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Management of surgical waiting list in public hospitals

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1998
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Facultad de Ciencias Económicas y Empresariales. Instituto Complutense de Análisis Económico (ICAE)
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Hospitals are considered public utility companies and are supposed to be non-profit institutions; usually they function in a politieal and highly complex environment. Managerial authority is shared between doctors and administrators and each of the two groups aims to formulate its own individual policies and pursue objectives that may not coincide or may even be in direct opposition to one another. This situation is certain to affeet hospital performance and it must be taken into account when proposing any kind of results analysis. Improving the efficieney of Hospital performance establishing quantitative target values to those objectives, some of them involving intangible benefits, is the main objective of any Hospital Administration. The purpose of this study is to analyze through the M.C.D.M. approach, the inner coherency of the goals expressed by administrative Authorities. Also, applying Multicriteria Decision techniques we intend to design the real performance of surgical services at a local general hospital offering the decision centre a suitable methodology that allows us to analyze whether or not it is possible to improve fue running of the services, taking into account all the real constraints, e.g. space, staff availability and financial support.
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ANDERSEN CONSULTING (1993): "The Future of European Health Care". A study by Andersen Consulting in Co-operation with Burson-Marsteller. ARENAS, M.; BILBAO, A.; RODRIGUEZ, M.V. (1992): "Aplicación de la programación por objetivos a la toma de decisiones de un centro de salud". VI Reunión Anual ASEPELT - ESPAÑA. Granada. ARENAS, M.; LAFUENTE, E.; RODRíGUEZ URÍA, M.V. (1997). "Goal Programming model for evaluating an Hospital service performance". Advances in Multiple Objective and Goal Programming. Ed. Caballero/ Ruiz/ Steuer. Springer. BERTSIMAS D.; TSITSIKLIS, J.M. (1997): "Linear Optimization" ..Athena Scientific. BERTSEKAS, D.(1995): "Dynamic Programming and Optimal Control" .VoL I.Athena Scientific. BITRAN, a.R.; VALOR-SABATIER, J. (1987): "Some Mathematical Programming Based Measures of Efficiency in Health Care Institution". Advances In Mathematical Programming and Financial Planning. Vol. 1: 61-84. CHAE, Y.; SUVER, J,; CHOU, D. (1985): "Goal programming as a capital investment tool for teaching hospitals". HCM review, Winter, 27-35. CHARNES,A; COOPER,W.W.(1977) "Goal Programming multiple objetive optimization" part 1, Eurapean Journal of Operational Research 1, 39-54. DONALSON,C.; GERAD K.(1991) Economics of Health care Financing the visible hand, McMillan, London. DONABEDIAN ,A (1984). La calidad de la atención medica; Definición y métodos de evaluación. Ed. Científica la Prensa Mèditca, Mexicana S.A,; Mexico D. C. FRANZ, L.; BAKER, R,; LEONG, G.K.; RAKES, T.R. (1989): "A Mathematical Model for Scheduling and Staffing Multiclinic Health Regions". Elsevier Science Puhlisbers B.V, pp. 277-287. HILLIER,F .S.; LIEBERMAN ,G.J.(1995): "Introduction to mathematical programming". Second Edition, McGrow-Hill. LEE, S. (1973): "An Aggregative Resouroe Allocation Model for Hospital Administration", Socio-Economic Planning Science, Vol. 7, 381-395. ORTUN RUBIO, V; (1990) La economía en sanidad y medina: Instrumentos y limitaciones. Ed. Euge, Barcelona. TOBIN,P., CHNG, K. and MCGURK (1995):"Scheduling operation using greedyallocation".Australian Society of Operations research bulletin, pp. 12-21. WATCH, R.F.; WHITFORD, D.T. (1976): "A Goal Programming Model for Capital Investment Analysis in Nonprofit Hospitals". Financial Management 5: 37-56. WHITTLE, P.(1982): "Optimization over time", Vol 1 and 2. J. Wiley.