Submitted manuscript, 242 KB, PDF document
Research output: Contribution to Journal/Magazine › Journal article › peer-review
What is a 'generic' hospital model? - a comparison of 'generic' and 'specific' hospital models of emergency flow patients. / Fletcher, A; Worthington, D J.
In: Health Care Management Science, Vol. 12, No. 4, 2009, p. 374-391.Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - What is a 'generic' hospital model? - a comparison of 'generic' and 'specific' hospital models of emergency flow patients
AU - Fletcher, A
AU - Worthington, D J
PY - 2009
Y1 - 2009
N2 - The paper addresses the question in the title via a survey of experienced healthcare modellers and an extensive literature review. It has two objectives. 1.To compare the characteristics of ‘generic’ and ‘specific’ models and their success in hospitals for emergency patients2.To learn lessons about the design, validation and implementation of models of flows of emergency patients through acute hospitalsFirst the survey and some key papers lead to a proposed ‘spectrum of genericity’, consisting of four levels. We focus on two of these levels, distinguished from each other by their purpose. Secondly modelling work on the flow of emergency patient flows through and between A&E, Bed Management, Surgery, Intensive Care and Diagnostics is then reviewed. Finally the review is used to provide a much more comprehensive comparison of ‘generic’ and ‘specific’ models, distinguishing three types of genericity and identifying 24 important features of models and the associated modelling process. Many features are common across model types, but there are also important distinctions, with implications for model development.
AB - The paper addresses the question in the title via a survey of experienced healthcare modellers and an extensive literature review. It has two objectives. 1.To compare the characteristics of ‘generic’ and ‘specific’ models and their success in hospitals for emergency patients2.To learn lessons about the design, validation and implementation of models of flows of emergency patients through acute hospitalsFirst the survey and some key papers lead to a proposed ‘spectrum of genericity’, consisting of four levels. We focus on two of these levels, distinguished from each other by their purpose. Secondly modelling work on the flow of emergency patient flows through and between A&E, Bed Management, Surgery, Intensive Care and Diagnostics is then reviewed. Finally the review is used to provide a much more comprehensive comparison of ‘generic’ and ‘specific’ models, distinguishing three types of genericity and identifying 24 important features of models and the associated modelling process. Many features are common across model types, but there are also important distinctions, with implications for model development.
U2 - 10.1007/s10729-009-9108-9
DO - 10.1007/s10729-009-9108-9
M3 - Journal article
VL - 12
SP - 374
EP - 391
JO - Health Care Management Science
JF - Health Care Management Science
SN - 1386-9620
IS - 4
ER -