Utilize este identificador para referenciar este registo: http://hdl.handle.net/10451/8840
Título: Networks of primary and secondary care services: how to organise services so as to promote efficiency and quality in access while reducing costs
Autor: Farinha, Ricardo
Oliveira, Mónica Duarte
Sá, Armando Brito de
Palavras-chave: Discrete event simulation
Networks of services
Organisation and planning
Primary and secondary care
Referral systems
Quality in healthcare
Data: 2008
Editora: European Forum for Primary Care
Citação: Quality in Primary Care 2008;16:249–58
Resumo: Governments in countries with national health systems have been concerned with how to organise services so as to achieve improvements in efficiency and quality in healthcare delivery, as well as to control costs. In this study, a stochastic discrete event simulation model to study the organisation of primary and secondary care services is proposed. The model was built with reference to the context of the Portuguese NHS, was implemented in the Simul8 software program and was applied to the Portuguese Setubal healthcare subregion (SHCR.For its application, a database with 2005 production,resource and cost indicators was built to calibrate and validate the applied model. After validation three different policy scenarios were tested: the first one concerning a 10% increase in demand for primary care services; the second considering a shift between specialists and generalist physicians; and a third regarding restructuring of primary care services. Results show that although the current system is not prepared to cope with a rise in demand, the other scenarios indicate that there is room for primary care reforms to increase the system’s efficiency and accessibility, while lowering total costs.
Descrição: © 2008 Radcliffe Publishing
Peer review: yes
URI: http://www.ingentaconnect.com/search/article?option2=author&value2=oliveira&operator3=AND&option3=issnisbndoi&value3=1479-1072&sortDescending=true&sortField=default&pageSize=10&index=1
ISSN: 1479-1072
Aparece nas colecções:FM-IMPSP-Artigos em Revistas Internacionais

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