Reallocation of Shafa Hospital Beds in Kerman Using Goal Programming Model
Keywords:
Goal programming, Inpatient bed, Bed allocationAbstract
Introduction: In order to improve health, hospital sources such as beds and staffing should be properly allocated and used. The aim of this study is reallocation of Shafa hospital beds in Kerman using a goal-programming model.
Methods: This study was an applied cross-sectional study, which used the goal programming model and software WinQSB to optimize bed allocation. By review of the literature and interviews with experts, the constraints in beds allocation were identified, and using the collected data the desired model was designed.
Results: Hospital beds were redistributed based on the constraints of the goal-programming model and objectives. The results showed that there was a shortage of beds in departments such as burns, GICU, HICU, cardiac surgery, emergency, and orthopedics, and excess of beds in the ear, nose, and throat (ENT), ophthalmology, and neurology departments.
Conclusion: It is anticipated that the optimal allocation of hospital beds, regarding hospital activity indicators, can lead to greater justice in the provision of services and a better distribution of resources.
References
Tamiz M, Jones D, Romero C. Goal programming for decision making: An overview of the current state- of-the-art. EJOR. 1988; 111(3): 569-81. doi: 10.1016/S0377-2217(97)00317-2.
Tingley K, Liebman J. A Goal Programming Example in Public Health Resource Allocation. Management
Science. 1984; 30(3): 251-63. doi: 10.1287/mnsc.30.3.279.
Arab M, Zarei A, Rahimi A, Rezaiean F, Akbari F. Analysis of Factors Affecting Length of stay in Public
Hospitals in Lorestan Province, Iran. Hakim Research Journal. 2010; 12(4): 27-32. Persian
Panis LJ, Gooskens M, Verheggen FW, Pop P, Prins MH. Predictors of inappropriate hospital stay: a
clinical case study. Int J Qual Health Care. 2003; 15(1): 57-67. doi: 10.1093/intqhc/15.1.57, PMID:
McDonagh M, Smith D, Goddard M. Measuring appropriate use of acute beds: A systematic review of
methods and results. Health Policy. 2000; 53(3): 157-84. doi:10.1016/S0168-8510(00)00092-0, PMID:
, PMCID: PMC1072080.
Karimi I. Health economy. Tehran: Gap Publishing; 2004.
Ward DM. Bed Management Collaborative. Queensland Health Quality and Safety Improvement Program,
Queensland; 2004.
Kokangul A. A combination of deterministic and stochastic approaches to optimize bed capacity in a
hospital unit. Comput methods programs biomed. 2008; 90(1): 56-65. doi: 10.1016/j.cmpb.2008.01.001,
PMID: 18280609.
McClain JO. A model for regional obstetric bed planning. Health Serv Res. 1978; 13(4): 378. PMCID:
PMC1072080.
Hopkins GP, Iarreche J, Massy WF. Constrained Optimization Vol. 24. Of A University Administrator’s
performance Funnctionmgmt. Sci. alloctiong operating Budgets of Academic Units. Socio Econ.Plann.
; 21(5): 24.
Huarng F. A primary shift rotation nurse scheduling using 0-1 goal programming. Comput Nurs. 1999;
(3); 135-44. PMID: 10341479.
Najjarzadeh A, Rahimi H. The Model of Optimum Allocation of Financial Resources of the Educational
Department in Gilan Province to Other Cities Using Goal Programming Method. The Economic Research
Quarterly. 2005; 16(4): 12-23. Persian.
Rajabi A. The Integration of Goal Programming Method, Fuzzy Logic, and Analytic Hierarchy Process for
Optimum Allocation of Financial Resources and Budgeting of Health Ministry to the Provinces of the
Country. Ministry of Health and Medical Education. 2006. Persian
Abedi Gh, Tayebi J, Delgoshaee B. Goal programming model in resource allocation at education section of
the Ministry of Health and Medical Education. Journal of Mazanderan university of medical sciences.
; 17(57): 82-7. Persian.
NooriHekmat S, Dehnavieh R, Mohammadi N, Poorhosseini S, Rezai F, Mehralhasani MH, et al.
Determining the Optimum Number of Nursing Staff Is Needed in Kerman Shafa Hospital Emergency
Department. Toloe Behdasht. 2012; 13(2): 140-55. Persian
Nasrollahi M. Modeling the Nurse Scheduling in Different Shifts of Babolsar Shafa Hospital. Health Inf
Manage. 2015; 11(7): 994. Persian.
Atoallahi F, Bahrami MA, Abesi M, Mobasheri F, Khani SH. A Goal Programming Model for Reallocation
of Hospitals' Inpatient Beds in Shahid Mohamadi hospital of Bandar abbas. Health care Management
Journal. 2014; 5(1): 59-68. Persian.
Ling Gao, Liang Lin, Lianlong Gao. Uncertain Models for Bed Allocation. Global Journal of Health
Science. 2010; 2(2): 232-7. doi: 10.5539/gjhs.v2n2p232.
Choyce M, Maitra A. Satisfaction with the accident and emergency department--a postal survey of general
practitioners' views. J Accid Emerg Med. 1996; 13(4): 280-2. doi: 10.1136/emj.13.4.280, PMID: 8832351,
PMCID: PMC1342732.
Ahmed MA, Alkhamis TM. Simulation optimization for an emergency department healthcare unit in
Kuwait. EJOR. 2009; 198(3): 936-42. doi: 10.1016/j.ejor.2008.10.025.
Bahrami MA, Ataollahi F, Abesi M, Mobasheri F. A Goal Programming Model for Reallocation of
Hospitals' Inpatient Beds. Middle-East Journal of Scientific Research. 2013; 18(11): 1537-43.
Rajabi A. Goal Programming: An Effective Approach for Budgeting and Optimal Financial Resource
Allocation (Case Study: Budget Allocation in Ministry of Health and Medical Education). Quarterly
Journal of Health Accounting. 2013; 1(2): 1-16. Persian.
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