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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Staff allocation and cost analysis: application of a hospital patient flow model

St. Jean, Richard Robert 12 June 2010 (has links)
In this thesis the applicability of a hospital patient flow model is used in addressing hospital resource allocation problems. Three separate but interrelated models are presented. First, the hospital patient flow model is discussed. The main feature of the hospital patient flow model is the matrix of technical coefficients, which gives the probability of patient transfers throughout the hospital. Given the hospital system's daily patient input, the model provides the patient demands upon the different hospital services. Results from the patient flow model are used in the development of a staff allocation model. The staffing model involves the minimization of a weighted quadratic penalty function. The weighting factors are based on the proportion of patients in each of three carelevels in the wards. The weights are also dependent upon whether overstaffing or understaffing is the situation. Constraints to the model include a desirable mix and number of the available nursing staff. Solution of the allocation model is obtained by using SUMT with a pattern search. A third model concerned with predicting hospital revenues is presented. Again, results from the hospital patient flow model are used to present estimates of the expected values and variance of a hospital's revenue. To illustrate the use of the models, results from a two-week study period of the Montgomery County Hospital are presented and discussed. / Master of Science

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