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| Author: | Blake, J. T. Carter, M. W. |
| Title: | A goal programming approach to strategic resource allocation in acute care hospitals |
| Journal: | European Journal of Operational Research
2002 : AUG, VOL. 140:3, p. 541-561 |
| Index terms: | GOALS GOAL PROGRAMMING STRATEGY STRATEGIC PLANNING |
| Language: | eng |
| Abstract: | This paper describes a methodology for allocating resources in hospitals. The methodology uses two linear goal-programming models. One model sets case mix and volume for physicians, while holding service costs fixed; the other translates case mix decisions into a commensurate set of practice changes for physicians. The models allow decision makers to set case mix and case costs in such a way that the institution is able to break even, while preserving physician income and minimizing disturbance to practice. The models also permit investigation of trade-offs between case mix and physician practice parameters. Results are presented from a decision-making scenario facing the surgical division of Toronto's Mount Sinai Hospital after the announcement of a 3-year, 18% reduction in funding. |
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