A survey of OR/MS models on care planning for frail and elderly patients

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Operations Research for Health Care Pub Date : 2021-12-01 DOI:10.1016/j.orhc.2021.100325
Elizabeth Williams, Daniel Gartner, Paul Harper
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引用次数: 5

Abstract

Context

With an ageing population, there is an increased demand on public health services and on long-term-care facilities. It is not uncommon for frail and elderly patients to spend longer in hospital or require more support within the community, often due to multi-morbidities. Many health services are faced with the complex problem as to how to administer the best care for the frail and elderly whilst best managing limited health resources.

Objective

This paper focuses on the literature concerning frail and elderly patient pathways within both hospital and community care settings with the use of Operations Research and Management Science (OR/MS) methods. To cover a wide range of specialities, the following additional subject areas have been included: Geriatrics and Gerontology, Health Policy and Services, Industrial Engineering, and Medical Informatics, to synthesise the work on modelling the application of care for frail and elderly patients. This review paper also analyses trends in the research literature and identifies gaps for future study.

Methods

A set of criteria has been established in which a systematic search was performed against to identify literature from 2000 to 2020. In total 62 publications were identified as applicable and were categorised methodologically and analysed. Common features of the papers including hospital setting, research aims and planning decisions have been identified and discussed.

Results

The results from the analysis reveal that this field of study is increasing with over 47% of papers having been published since 2015. The main findings suggest three areas of future research. Firstly, focus should be on modelling pathways holistically, with collaboration from both hospitals and community care settings. Secondly, work should be conducted on patient outcomes of these modelled pathways to highlight the increase in quality of care. Thirdly, there is potential for a wider variety of OR/MS methods to be utilised across the whole pathway. These three areas will reduce pressure on health services which are currently facing rising demands with limited resources.

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老年体弱患者护理计划的OR/MS模型调查
背景随着人口老龄化,对公共卫生服务和长期护理设施的需求增加。体弱多病和老年患者住院时间更长或需要更多社区支持的情况并不罕见,这通常是由于多重发病所致。许多卫生服务机构都面临着如何在对有限的卫生资源进行最佳管理的同时为体弱多病者和老年人提供最佳护理的复杂问题。目的:本论文主要关注在医院和社区护理环境中使用运筹学和管理科学(OR/MS)方法的有关体弱和老年患者路径的文献。为了涵盖广泛的专业,新增了以下学科领域:老年病学和老年学、卫生政策和服务、工业工程和医学信息学,以综合对体弱和老年病人护理应用的建模工作。本文还分析了研究文献的趋势,并确定了未来研究的差距。方法建立了一套标准,对2000年至2020年的文献进行系统检索。共有62份出版物被确定为适用的,并进行了方法分类和分析。论文的共同特点包括医院设置,研究目标和规划决策已经确定和讨论。分析结果显示,这一研究领域正在增加,2015年以来发表的论文超过47%。主要研究结果表明了未来研究的三个领域。首先,在医院和社区护理机构的合作下,重点应放在全面建模途径上。其次,应该对这些模拟途径的患者结果进行研究,以突出护理质量的提高。第三,有可能在整个途径中使用更广泛的OR/MS方法。这三个领域将减轻保健服务的压力,这些服务目前面临着资源有限而需求不断增加的问题。
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来源期刊
Operations Research for Health Care
Operations Research for Health Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.90
自引率
0.00%
发文量
9
审稿时长
69 days
期刊最新文献
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