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Health economic evaluation of continuous monitoring of vital signs at Slingeland Hospital : A discrete event simulation study

Dam, J. ten (2019) Health economic evaluation of continuous monitoring of vital signs at Slingeland Hospital : A discrete event simulation study.

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Abstract:In the future, Slingeland Hospital expects an increase in demand of care while fewer organisational resources will be available. Continuous monitoring of vital signs (CMVS) is one way to improve the hospital's efficiency and effectiveness by means of early detection of deterioration. Reduction in supply of care results in cost reduction, but also in lower insurance reimbursement. Therefore, we evaluated the the impact of CMVS on Slingeland Hospital's costs, earnings and health. We constructed a discrete event simulation model to perform a scenario analysis for the impact of the expected outcomes of CMVS on the hospital's costs and earnings for cerebrovascular patients. We conclude that both costs and earnings are most sensitive to a decrease in length of stay. The decrease in costs is higher than the decrease in earnings when the costs of the intervention are not considered. However, this increased margin between earnings and costs does not compensate for the costs of implementing CMVS.
Item Type:Essay (Master)
Clients:
Slingeland Hospital, Doetinchem, The Netherlands
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:44 medicine, 83 economics, 85 business administration, organizational science
Programme:Industrial Engineering and Management MSc (60029)
Link to this item:http://purl.utwente.nl/essays/77181
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