Mapping care pathways for the elderly

作者: Korina Katsaliaki , Sally Brailsford , David Browning , Peter Knight

DOI: 10.1108/14777260510592130

关键词:

摘要: Purpose – Aims to describe a project carried out within Hampshire Social Services investigating potential care pathways for older people after discharge from hospital and show the of simulation methodology in such situations. Design/methodology/approach A discrete‐event was used determine system capacities estimate likely associated reimbursement costs. Findings prototype model developed showing value this approach. Research limitations/implications Restrictions data access shifted focus quantitative service mapping more descriptive Practical implications Currently, many patients experience delayed acute beds because capacity limitations Services’ traditional post‐acute services. At same time, new regulations require Local Authorities reimburse NHS Acute Trusts if is solely due inadequate provision social assessments In order overcome so‐called “bed‐blocking” problem, range services termed “Intermediate Care” has been introduced offer alternative options patients. These are examined terms appropriateness. Originality/value This paper fulfils an identified need record evaluate packages by proposes as one most suitable methodologies objectives.

参考文章(9)
M. Hensher, N. Fulop, J. Coast, E. Jefferys, The hospital of the future. Better out than in? Alternatives to acute hospital care. BMJ. ,vol. 319, pp. 1127- 1130 ,(1999) , 10.1136/BMJ.319.7217.1127
A. Wilson, J. Lindesay, G. Parker, D. R. Jones, S. G. Parker, S. M. Peet, A. McPherson, A. M. Cannaby, K. Abrams, R. Baker, A systematic review of discharge arrangements for older people Health Technology Assessment. ,vol. 6, pp. 1- 183 ,(2002) , 10.3310/HTA6040
R Davies, HTO Davies, Modelling patient flows and resource provision in health systems Omega-international Journal of Management Science. ,vol. 22, pp. 123- 131 ,(1994) , 10.1016/0305-0483(94)90073-6
H Gentles, J Potter, Alternatives to acute hospital care Reviews in Clinical Gerontology. ,vol. 11, pp. 373- 378 ,(2001) , 10.1017/S0959259801011480
Tillal Eldabi, Zahir Irani, Ray J. Paul, A proposed approach for modelling health-care systems for understanding. Journal of Management in Medicine. ,vol. 16, pp. 170- 187 ,(2002) , 10.1108/02689230210434916
Bob Hudson, Brian Hardy, Melanie Henwood, Gerald Wistow, Working Across Professional Boundaries: Primary Health Care and Social Care Public Money & Management. ,vol. 17, pp. 25- 30 ,(1997) , 10.1111/1467-9302.00088
Wayne L Winston, Operations research : applications and algorithms Published in <b>1994</b> in Belmont Calif) by Duxbury press. ,(1994)