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Operations research diffusion in health care management.

James R Langabeer¹, Dave J Worthington

¹Fleming Center for Healthcare Management, University of Texas Health Sciences Center, USA. James.R.Langabeer@uth.tmc.edu

Journal of Health Care Finance

|February 15, 2012

Summary

Operations Research (OR) shows moderate penetration in hospitals, mainly with newer methods. Collaboration often outweighs analytical decision-making, impacting OR adoption and suggesting a need for greater OR impact in financial and strategic hospital decisions.

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Area of Science:

Health Services Management
Operations Research
Decision Science

Background:

Operations Research (OR) traditionally excels in industries with quantifiable goals.
Hospitals have historically shown limited adoption and success with OR methods.
Published literature suggests a gap in OR's application within the healthcare sector.

Purpose of the Study:

To empirically investigate the penetration and success rates of OR in hospital managerial decision-making.
To identify barriers hindering OR adoption in the hospital sector.
To explore opportunities for enhancing OR's impact on healthcare management.

Main Methods:

Development and administration of a nationwide questionnaire to senior hospital executives in the United States.
Measurement of actual usage and success rates of various OR methods.
Analysis of factors influencing OR adoption and potential for future growth.

Main Results:

Operations Research demonstrates moderate penetration, primarily with contemporary OR techniques.
Approximately 50% of surveyed hospitals utilize OR-type groups, though often under different designations.
Hospital decision-making processes tend to favor collaborative approaches over purely analytical methods.

Conclusions:

The collaborative nature of hospital decision-making may moderate the adoption and effectiveness of OR.
There is a significant opportunity for OR to increase its contributions to financial and strategic decision-making in hospitals.
Future OR applications should consider the unique operational and cultural context of healthcare settings.