Research Article

DEVELOPING OPTIMIZATION MODELS TO EVALUATE HEALTHCARE SYSTEMS

Volume: 38 Number: 2 June 1, 2021
  • Abdulkadir Atalan
  • Nergis Feride Kaplan Dönmez
  • Cem Çağrı Dönmez

DEVELOPING OPTIMIZATION MODELS TO EVALUATE HEALTHCARE SYSTEMS

Abstract

This study investigated the use of public and private healthcare systems separately and interactively to find solutions to various problems the healthcare sector has faced including waiting time, cost, and quality of service. Patients, private and public healthcare providers, funders, and governments that make rules about healthcare were defined as components of healthcare systems in this study. Mathematical optimization models were developed by deriving scenarios to balance the components of healthcare systems. In addition to derivation of scenarios related to types of healthcare systems and decision variables, including copayment, treatment cost, reimbursement, and premium, numerical studies for the healthcare components were performed to determine which healthcare systems were useful. The minimum fee payable by patients for the easy access to healthcare schemes was calculated. While there was no remarkable change in the waiting time of the patients in the private healthcare system, the waiting time were reduced by 48.70% in the public healthcare system among the findings. The amount of reimbursement decreased significantly as a result of the interaction of healthcare systems. By reducing the amount of co-payment to the amount charged by the public healthcare system, it has been ensured that private healthcare providers treat more patients. Based on computational analyses, because of the agreements provided between the components, we have advocated that public and private healthcare systems must be unified to provide greater benefits for all the components of healthcare.

Keywords

References

  1. [1] Emanuel EJ (2018) The real cost of the US health care system. Jama 319:983–985
  2. [2] Plath SJ, Bratby JA, Poole L, et al (2018) Nurse practitioners in the emergency department: Establishing a successful service. Collegian. https://doi.org/10.1016/J.COLEGN.2018.11.005
  3. [3] Kumar AKS, Chen LC, Choudhury M, et al (2011) Financing health care for all: Challenges and opportunities. Lancet. https://doi.org/10.1016/S0140-6736(10)61884-3
  4. [4] Andel C, Davidow SL, Hollander M, Moreno DA (2012) The economics of health care quality and medical errors. J Health Care Finance. https://doi.org/10.1111/j.1553-2712.2008.00254.x
  5. [5] Cabrera E, Taboada M, Iglesias ML, et al (2011) Optimization of Healthcare Emergency Departments by Agent-Based Simulation. Procedia Comput Sci 4:1880–1889
  6. [6] Ahmed MA, Alkhamis TM (2009) Simulation optimization for an emergency department healthcare unit in Kuwait. Eur J Oper Res 198:936–942
  7. [7] Pellegrini LC, Rodriguez-Monguio R, Qian J (2014) The US healthcare workforce and the labor market effect on healthcare spending and health outcomes. Int J Health Care Finance Econ. https://doi.org/10.1007/s10754-014-9142-0
  8. [8] Atalan A, Dönmez CÇ (2018) Yüksek-Eğitimli Uzman Hemşire İstihdamı ile Acil Servis Kalitesinin Yükseltilmesi için Simülasyon Uygulaması: Türkiye Sağlık Sistemi. Marmara Fen Bilim Derg 30:318–338. https://doi.org/10.7240/marufbd.395255

Details

Primary Language

English

Subjects

Engineering

Journal Section

Research Article

Authors

Abdulkadir Atalan This is me
0000-0003-0924-3685
Türkiye

Nergis Feride Kaplan Dönmez This is me
0000-0003-3182-7812
Türkiye

Cem Çağrı Dönmez This is me
0000-0003-3289-7134
Türkiye

Publication Date

June 1, 2021

Submission Date

January 8, 2020

Acceptance Date

April 20, 2020

Published in Issue

Year 2020 Volume: 38 Number: 2

APA
Atalan, A., Kaplan Dönmez, N. F., & Dönmez, C. Ç. (2021). DEVELOPING OPTIMIZATION MODELS TO EVALUATE HEALTHCARE SYSTEMS. Sigma Journal of Engineering and Natural Sciences, 38(2), 853-873. https://izlik.org/JA49GA83ND
AMA
1.Atalan A, Kaplan Dönmez NF, Dönmez CÇ. DEVELOPING OPTIMIZATION MODELS TO EVALUATE HEALTHCARE SYSTEMS. SIGMA. 2021;38(2):853-873. https://izlik.org/JA49GA83ND
Chicago
Atalan, Abdulkadir, Nergis Feride Kaplan Dönmez, and Cem Çağrı Dönmez. 2021. “DEVELOPING OPTIMIZATION MODELS TO EVALUATE HEALTHCARE SYSTEMS”. Sigma Journal of Engineering and Natural Sciences 38 (2): 853-73. https://izlik.org/JA49GA83ND.
EndNote
Atalan A, Kaplan Dönmez NF, Dönmez CÇ (June 1, 2021) DEVELOPING OPTIMIZATION MODELS TO EVALUATE HEALTHCARE SYSTEMS. Sigma Journal of Engineering and Natural Sciences 38 2 853–873.
IEEE
[1]A. Atalan, N. F. Kaplan Dönmez, and C. Ç. Dönmez, “DEVELOPING OPTIMIZATION MODELS TO EVALUATE HEALTHCARE SYSTEMS”, SIGMA, vol. 38, no. 2, pp. 853–873, June 2021, [Online]. Available: https://izlik.org/JA49GA83ND
ISNAD
Atalan, Abdulkadir - Kaplan Dönmez, Nergis Feride - Dönmez, Cem Çağrı. “DEVELOPING OPTIMIZATION MODELS TO EVALUATE HEALTHCARE SYSTEMS”. Sigma Journal of Engineering and Natural Sciences 38/2 (June 1, 2021): 853-873. https://izlik.org/JA49GA83ND.
JAMA
1.Atalan A, Kaplan Dönmez NF, Dönmez CÇ. DEVELOPING OPTIMIZATION MODELS TO EVALUATE HEALTHCARE SYSTEMS. SIGMA. 2021;38:853–873.
MLA
Atalan, Abdulkadir, et al. “DEVELOPING OPTIMIZATION MODELS TO EVALUATE HEALTHCARE SYSTEMS”. Sigma Journal of Engineering and Natural Sciences, vol. 38, no. 2, June 2021, pp. 853-7, https://izlik.org/JA49GA83ND.
Vancouver
1.Abdulkadir Atalan, Nergis Feride Kaplan Dönmez, Cem Çağrı Dönmez. DEVELOPING OPTIMIZATION MODELS TO EVALUATE HEALTHCARE SYSTEMS. SIGMA [Internet]. 2021 Jun. 1;38(2):853-7. Available from: https://izlik.org/JA49GA83ND

IMPORTANT NOTE: JOURNAL SUBMISSION LINK https://eds.yildiz.edu.tr/sigma/