NDLI: Modelling costs of bed occupancy and delayed discharge of post-stroke patients

Content Provider	IEEE Xplore Digital Library
Author	Barton, M. McClean, S. Garg, L. Fullerton, K.
Copyright Year	2010
Description	Author affiliation: School of Computing and Information Engineering, University of Ulster, UK (Barton, M.; McClean, S.) \|\| School of Medicine Queen's University, Belfast, UK (Garg, L.; Fullerton, K.)
Abstract	Stroke is the major cause of disability in the UK, costing the economy £7 billion per annum. Prolonged length of stay (LOS) in hospital is considered to be an inefficient use of resources and is in part due to bed blocking. We present results of survival analyses utilising LOS and destination as outcome measures, based on data from the Belfast City Hospital. On the basis of these results we have created a number of groups, clustered by age, gender, diagnosis and destination. The groups were then used to form the basis of a simulation model, where each group is a patient pathway within the simulation. Various scenarios were explored focusing on the potential cost-efficiency gains should LOS, prior to discharge to a Private Nursing Home (PNH) be reduced. We then consider a possible queue for patients awaiting discharge to a Private Nursing Home with a focus on the financial gains should this queue be reduced.
Starting Page	1
Ending Page	6
File Size	347628
Page Count	6
File Format	PDF
ISBN	9781424449972
e-ISBN	9781424449989
DOI	10.1109/WHCM.2010.5441244
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	2010-02-18
Publisher Place	Italy
Access Restriction	Subscribed
Rights Holder	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subject Keyword	Drugs Costs Stroke Costing Medical treatment Medical services Delay Diseases Survival analysis Hospitals Simulation Cities and towns Healthcare Medical diagnostic imaging Length of stay Coxian phase type models
Content Type	Text
Resource Type	Article

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