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Modeling time allocation for prevention in primary care

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  • Evrim Güneş

Abstract

This paper discusses the problem of allocating time for prevention at the primary care level, focusing on a general practitioner (GP) practice. The basic trade-off is between improved state of the health of the population, which translates into less demand for the GP services, and a decreased capacity for curative services, which translates into increased congestion. The problem of how much time to devote to prevention is modeled as a non-linear optimization problem. As an extension of the problem, selection of preventive activities to perform among recommended alternatives is modeled using a knapsack formulation, and its application is illustrated with a numerical example. Copyright Springer-Verlag 2009

Suggested Citation

  • Evrim Güneş, 2009. "Modeling time allocation for prevention in primary care," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 17(3), pages 359-380, September.
  • Handle: RePEc:spr:cejnor:v:17:y:2009:i:3:p:359-380
    DOI: 10.1007/s10100-009-0094-2
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    References listed on IDEAS

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    1. Kaplan, Edward H. & Pollack, Harold, 1998. "Allocating HIV Prevention Resources," Socio-Economic Planning Sciences, Elsevier, vol. 32(4), pages 257-263, December.
    2. Krishnan, Murugappa (Murgie) & Srinivasan, Ashok, 2007. "How do shop-floor supervisors allocate their time?," International Journal of Production Economics, Elsevier, vol. 105(1), pages 97-115, January.
    3. Doris A. Behrens & Jonathan P. Caulkins & Gernot Tragler & Gustav Feichtinger, 2000. "Optimal Control of Drug Epidemics: Prevent and Treat---But Not at the Same Time?," Management Science, INFORMS, vol. 46(3), pages 333-347, March.
    4. Yarnall, K.S.H. & Pollak, K.I. & Østbye, T. & Krause, K.M. & Michener, J.L., 2003. "Primary care: Is there enough time for prevention?," American Journal of Public Health, American Public Health Association, vol. 93(4), pages 635-641.
    5. Linda V. Green & Sergei Savin, 2008. "Reducing Delays for Medical Appointments: A Queueing Approach," Operations Research, INFORMS, vol. 56(6), pages 1526-1538, December.
    6. Renata Kopach & Po-Ching DeLaurentis & Mark Lawley & Kumar Muthuraman & Leyla Ozsen & Ron Rardin & Hong Wan & Paul Intrevado & Xiuli Qu & Deanna Willis, 2007. "Effects of clinical characteristics on successful open access scheduling," Health Care Management Science, Springer, vol. 10(2), pages 111-124, June.
    7. Gregory S. Zaric & Margaret L. Brandeau & Paul G. Barnett, 2000. "Methadone Maintenance and HIV Prevention: A Cost-Effectiveness Analysis," Management Science, INFORMS, vol. 46(8), pages 1013-1031, August.
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