| 1. |
- Elf, Lena Marie, 1962
(author)
-
Modelling and simulation as planning tools for improvement of the quality of health care environments : towards a conceptual model of a care process
- 2003
-
Licentiate thesis (other academic/artistic)abstract
- Planning for and designing new health care environments that meet the standards of contemporary and future health care are complex tasks. Understanding the nature of the health care environment and the care process is essential for a successful design process. Building and health care administrators, as well as professionals such as nurses and physicians should be engaged in discussions of what takes place within the environment. In this process, simulation and modeling may be a support for building future scenarios. The aim of the present thesis was to explore simulation as a planning tool for the process of designing new health care environments. The literature in the field was scrutinized and a first step towards a conceptual model of a care process was developed. The model is based on important concepts in health care and results from an observational study. Simulation has been used in industry for many years. Health care has adopted industrial models and it has proven to be useful for analyzing and solving problems of limited scope e.g. waiting lists and waiting times. However, health care involves issues beyond those of waiting lists, waiting times and ways of optimising processes with the aim of increasing production. A simulation model for health care should focus on how professionals' work together, how they communicate with each other and with the patient, and how they plan care with and for the patient. The conclusion of present study is that there is need for models with comprehensive scope that can handle questions from a process-oriented view. The care process should be modelled from a patient – centered perspective. Key words: simulation and modeling, health care services, health care process, design process
|
|
| 2. |
|
|
| 3. |
- Elf, Marie, 1962, et al.
(author)
-
The health Care Environment
- 2003
-
In: International Postgraduate Research Conferences in Lisbon 2003. - Lisbon.
-
Conference paper (peer-reviewed)
|
|
| 4. |
|
|
| 5. |
|
|
| 6. |
- Holmström, Paul, 1948, et al.
(author)
-
Staff retention and job satisfaction at a hospital clinic - a case study
- 2004
-
In: International System Dynamics Conference, Oxford.
-
Conference paper (peer-reviewed)abstract
- In this study system dynamics has been used to explore staff retention and job satisfaction at a maternity department, which was in an unfavourable spiral of attrition after an expansion period. This raised the issue about how to stop this downward spiral. To understand and explore this a causal loop diagram and a system dynamics model were developed, integrating factors of attrition and hiring rates, workload and qualitative contents of the work. The causal loop diagram shows an unbalanced system, which may spiral favourably or unfavourably after a relatively small disturbance. The system dynamics model shows that an unfavourable spiral may be reversed by qualitative interventions. The conclusions are that system dynamics is an interesting method, which may increase the understanding of the factors determining staff retention, job satisfaction and work pressure in a hospital setting. There is need for further examination of the qualitative factors incorporated in the model.
|
|
| 7. |
|
|
