IDEAS home Printed from https://ideas.repec.org/a/spr/flsman/v30y2018i1d10.1007_s10696-016-9266-2.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10696-016-9266-2
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s10696-016-9266-2?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    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, May.
    2. William S. Lovejoy & Ying Li, 2002. "Hospital Operating Room Capacity Expansion," Management Science, INFORMS, vol. 48(11), pages 1369-1387, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jan A. Van Mieghem, 2003. "Commissioned Paper: Capacity Management, Investment, and Hedging: Review and Recent Developments," Manufacturing & Service Operations Management, INFORMS, vol. 5(4), pages 269-302, July.
    2. Berta, Paolo & Guerriero, Carla & Levaggi, Rosella, 2021. "Hospitals’ strategic behaviours and patient mobility: Evidence from Italy," Socio-Economic Planning Sciences, Elsevier, vol. 77(C).
    3. McRae, Sebastian & Brunner, Jens O., 2020. "Assessing the impact of uncertainty and the level of aggregation in case mix planning," Omega, Elsevier, vol. 97(C).
    4. Gravelle, Hugh & Liu, Dan & Propper, Carol & Santos, Rita, 2019. "Spatial competition and quality: Evidence from the English family doctor market," Journal of Health Economics, Elsevier, vol. 68(C).
    5. Matteo Lippi Bruni & Irene Mammi, 2017. "Spatial effects in hospital expenditures: A district level analysis," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 63-77, September.
    6. Astaraky, Davood & Patrick, Jonathan, 2015. "A simulation based approximate dynamic programming approach to multi-class, multi-resource surgical scheduling," European Journal of Operational Research, Elsevier, vol. 245(1), pages 309-319.
    7. Diesenreiter, Carina & Österle, August, 2021. "Patients as EU citizens? The implementation and corporatist stakeholders’ perceptions of the EU cross-border health care directive in Austria," Health Policy, Elsevier, vol. 125(11), pages 1498-1505.
    8. Anthony Scott & Peter Sivey, 2022. "Motivation and competition in health care," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1695-1712, August.
    9. Laurie Rachet-Jacquet & Nils Gutacker & Luigi Siciliani, 2019. "The causal effect of hospital volume on health gains from hip replacement surgery," Working Papers 168cherp, Centre for Health Economics, University of York.
    10. Piia Pekola & Ismo Linnosmaa & Hennamari Mikkola, 2017. "Competition and quality in a physiotherapy market with fixed prices," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(1), pages 97-117, January.
    11. David Kuklinski & Justus Vogel & Alexander Geissler, 2021. "The impact of quality on hospital choice. Which information affects patients’ behavior for colorectal resection or knee replacement?," Health Care Management Science, Springer, vol. 24(1), pages 185-202, March.
    12. Xinyu Li & Christian Waibel, 2021. "Patients' free choice of physicians is not always good," Health Economics, John Wiley & Sons, Ltd., vol. 30(11), pages 2751-2765, November.
    13. Lippi Bruni, Matteo & Ugolini, Cristina & Verzulli, Rossella, 2021. "Should I wait or should I go? Travelling versus waiting for better healthcare," Regional Science and Urban Economics, Elsevier, vol. 89(C).
    14. Nils Gutacker & Luigi Siciliani & Giuseppe Moscelli & Hugh Gravelle, 2015. "Do patients choose hospitals that improve their health?," Working Papers 111cherp, Centre for Health Economics, University of York.
    15. Cellini, Roberto & Siciliani, Luigi & Straume, Odd Rune, 2018. "A dynamic model of quality competition with endogenous prices," Journal of Economic Dynamics and Control, Elsevier, vol. 94(C), pages 190-206.
    16. Moscelli, Giuseppe & Gravelle, Hugh & Siciliani, Luigi & Gutacker, Nils, 2018. "The effect of hospital ownership on quality of care: Evidence from England," Journal of Economic Behavior & Organization, Elsevier, vol. 153(C), pages 322-344.
    17. Piia Pekola & Ismo Linnosmaa & Hennamari Mikkola, 2017. "Assessing the effects of price regulation and freedom of choice on quality: evidence from the physiotherapy market," Health Economics Review, Springer, vol. 7(1), pages 1-16, December.
    18. Giuseppe Moscelli & Hugh Gravelle & Luigi Siciliani, 2018. "Effects of Market Structure and Patient Choice on Hospital Quality for Planned Patients," School of Economics Discussion Papers 1118, School of Economics, University of Surrey.
    19. Adrian Fletcher & Dave Worthington, 2009. "What is a ‘generic’ hospital model?—a comparison of ‘generic’ and ‘specific’ hospital models of emergency patient flows," Health Care Management Science, Springer, vol. 12(4), pages 374-391, December.
    20. Giuseppe Moscelli & Hugh Gravelle & Luigi Siciliani, 2016. "Market structure, patient choice and hospital quality for elective patients," Working Papers 139cherp, Centre for Health Economics, University of York.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:flsman:v:30:y:2018:i:1:d:10.1007_s10696-016-9266-2. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.