Alternatives to Hospital Care: Modelling the Whole System Tom Bowen Tom Bowen Associates, Brighton, UK ORAHS 2003, Prague, Czech Republic 28 July 2003
Content Current UK hospitalisation trends Wider modelling requirements Care homes example R & D agenda
Production functions do not apply Queueing models do not apply
Internal factors A bed is not a service point Doctors, diagnostics determine throughput Resource imbalances may increase length of stay Additional wards may scatter patients
External factors
Cost/Quality Model of Care Homes
Example of model calculation (2002)
R & D Agenda Internal process models Protocols for hospital care Therapy service models Prevention service models One to many flow models