期刊
JOURNAL OF SIMULATION
卷 -, 期 -, 页码 -出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/17477778.2022.2152395
关键词
Resectorization; balancing accessibility of healthcare units; contract mechanisms; simulation-based optimization
资金
- Fundacao para a Ciencia e Tecnologia [UIDB/00731/2020]
This study proposes a new model based on the concept of resectorization to balance the accessibility of healthcare services. By defining a new bi-objective function and using simulation-based optimization and contract mechanisms, it is achievable to achieve the balance of healthcare units' accessibility.
The main objective of the sectorization approach is to divide a vast region into symmetric sectors. Balancing accessibility of healthcare units, which is commonly between the goals of governments is closely related to the concept of sectorization. When the desired equilibrium between sectors is lost resectorization is applied. In this study, we propose a new model based on the resectorization concept for balancing the accessibility of healthcare services in a region. We consider each hospital and the patients that choose it as a sector. We define a new bi-objective function, which includes the goal of improving quality and accessibility. We use simulation-based optimization for resectorization and we portray it as a tool for policymaking based on contract mechanisms. A case study is utilized in the section on experimental results. The outcomes demonstrate that it is achievable to balance the accessibility of healthcare units with a suitable contract mechanism.
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