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A methodology for the creation of integrated service networks in outpatient internal medicine

Ortiz Barrios, Miguel Angel; Escorcia Caballero, Juan; Sánchez Sánchez, Fabián (Universidad de la Costa, 2015-12-02)

Extended patient waiting times for medical care in outpatient internal medicine has a direct impact on patient dissatisfaction. This issue has become increasingly relevant in Colombia where patient waiting times tend to ...
Efficiency analysis of integrated public hospital networks in outpatient internal medicine

Ortiz Barrios, Miguel Angel; Escorcia Caballero, Juan P; Sánchez Sánchez, Fabián; De Felice, Fabio; Petrillo, Antonella (Universidad de la Costa, 2017)

Healthcare systems are evolving towards a complex network of interconnected services due to the increasing costs and the increasing expectations for high service levels. It is evidenced in the literature the importance of ...

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A methodology for the creation of integrated service networks in outpatient internal medicine
...
Ortiz Barrios, Miguel Angel | 2015-12-02

Extended patient waiting times for medical care in outpatient internal medicine has a direct impact on patient dissatisfaction. This issue has become increasingly relevant in Colombia where patient waiting times tend to be longer. In this context, a methodology based on value stream mapping (VSM) and collaborative sceneries has been created to examine different improving alternatives focused on the design of integrated service networks in outpatient internal medicine with the participation of two hospitals with mixed-patient type environment. First, an individual diagnosis for each hospital is made through VSM to identify non-value activities in the value chain and design improvement strategies for each process. Second, a strategic platform of the network is set. Third, communication and service protocols of the network are defined. Then, a simulation model is designed and validated to conduct experiments on the structure of the network. Finally, payment and risk tables are determined and key performance indexes of the network are established. The results prove the validity of the proposed approach upon reducing 75 % of the lead time in this process creating a positive impact on population’s health under satisfactory and equitable financial benefits for the participant hospitals.

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Efficiency analysis of integrated public hospital networks in outpatient internal medicine
...
Ortiz Barrios, Miguel Angel | 2017

Healthcare systems are evolving towards a complex network of interconnected services due to the increasing costs and the increasing expectations for high service levels. It is evidenced in the literature the importance of implementing management techniques and sophisticated methods to improve the efficiency of healthcare systems, especially in emerging economies. This paper proposes an integrated collaboration model between two public hospitals to reach the reduction of weighted average lead time in outpatient internal medicine department. A strategic framework based on value stream mapping and collaborative practices has been developed in real case study settled in Colombia.

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ListarArtículos científicos por tema "Value stream mapping"

A methodology for the creation of integrated service networks in outpatient internal medicine ﻿

Efficiency analysis of integrated public hospital networks in outpatient internal medicine ﻿

Envíos recientes

A methodology for the creation of integrated service networks in outpatient internal medicine

Efficiency analysis of integrated public hospital networks in outpatient internal medicine

A methodology for the creation of integrated service networks in outpatient internal medicine

Efficiency analysis of integrated public hospital networks in outpatient internal medicine