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An integrated approach for designing in-time and economically sustainable emergency care networks: A case study in the public sector

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An integrated approach for designing in-time and economically sustainable emergency care networks: A case study in the public sector

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dc.contributor.author Ortiz-Barrios, Miguel Angel es_ES
dc.contributor.author Alfaro Saiz, Juan José es_ES
dc.date.accessioned 2021-06-12T03:33:00Z
dc.date.available 2021-06-12T03:33:00Z
dc.date.issued 2020-06-22 es_ES
dc.identifier.issn 1932-6203 es_ES
dc.identifier.uri http://hdl.handle.net/10251/167845
dc.description.abstract [EN] Emergency Care Networks (ECNs) were created as a response to the increased demand for emergency services and the ever-increasing waiting times experienced by patients in emergency rooms. In this sense, ECNs are called to provide a rapid diagnosis and early intervention so that poor patient outcomes, patient dissatisfaction, and cost overruns can be avoided. Nevertheless, ECNs, as nodal systems, are often inefficient due to the lack of coordination between emergency departments (EDs) and the presence of non-value added activities within each ED. This situation is even more complex in the public healthcare sector of low-income countries where emergency care is provided under constraint resources and limited innovation. Notwithstanding the tremendous efforts made by healthcare clusters and government agencies to tackle this problem, most of ECNs do not yet provide nimble and efficient care to patients. Additionally, little progress has been evidenced regarding the creation of methodological approaches that assist policymakers in solving this problem. In an attempt to address these shortcomings, this paper presents a three-phase methodology based on Discrete-event simulation, payment collateral models, and lean six sigma to support the design of in-time and economically sustainable ECNs. The proposed approach is validated in a public ECN consisting of 2 hospitals and 8 POCs (Point of Care). The results of this study evidenced that the average waiting time in an ECN can be substantially diminished by optimizing the cooperation flows between EDs. es_ES
dc.description.sponsorship The authors would like to express his gratitude to Giselle Polifroni Avendaño for supporting this research. es_ES
dc.language Inglés es_ES
dc.publisher Public Library of Science es_ES
dc.relation.ispartof PLoS ONE es_ES
dc.rights Reconocimiento (by) es_ES
dc.subject Discrete-event simulation (DES) es_ES
dc.subject Emergency Care Networks (ECNs) es_ES
dc.subject Emergency Departments (EDs) es_ES
dc.subject Healthcare es_ES
dc.subject.classification ORGANIZACION DE EMPRESAS es_ES
dc.title An integrated approach for designing in-time and economically sustainable emergency care networks: A case study in the public sector es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1371/journal.pone.0234984 es_ES
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Organización de Empresas - Departament d'Organització d'Empreses es_ES
dc.description.bibliographicCitation Ortiz-Barrios, MA.; Alfaro Saiz, JJ. (2020). An integrated approach for designing in-time and economically sustainable emergency care networks: A case study in the public sector. PLoS ONE. 15(6):1-28. https://doi.org/10.1371/journal.pone.0234984 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.1371/journal.pone.0234984 es_ES
dc.description.upvformatpinicio 1 es_ES
dc.description.upvformatpfin 28 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 15 es_ES
dc.description.issue 6 es_ES
dc.identifier.pmid 32569319 es_ES
dc.identifier.pmcid PMC7307761 es_ES
dc.relation.pasarela S\414378 es_ES
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dc.subject.ods 03.- Garantizar una vida saludable y promover el bienestar para todos y todas en todas las edades es_ES


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