Networks of primary and secondary care services : how to organise services so as to promote efficiency and quality in access while reducing costs

Detalhes bibliográficos
Autor(a) principal: Farinha, Ricardo
Data de Publicação: 2008
Outros Autores: Oliveira, Mónica Duarte, Sá, Armando Brito de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/8840
Resumo: © 2008 Radcliffe Publishing
id RCAP_71783921ed2f36e27c4fba3f3a53ddf0
oai_identifier_str oai:repositorio.ul.pt:10451/8840
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Networks of primary and secondary care services : how to organise services so as to promote efficiency and quality in access while reducing costsDiscrete event simulationNetworks of servicesOrganisation and planningPrimary and secondary careReferral systemsQuality in healthcare© 2008 Radcliffe PublishingGovernments in countries with national health systems have been concerned with how to organise services so as to achieve improvements in efficiency and quality in healthcare delivery, as well as to control costs. In this study, a stochastic discrete event simulation model to study the organisation of primary and secondary care services is proposed. The model was built with reference to the context of the Portuguese NHS, was implemented in the Simul8 software program and was applied to the Portuguese Setubal healthcare subregion (SHCR.For its application, a database with 2005 production,resource and cost indicators was built to calibrate and validate the applied model. After validation three different policy scenarios were tested: the first one concerning a 10% increase in demand for primary care services; the second considering a shift between specialists and generalist physicians; and a third regarding restructuring of primary care services. Results show that although the current system is not prepared to cope with a rise in demand, the other scenarios indicate that there is room for primary care reforms to increase the system’s efficiency and accessibility, while lowering total costs.European Forum for Primary CareRepositório da Universidade de LisboaFarinha, RicardoOliveira, Mónica DuarteSá, Armando Brito de2013-07-19T13:28:26Z20082008-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/8840engQuality in Primary Care 2008;16:249–581479-1072http://www.ingentaconnect.com/search/article?option2=author&value2=oliveira&operator3=AND&option3=issnisbndoi&value3=1479-1072&sortDescending=true&sortField=default&pageSize=10&index=1metadata only accessinfo: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:RCAAP2023-11-08T15:52:38Zoai:repositorio.ul.pt:10451/8840Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:33:07.778509Repositório 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 Networks of primary and secondary care services : how to organise services so as to promote efficiency and quality in access while reducing costs
title Networks of primary and secondary care services : how to organise services so as to promote efficiency and quality in access while reducing costs
spellingShingle Networks of primary and secondary care services : how to organise services so as to promote efficiency and quality in access while reducing costs
Farinha, Ricardo
Discrete event simulation
Networks of services
Organisation and planning
Primary and secondary care
Referral systems
Quality in healthcare
title_short Networks of primary and secondary care services : how to organise services so as to promote efficiency and quality in access while reducing costs
title_full Networks of primary and secondary care services : how to organise services so as to promote efficiency and quality in access while reducing costs
title_fullStr Networks of primary and secondary care services : how to organise services so as to promote efficiency and quality in access while reducing costs
title_full_unstemmed Networks of primary and secondary care services : how to organise services so as to promote efficiency and quality in access while reducing costs
title_sort Networks of primary and secondary care services : how to organise services so as to promote efficiency and quality in access while reducing costs
author Farinha, Ricardo
author_facet Farinha, Ricardo
Oliveira, Mónica Duarte
Sá, Armando Brito de
author_role author
author2 Oliveira, Mónica Duarte
Sá, Armando Brito de
author2_role author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Farinha, Ricardo
Oliveira, Mónica Duarte
Sá, Armando Brito de
dc.subject.por.fl_str_mv Discrete event simulation
Networks of services
Organisation and planning
Primary and secondary care
Referral systems
Quality in healthcare
topic Discrete event simulation
Networks of services
Organisation and planning
Primary and secondary care
Referral systems
Quality in healthcare
description © 2008 Radcliffe Publishing
publishDate 2008
dc.date.none.fl_str_mv 2008
2008-01-01T00:00:00Z
2013-07-19T13:28:26Z
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/10451/8840
url http://hdl.handle.net/10451/8840
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Quality in Primary Care 2008;16:249–58
1479-1072
http://www.ingentaconnect.com/search/article?option2=author&value2=oliveira&operator3=AND&option3=issnisbndoi&value3=1479-1072&sortDescending=true&sortField=default&pageSize=10&index=1
dc.rights.driver.fl_str_mv metadata only access
info:eu-repo/semantics/openAccess
rights_invalid_str_mv metadata only access
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv European Forum for Primary Care
publisher.none.fl_str_mv European Forum for Primary Care
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
institution RCAAP
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
repository.mail.fl_str_mv
_version_ 1799134225480286208

Registros relacionados