Health Care Management Science

, Volume 10, Issue 4, pp 373–385

A comprehensive simulation for wait time reduction and capacity planning applied in general surgery


DOI: 10.1007/s10729-007-9035-6

Cite this article as:
VanBerkel, P.T. & Blake, J.T. Health Care Manage Sci (2007) 10: 373. doi:10.1007/s10729-007-9035-6


This paper describes the use of operational research techniques to analyze the wait list for the Division of General Surgery at the Capital District Health Authority in Halifax, Nova Scotia, Canada. A discrete event simulation model was developed to aid capacity planning decisions and to analyze the performance of the division. The analysis examined the consequences of redistributing beds between sites, and achieving standard patient lengths of stay, while contrasting them to current and additional resource options. From the results, multiple independent and combined options for stabilizing and decreasing waits for elective procedures were proposed.


SimulationGeneral surgeryCapacity planningWait list managementAccess to medical care

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Department of Industrial EngineeringDalhousie UniversityHalifaxCanada