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Improving surgical outcomes through optimal volumes allocation

Author

Listed:
  • Arianna Alfieri

    (Politecnico di Torino)

  • Elisabetta Listorti

    (Politecnico di Torino)

  • Andrea Matta

    (Politecnico di Milano)

Abstract

In this paper, we propose an innovative managerial use of the volume-outcome association, a relation that associates higher volume of activity to better results. We analyze how this relation can be used to help decision makers in allocating surgery interventions among health care structures, a relevant long term planning problem. We analytically study different objective functions in order to drive the allocation process towards better health conditions for patients. We provide a decision support tool for health policy makers, which helps achieving better population health, in terms of quality and fairness. Our approach has been tested on three case studies taking into account real life factors such as geographical distribution of hospitals, specialization thresholds and hospital performance. Results have been compared to the real data from the Italian National Outcome Evaluation Program.

Suggested Citation

  • Arianna Alfieri & Elisabetta Listorti & Andrea Matta, 2018. "Improving surgical outcomes through optimal volumes allocation," Flexible Services and Manufacturing Journal, Springer, vol. 30(1), pages 272-295, June.
    • Handle: RePEc:spr:flsman:v:30:y:2018:i:1:d:10.1007_s10696-016-9266-2
    DOI: 10.1007/s10696-016-9266-2
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    References listed on IDEAS

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    1. Rosella Levaggi & Marcello Montefiori (ed.), 2014. "Health Care Provision and Patient Mobility," Developments in Health Economics and Public Policy, Springer, edition 127, number 978-88-470-5480-6, December.
    2. William S. Lovejoy & Ying Li, 2002. "Hospital Operating Room Capacity Expansion," Management Science, INFORMS, vol. 48(11), pages 1369-1387, November.
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