Exploratory analysis using discrete event simulation modelling of the wait times and service costs associated with the maximum wait time guarantee policy applied in a rheumatology central intake clinic.

IF 1.2 Q4 HEALTH POLICY & SERVICES
Health Systems Pub Date : 2023-06-01 eCollection Date: 2025-01-01 DOI:10.1080/20476965.2023.2219293
Toni Tagimacruz, Monica Cepoiu-Martin, Deborah A Marshall
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引用次数: 0

Abstract

Adherence to wait time benchmark targets for the diagnosis and initiation of interventions for rheumatoid arthritis is crucial in altering the disease trajectory. We analysed the impact of the maximum wait time guarantee (MWTG) policy for routing referrals for the initial rheumatologist consults on the waiting and service costs. We modelled a central intake system for a rheumatology clinic as a discrete event simulation (DES) model. Using data from a central intake and rheumatology clinic as input to the model of the system, we simulated the arrival of referrals and rheumatologist visits of patients. We demonstrated the impact of the referral policy on system performance and compared the system costs in an MWTG policy and first-available-appointment policy scenarios. MWTG policy is an option for a wait time management strategy but comes with essential cost considerations. Healthcare managers and policymakers should consider the DES approach to support referral decision policy choices.

探索性分析使用离散事件模拟建模的等待时间和服务成本与最大等待时间保证政策应用于风湿病中心门诊
对于类风湿关节炎的诊断和干预措施的启动,坚持等待时间基准目标对于改变疾病轨迹至关重要。我们分析了最大等待时间保证(MWTG)政策对初始风湿病专家咨询的路由转诊的等待和服务成本的影响。我们将风湿病诊所的中央进气系统建模为离散事件模拟(DES)模型。使用来自中心入口和风湿病诊所的数据作为系统模型的输入,我们模拟了转诊患者的到来和风湿病医生的就诊。我们演示了推荐策略对系统性能的影响,并比较了MWTG策略和首次可用预约策略场景下的系统成本。MWTG策略是等待时间管理策略的一种选择,但它带有必要的成本考虑。医疗管理人员和政策制定者应考虑使用DES方法来支持转诊决策和政策选择。
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来源期刊
Health Systems
Health Systems HEALTH POLICY & SERVICES-
CiteScore
4.20
自引率
11.10%
发文量
20
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