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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 |