Improving efficiency in surgical services a production planning and control approach

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dc.contributor Aalto-yliopisto fi
dc.contributor Aalto University en
dc.contributor.advisor Kämäräinen, Vesa, Dr. Peltokorpi, Antti 2012-08-28T11:36:14Z 2012-08-28T11:36:14Z 2010
dc.identifier.isbn 978-952-60-3216-0 (electronic)
dc.identifier.isbn 978-952-60-3215-3 (printed) #8195;
dc.identifier.issn 1797-2515
dc.description.abstract The pressure to improve health while spending less money has forced healthcare organizations to find new ways of arranging their services. Healthcare organizations have widely discussed the needs of both evidence-based medicine and evidence-based management. Surgical operating units are cost-intensive, multi-professional parts of health-service production. Managing operating units efficiently is essential when hospitals and healthcare systems aim to maximize health outcomes with limited resources. The research questions this study addresses explore the phenomenon of efficiency and its improvement in operating units. The main objective is to define the features of production planning and control that maximize efficiency. Based on a literature, several strategic and operative variables could promote high efficiency. However, performance measures recently applied to operating units fail to include all relevant phenomena that affect their total efficiency. The study developed economic and technical efficiency measures that include relevant aspects when measuring operating units' output and input. We tested the measure in single-case settings. After that, we tested, in a multi-hospital study that included 26 units, 12 hypotheses that propose connections between the use of strategic and operative practices and efficiency. The study's results indicate that personnel incentive systems, especially for surgeons, and personnel flexibility improve efficiency most significantly. Units' size does not affect their performance. In general, the study reveals that operative practices, such as personnel management, case scheduling and performance measurement, affect efficiency more remarkably than do strategic decisions that relate to, e.g., units' size, scope or academic status. We also found that units with different strategic positions should apply different operative practices. Focused hospital units benefit most from hard-based practices such as sophisticated case scheduling, parallel processing and performance measurement; whereas central and ambulatory units with a wide range of services and specialties should apply soft-based initiatives, such as flexible working hours, incentives and multi-skilled personnel. This study highlights staffing issues' role in improving operating units' efficiency. en
dc.format.extent Verkkokirja (1152 KB, 146 s.)
dc.format.mimetype application/pdf
dc.language.iso en en
dc.publisher Aalto-yliopiston teknillinen korkeakoulu en
dc.relation.ispartofseries Helsinki University of Technology, Department of Industrial Engineering and Management doctoral dissertation series, 2010/11 en
dc.subject.other Medical sciences
dc.subject.other Consumption, Services
dc.subject.other Management
dc.title Improving efficiency in surgical services a production planning and control approach en
dc.type G4 Monografiaväitöskirja fi Aalto-yliopiston teknillinen korkeakoulu fi
dc.contributor.department Tuotantotalouden laitos fi
dc.contributor.department Department of Industrial Engineering and Management en
dc.subject.keyword operating room management en
dc.subject.keyword surgical services en
dc.subject.keyword production planning and control en
dc.subject.keyword performance improvement en
dc.subject.keyword productivity en
dc.identifier.urn URN:ISBN:978-952-60-3216-0
dc.type.dcmitype text en
dc.type.ontasot Väitöskirja (monografia) fi
dc.type.ontasot Doctoral dissertation (monograph) en
dc.contributor.supervisor Lillrank, Paul, Prof.

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