A survey of health care models that encompass multiple departments

In this survey we review quantitative health care models to illustrate the extent to which they encompass multiple hospital departments. The paper provides general overviews of the relationships that exists between major hospital departments and describes how these relationships are accounted for by researchers. We find the atomistic view of hospitals often taken by researchers is partially due to the ambiguity of patient care trajectories. To this end clinical pathways literature is reviewed to illustrate its potential for clarifying patient flows and for providing a holistic hospital perspective

Petri Net Modeling of Outpatient Waiting Time for MRI Examination

In Canada, access to magnetic resonance imaging (MRI) examination is limited with an outcome of long patient waiting time. It is reported that the current median waiting time for MRI examination in Saskatoon is almost double the target for waiting time, which may aggravate the disease. This research is towards reducing the waiting time of patients for MRI examination in Canada by applying an improved management. As a first step of this effort, a comprehensive model of MRI booking and serving system is needed. The city of Saskatoon was taken as an example and the MRI booking and serving system in the city was studied. The common tools (queuing theory, system dynamics (SD) and discrete event dynamics simulation (DES)) were compared and it is found that DES is more suitable, in particular Petri nets (PNs), deemed to be the best choice for the purpose of this thesis. The model in this research was constructed on the basis of Hierarchical Coloured Petri nets (HCPNs), a combination of two extended PNs: Coloured PNs (CPNs) and Hierarchical PNs (HPNs). The model is able to simulate and predict patients' waiting times. Given that the structure of the model developed by HCPNs is still too complex, two extensions to CPNs, Ordered CPNs (OCPNs) and Prioritized HCPNs (PHCPNs), were proposed in this study to reduce the complexity of the model. Validation of the model was performed using the data of Saskatoon Health Region - Royal University Hospital. The results have shown that the proposed model can effectively describe the real system. The model has potential applications in decision-making for the selection of an optimal booking strategy to shorten waiting time and in the prediction of possible waiting time of the system in the future, which may assist MRI administrators in the management of medical resources and may greatly improve the quality of MRI service