KnE Social Sciences
ISSN: 2518-668X
The latest conference proceedings on humanities, arts and social sciences.
The Problem of Capacity Management in Greek Public Hospitals
Published date: Mar 19 2017
Journal Title: KnE Social Sciences
Issue title: The Economies of Balkan and Eastern Europe Countries in the Changed World (EBEEC)
Pages: 414-420
Authors:
Abstract:
One of the most important problems that the users of Greek National Health System face, is the long waiting lists. Αrather superficial explanationof this phenomenon is usually refer the increasing demand for healthcare services, ignoring that the problem is mainly a problem of capacity management, which is associated with the occupancy rate of specific wards of a hospital, and the average length of stay.
The theory of constraints can apply successfully to healthcare organizations, to solve problems of capacity management, reducing the inpatient length of stay and increasing the satisfaction from the offering services as has been proved by international research.
In this paper, we study the problem from this point of view. Our qualitative research revealed that there is a bottle-neck in the normal flow of patients, because of the delays in the imaging departments of the hospitals.
The increase of the capacity of the imaging departments would offer a feasible solution to the problem.
Keywords: theory of constraints, hospitals, efficiency, capacity
References:
[1] Tountas. , et al., Healthcare services in Greece, Centre for Health Services Research , Department of Epidemiology, School of Medicine, University of Athens, 2008, in Greek.
[2] A. A. Ballas and H. Tsoukas, Measuring nothing: The case of the greek national health system, Human Relations, 57, no. 6, 661–690, (2004).
[3] C. Wright and C. J. Wright, Waiting Lists in Canada and the Potential Effects of Private Access, Department of Justice, Canada, October 1998, to Health Care Services. Report prepared for the.
[4] Waiting Times for Health Care in an International Perspective
[5] L. Siciliani, V. Moran, and M. Borowitz, Measuring and comparing health care waiting times in OECD countries, Health Policy, 118, no. 3, 292–303, (2014).
[6] C. Economou, Greece: Health system review., Health systems in transition, 12, no. 7, -177–xvi, (2010).
[7] B. Chansky, C. Garner, and R. Raichoudhary, Measuring output and productivity in private hospitals, National Bureau of Economic Research, October 2013.
[8] E. Goldratt, The Goal: A Process of Ongoing Improvement, Gower Publishing, Aldershot, 1984.
[9] E. M. Goldratt, E. Schragenheim, and C. A. Ptak, Necessary But Not Sufficient, North River Press, Croton-on-Hudson, NY, 2000.
[10] The Goal: A Process of Ongoing Improvement (Second Revised Edition, North River Press Inc, Great Barrington, MA, 1992.
[11] R. Smith-Bindman, D. L. Miglioretti, and E. B. Larson, Rising use of diagnostic medical imaging in a large integrated health system, Health Affairs, 27, no. 6, 1491–1502, (2008).
[12] A. Morfonios, D. Kaitelidou, G. Baltopoulos, and P. Myrianthefs, Medical, social and economic implications of computed tomography and the evolution of multislice computed tomography scanners, Archives of Hellenic Medicine, 28, no. 6, 767–776, (2011).
[13] R. Kershaw, Using TOC to ’Cure’ Healthcare Problems, Management Accounting Quarterly, Summer, p. 22, (2000).
[14] K. Garner and R. N. Bailey, Using constraint management to reduce congestion in a fracture clinic: preliminary analysis, Tech. Rep., DSIR Physical Sciences, Wellington, 1992.
[15] C. S. Phibbs, A. Bhandari, W. Yu, and P. G. Barnett, Estimating the costs of VA ambulatory care, Medical Care Research and Review, 60, no. 3, (2003).
[16] E. R. P. Midrange, (1999)., TOC Case Study - United States Air Force Healthcare System , TOC Thinking Processes, .
[17] J. Motwani, D. Klein, and R. Harowitz, The theory of constraints in services: part, 2 -examples from health care, Managing Service Quality, 6, no. 2, 30–35, (1996).
