Scientific journal paper Q1
An integrated approach for planning a long-term care network with uncertainty, strategic policy and equity considerations
Teresa Cardoso Grilo (Cardoso-Grilo, T.); Mónica Duarte Correia de Oliveira (Oliveira, M. D.); Ana Paula Ferreira Dias Barbosa Póvoa (Barbosa-Póvoa, A.); Stefan Nickel (Nickel, S.);
Journal Title
European Journal of Operational Research
Year (definitive publication)
2015
Language
English
Country
Netherlands
More Information
Web of Science®

Times Cited: 43

(Last checked: 2024-11-02 16:59)

View record in Web of Science®


: 1.0
Scopus

Times Cited: 39

(Last checked: 2024-10-28 16:04)

View record in Scopus


: 0.8
Google Scholar

Times Cited: 69

(Last checked: 2024-11-02 10:34)

View record in Google Scholar

Abstract
Considering key uncertainties and health policy options in the reorganization of a long-term care (LTC) network is crucial. This study proposes a stochastic mixed integer linear programming model for planning the delivery of LTC services within a network of care where such aspects are modeled in an integrated manner. The model assists health care planners on how to plan the delivery of the entire range of LTC services – institutional, home-based and ambulatory services – when the main policy objective is the minimization of expected costs and while respecting satisficing levels of equity. These equity levels are modeled as constraints, ensuring the attainment of equity of access, equity of utilization, socioeconomic equity and geographical equity. The proposed model provides planners with key information on: when and where to locate services and with which capacity, how to distribute this capacity across services and patient groups, and which changes to the network of care are needed over time. Model outputs take into account the uncertainty surrounding LTC demand, and consider strategic health policy options adopted by governments. The applicability of the model is demonstrated through the resolution of a case study in the Great Lisbon region in Portugal with estimates on the equity-cost trade-off for several equity dimensions being provided.
Acknowledgements
--
Keywords
OR in health services,LTC planning,Multi-service,Uncertainty,Equity
  • Economics and Business - Social Sciences

With the objective to increase the research activity directed towards the achievement of the United Nations 2030 Sustainable Development Goals, the possibility of associating scientific publications with the Sustainable Development Goals is now available in Ciência-IUL. These are the Sustainable Development Goals identified by the author(s) for this publication. For more detailed information on the Sustainable Development Goals, click here.