Applications of Operations Research to Health Care Delivery by Brant E. Fries

By Brant E. Fries

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Lthough enlargillg the rocus to dll heallh persornel. In the rolle-wing we will, however, use the term "staff:n,::" to mean the combination of all three proble~s: plolnning, schQdul~ng, and allocation. II. "IiJ STntSON (1972). alt:. nel - extenders, nu~se practitioners, nurse aides, dental assistance, etc. - and the role that they can play i~ the health syste~, is the subject of a separate section of th~s report insofar as the research described is conce:ned prim~rily with the opti~a! mix of personnel types rather than starfing.

0 examinc thr. effects of d~ploying ambulelnces from uny sp~cifjed suuset or these depots. :riued. I\L. (1973). Their I"et:lod of determining a .. nal deployment uses a branch and cound t~chnique (probabilistic enumeration). Yet ~nothe~ approach is sugyested by VCLZ (197~). gion. r of velli~les, the set o! golitt~~. The assumption need not be made that service requests aloe 9rouped at a centroid of a region and th~t amb~lances are situat~d only at fixed locations. " Configurations with various lvcation ~eltterns and with various numbers of vehicles arc shown to imp~ove l~sponse time, necessitate fewer ambulances, and reduce the total system cost, as demonstrated by a cost analysis.

L974~), the methOd is :;'Iodi~icd for (GP:;S) computer simujc1tion. on by this group, Kt'lAK ET AL. tv!. 1tients for surgery, with several of these taking into account the need for time in the ~ccovery roo~. )ve superior to that curren~ used (the fifth, random assignment) in utilization of facilities and earlicr co~pletion c~ the day's surgery and recovery room usag~. GOLDMAN ET AL. g rule~ which schedule for surgery the longest cases first, the shortest first, or in order of first-come, first-served.

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