Examining the feasibility of using a modelling tool to assess resilience across a health-care system and assist with decisions concerning service reconfiguration
Changes in medical practice, demographic shifts and financial pressures are all examples of factors that may contribute to demand for periodic changes in the configuration of health services. When reconfiguring a service, health planners often take into account projected demand for services, patient access criteria and budgetary constraints (among other things), but typically give little consideration regarding its resilience to deliver services during and after external disruptions to its capability to deliver. In this paper we discuss a study conducted in response to a direct request from the National Health Service (NHS) Resilience Project within the Department of Health to explore the feasibility of assessing resilience across local services within the NHS and developing a computer software tool to assess resilience of different service reconfigurations. We give an account of the modelling process used, including the analytical framework we developed using both optimisation and heuristic methods, and an illustrative example of usage of a prototype software tool. We also highlight the key lessons that emerged during this project, which may be helpful to OR analysts working on similar projects regarding resilience in the public sector.
Year of publication: |
2014
|
---|---|
Authors: | Crowe, Sonya ; Vasilakis, Christos ; Skeen, Andrew ; Storr, Phil ; Grove, Peter ; Gallivan, Steve ; Utley, Martin |
Published in: |
Journal of the Operational Research Society. - Palgrave Macmillan, ISSN 0160-5682. - Vol. 65.2014, 10, p. 1522-1532
|
Publisher: |
Palgrave Macmillan |
Saved in:
Online Resource
Saved in favorites
Similar items by person
-
Crowe, Sonya, (2014)
-
Operational research applied to decisions in home health care : a systematic literature review
Grieco, Luca, (2021)
-
Praxis in healthcare OR : an empirical behavioural OR study
Crowe, Sonya, (2022)
- More ...