Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal

Detalhes bibliográficos
Autor(a) principal: Fialho, André S.
Data de Publicação: 2011
Outros Autores: Oliveira, Mónica D., Sá, Armando B.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/4543
Resumo: © 2011 Fialho et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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spelling Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in PortugalFamily health unitsPrimary care reformsDiscrete event simulationPerformance indicatorsPortugal© 2011 Fialho et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Background: Recent reforms in Portugal aimed at strengthening the role of the primary care system, in order to improve the quality of the health care system. Since 2006 new policies aiming to change the organization, incentive structures and funding of the primary health care sector were designed, promoting the evolution of traditional primary health care centres (PHCCs) into a new type of organizational unit - family health units (FHUs). This study aimed to compare performances of PHCC and FHU organizational models and to assess the potential gains from converting PHCCs into FHUs. Methods: Stochastic discrete event simulation models for the two types of organizational models were designed and implemented using Simul8 software. These models were applied to data from nineteen primary care units in three municipalities of the Greater Lisbon area. Results: The conversion of PHCCs into FHUs seems to have the potential to generate substantial improvements in productivity and accessibility, while not having a significant impact on costs. This conversion might entail a 45% reduction in the average number of days required to obtain a medical appointment and a 7% and 9% increase in the average number of medical and nursing consultations, respectively. Conclusions: Reorganization of PHCC into FHUs might increase accessibility of patients to services and efficiency in the provision of primary care services.BioMed CentralRepositório da Universidade de LisboaFialho, André S.Oliveira, Mónica D.Sá, Armando B.2011-11-23T14:58:32Z20112011-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/4543engBMC Health Services Research 2011, 11:2741472-6963info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T15:45:35Zoai:repositorio.ul.pt:10451/4543Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:30:09.525687Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal
title Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal
spellingShingle Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal
Fialho, André S.
Family health units
Primary care reforms
Discrete event simulation
Performance indicators
Portugal
title_short Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal
title_full Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal
title_fullStr Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal
title_full_unstemmed Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal
title_sort Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal
author Fialho, André S.
author_facet Fialho, André S.
Oliveira, Mónica D.
Sá, Armando B.
author_role author
author2 Oliveira, Mónica D.
Sá, Armando B.
author2_role author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Fialho, André S.
Oliveira, Mónica D.
Sá, Armando B.
dc.subject.por.fl_str_mv Family health units
Primary care reforms
Discrete event simulation
Performance indicators
Portugal
topic Family health units
Primary care reforms
Discrete event simulation
Performance indicators
Portugal
description © 2011 Fialho et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
publishDate 2011
dc.date.none.fl_str_mv 2011-11-23T14:58:32Z
2011
2011-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/4543
url http://hdl.handle.net/10451/4543
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv BMC Health Services Research 2011, 11:274
1472-6963
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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