A Random Effects Sensitivity Analysis for Patient Pathways Model

Author

Adeyemi, Shola ; Chaussalet, Thierry J.

Author_Institution

Health & Social Care Modelling Group, Univ. of Westminster, London

fYear

2008

fDate

17-19 June 2008

Firstpage

536

Lastpage

538

Abstract

In this paper, we present a random effects approach to modelling of patient pathways with an application to the neonatal unit of a large metropolitan hospital. This approach could be used to identify pathways such as those resulting in high probabilities of death/survival, and to estimate cost of care or length of stay. Patient-specific discharge probabilities could also be predicted as a function of the random effect. We also investigate the sensitivity of our modelling results to random effects distribution assumptions.

Keywords

health care; patient care; random processes; sensitivity analysis; statistical distributions; cost estimation; death probability; health care service delivery; metropolitan hospital neonatal care unit; patient pathway model; patient-specific discharge probability; random effect distribution; random effect sensitivity analysis; survival probability; Absorption; Application software; Costs; History; Hospitals; Inference algorithms; Medical services; Pediatrics; Sensitivity analysis; Stochastic processes; neonatal; pathways; patient flow; random effects;

fLanguage

English

Publisher

ieee

Conference_Titel

Computer-Based Medical Systems, 2008. CBMS '08. 21st IEEE International Symposium on

Conference_Location

Jyvaskyla

ISSN

1063-7125

Print_ISBN

978-0-7695-3165-6

Type

conf

DOI

10.1109/CBMS.2008.49

Filename

4562052