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Creating Short-Term Volume Flexibility in Healthcare Capacity Management.

Carina Fagefors1,2, Björn Lantz2,3, Peter Rosén4

  • 1Department of Pediatric Anesthesiology, Intensive Care and Neonatology, Sahlgrenska University Hospital, 413 45 Gothenburg, Sweden.

International Journal of Environmental Research and Public Health
|November 20, 2020
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Summary
This summary is machine-generated.

Healthcare systems use various tools for flexibility to manage demand and capacity fluctuations. Acute units prioritize overtime and internal pools, while planned units use fewer external resources.

Keywords:
Swedish healthcarecapacity planninghealthcare managementvolume flexibility

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Area of Science:

  • Healthcare Management
  • Operations Research
  • Health Services Research

Background:

  • Healthcare systems face unpredictable variations in supply and demand, necessitating operational flexibility.
  • Short-term volume flexibility is crucial for managing capacity losses and demand fluctuations effectively.
  • Existing tools for flexibility include overtime, internal/external staffing, staff reallocation, and external care purchasing.

Purpose of the Study:

  • To investigate the utilization of tools for creating short-term volume flexibility in healthcare.
  • To analyze how different healthcare units employ flexibility strategies to manage capacity.
  • To identify differences in flexibility management approaches across healthcare system components.

Main Methods:

  • A questionnaire was developed and administered to healthcare managers in the Region Västra Götaland.
  • Data collected focused on the extent of use for various short-term flexibility tools.
  • Multiple regression analysis was employed to analyze the data and identify significant tendencies.

Main Results:

  • Acute units significantly utilize overtime and internal staffing pools more than planned units.
  • Acute units tend to use patient queuing and external providers less frequently than planned units.
  • Significant differences exist in the prerequisites and managerial approaches for capacity management across system parts.

Conclusions:

  • The effective management of aggregate healthcare capacity requires tailored approaches based on specific unit needs.
  • Understanding unit-specific flexibility tool usage is essential for optimizing healthcare operations.
  • These findings provide a foundation for developing more efficient healthcare capacity management strategies.