), funded by the Research Foundation Flanders (FWO). This work is supported by the Special Research Fund (BOF) of Hasselt University (BOF20TT03). | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER | - |
dc.rights | Springer Science+Business Media, LLC, part of Springer Nature 2020 | - |
dc.subject.other | Discrete-event simulation | - |
dc.subject.other | Emergency department | - |
dc.subject.other | Case managers | - |
dc.subject.other | Real-life case study | - |
dc.subject.other | Healthcare operations | - |
dc.title | Improving emergency department performance by revising the patient-physician assignment process | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 845 | - |
dc.identifier.issue | 3 | - |
dc.identifier.spage | 783 | - |
dc.identifier.volume | 33 | - |
local.bibliographicCitation.jcat | A1 | - |
local.publisher.place | VAN GODEWIJCKSTRAAT 30, 3311 GZ DORDRECHT, NETHERLANDS | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.identifier.doi | 10.1007/s10696-020-09388-2 | - |
dc.identifier.isi | WOS:000540956000001 | - |
local.provider.type | Web of Science | - |
local.uhasselt.uhpub | yes | - |
item.validation | ecoom 2021 | - |
item.contributor | VANBRABANT, Lien | - |
item.contributor | BRAEKERS, Kris | - |
item.contributor | RAMAEKERS, Katrien | - |
item.accessRights | Open Access | - |
item.fullcitation | VANBRABANT, Lien; BRAEKERS, Kris & RAMAEKERS, Katrien (2021) Improving emergency department performance by revising the patient-physician assignment process. In: Flexible services and manufacturing journal (Print), 33(3), p. 783-845. | - |
item.fulltext | With Fulltext | - |
crisitem.journal.issn | 1936-6582 | - |
crisitem.journal.eissn | 1936-6590 | - |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
FLEX-D-19-00186_R1 (2).pdf | Peer-reviewed author version | 3.17 MB | Adobe PDF | View/Open |
s10696-020-09388-2.pdf Restricted Access | Published version | 2.9 MB | Adobe PDF | View/Open Request a copy |
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