Evaluating the Dispatching Policies for a Regional Network of Emergency Departments Exploiting Health Care Big Data
The Emergency Department (ED) is responsible to provide medical and surgical care to patients arriving at the hospital in need of immediate care. At the regional level, the EDs system can be seen as a network of EDs cooperating to maximise the outputs (number of patients served, average waiting time, ...) and outcomes in terms of the provided care quality. In this paper we discuss how quantitative analysis based on health care big data can provide a tool to evaluate the dispatching policies for the network of emergency departments operating in Piedmont, Italy: the basic idea is to exploit clusters of EDs in such a way to fairly distribute the workload. Further, we discuss how big data can enable a novel methodological approach to the health system analysis.
KeywordsEmergency care pathway Health systems Big data
- 1.Aringhieri, R., Addis, B., Tànfani, E., Testi, A.: Clinical pathways: insights from a multidisciplinary literature survey. In: Proceedings ORAHS 2012 (2012), ISBN: 978-90-365-3396-6Google Scholar
- 4.Aringhieri, R., Duma, D.: The optimization of a surgical clinical pathway. In: Obaidat, M.S., Ören, T., Kacprzyk, J., Filipe, J. (eds.) Simulation and Modeling Methodologies, Technologies and Applications. AISC, vol. 402, pp. 313–331. Springer, Cham (2015). https://doi.org/10.1007/978-3-319-26470-7_16CrossRefGoogle Scholar
- 5.Borshchev, A.: The Big Book of Simulation Modeling. Multimethod Modeling with AnyLogic, vol. 6 (2013), ISBN: 978-0-9895731-7-7Google Scholar
- 14.Rotter, T., Kinsman, L., James, E., Machotta, A., Gothe, H., Willis, J., Snow, P., Kugler, J.: Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs (review). The Cochrane Library, vol. 7 (2010)Google Scholar