Projects per year
Abstract
The aim of this work was to retrospectively evaluate the redesign of the fracture pathway in a major NHS hospital, focusing on cost effectiveness at a micro level. The processes contain multiple points of variation at the input and at various stages throughout, which were considered in the evaluation. Discrete event simulation was used to model a major part of the redesign, a virtual fracture clinic, and the results compared with a model of a traditional clinic. Resource utilisation and cost was reported for each of the models. An important element of the costing was the family and patient resource or the societal cost of the redesign. This was evaluated using questionnaires to determine the number of clinic visits that patients make and the inconvenience this causes them in terms of time and out-of-pocket expenses. This work shows that there are savings from implementing the fracture redesign process, at least within the test hospital and from the perspective of health board and government funding. If this redesign were to be rolled out further across Scotland it could result in significant effectiveness and efficiency savings. It is envisaged that the simulation model could be further used as a tool to support the process roll-out to other hospitals across Scotland.
Original language | English |
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Pages | 264 |
Number of pages | 1 |
Publication status | Published - 2015 |
Event | 27th European Conference on Operational Research (EURO XXVII) - University of Strathclyde, Glasgow, United Kingdom Duration: 12 Jul 2015 → 15 Jul 2015 |
Conference
Conference | 27th European Conference on Operational Research (EURO XXVII) |
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Country/Territory | United Kingdom |
City | Glasgow |
Period | 12/07/15 → 15/07/15 |
Keywords
- fracture pathway
- orthopaedics
- discrete event simulation
- cost effectiveness
- societal cost
- NHS
- Scotland
Fingerprint
Dive into the research topics of 'Micro analysis of orthopaedic outpatient fracture pathway design'. Together they form a unique fingerprint.Projects
- 2 Finished
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Discrete Event Simulation Support
van der Meer, R. (Principal Investigator), Ahmed, F. (Co-investigator), Anderson, G. H. (Co-investigator) & Morton, A. (Co-investigator)
9/05/17 → 8/05/18
Project: Research
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Fracture Pathway Audit 2014
van der Meer, R. (Principal Investigator) & Morton, A. (Co-investigator)
18/08/14 → 30/04/17
Project: Research
Research output
- 2 Article
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Cost comparison of orthopaedic fracture pathways using discrete event simulation in a Glasgow hospital
Anderson, G. H., Jenkins, P. J., McDonald, D. A., Van Der Meer, R., Morton, A., Nugent, M. & Rymaszewski, L. A., 8 Sept 2017, In: BMJ Open. 7, 9, 12 p.Research output: Contribution to journal › Article › peer-review
Open AccessFile34 Citations (Scopus)78 Downloads (Pure) -
Fracture clinic redesign reduces the cost of outpatient orthopaedic trauma care
Jenkins, P. J., Morton, A., Anderson, G., Van Der Meer, R. B. & Rymaszewski, L. A., 5 Feb 2016, In: Bone and Joint Research. 5, p. 33-36 4 p.Research output: Contribution to journal › Article › peer-review
Open AccessFile55 Citations (Scopus)92 Downloads (Pure)