Defining and improving congruence between treatment plans and realization in rehabilitation care

Buil, J.H. (2015) Defining and improving congruence between treatment plans and realization in rehabilitation care.

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Abstract:This research defines how deviations between planning and realization in rehabilitation care should be measured. We define the degree of accordance between plans and realized care as congruence. Based on a bottleneck analysis and a flawed baseline measurement in the rehabilitation center of Sint Maartenskliniek (SMK) in Nijmegen, we propose three interventions to improve congruence: 1) intelligent support for appointment scheduling by means of an ILP, 2) increased flexibility of therapists, 3) better alignment of demand for care with supply of resources. The ILP is based on earlier work of Braaksma (2010). By means of a discrete event simulation study, we evaluate the performance of the interventions. In the controlled environment of this study, the ILP is able to improve congruence to near optimality. Increasing flexibility and better alignment of demand for care with supply further improves performance. We recommend SMK to collect more reliable data for congruence measurement. Furthermore, we recommend SMK To continue the development of the ILP and to explore opportunities to increase flexibility of therapists and alignment of demand for care with supply.
Item Type:Essay (Master)
Clients:
Sint Maartenskliniek, Nijmegen, Netherlands
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:31 mathematics, 58 process technology
Programme:Industrial Engineering and Management MSc (60029)
Link to this item:http://purl.utwente.nl/essays/67659
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