TY - JOUR
T1 - Diagnostic and modeling of elderly flow in a French healthcare institution
AU - Hamdani, Fatima E.
AU - Masmoudi, Malek
AU - Al Hanbali, Ahmad
AU - Bouyahia, Fatima
AU - Ouahman, Abdellah Ait
PY - 2017/10/1
Y1 - 2017/10/1
N2 - One of the highest priorities in the French health care system is to deal with the continuous growth of the percentage population older than 65 years, expected to reach 31% in 2030. This development poses enormous challenges to the operations of the health care system, especially, related to elder patients. The elderly flow in the hospital services is typically uncertain and subject to variations on the length of stay in each stage and on the path or sequence of stages followed by the patient. For that reason, we propose to model the patient flow in a hospital as a continuous-time Markov chain with an absorbing state representing the elderly discharge from the hospital. Three Markov chains are provided with different levels of details and computation complexity. The first model called aggregated provides a prediction of the length of stay per service, the second model called Coxian provides a reliable prediction of the total length of stay, and the third model called detailed provides a prediction of the length of stay per class of elderly. A classification of elderly based on multiple correspondence technique is considered before the application of the third model. Our models are fitted with the data collected from Roanne Hospital, a typical French health care structure.
AB - One of the highest priorities in the French health care system is to deal with the continuous growth of the percentage population older than 65 years, expected to reach 31% in 2030. This development poses enormous challenges to the operations of the health care system, especially, related to elder patients. The elderly flow in the hospital services is typically uncertain and subject to variations on the length of stay in each stage and on the path or sequence of stages followed by the patient. For that reason, we propose to model the patient flow in a hospital as a continuous-time Markov chain with an absorbing state representing the elderly discharge from the hospital. Three Markov chains are provided with different levels of details and computation complexity. The first model called aggregated provides a prediction of the length of stay per service, the second model called Coxian provides a reliable prediction of the total length of stay, and the third model called detailed provides a prediction of the length of stay per class of elderly. A classification of elderly based on multiple correspondence technique is considered before the application of the third model. Our models are fitted with the data collected from Roanne Hospital, a typical French health care structure.
KW - Coxian
KW - Elderly flow
KW - Length of stay
KW - Likelihood estimation
KW - Markov model
KW - Statistical techniques
UR - http://www.scopus.com/inward/record.url?scp=85019633739&partnerID=8YFLogxK
U2 - 10.1016/j.cie.2017.05.009
DO - 10.1016/j.cie.2017.05.009
M3 - Article
AN - SCOPUS:85019633739
VL - 112
SP - 675
EP - 689
JO - Computers and industrial engineering
JF - Computers and industrial engineering
SN - 0360-8352
ER -