The Journal of the Operational Research Society
-
A large number of studies have applied simulation to a multitude of issues relating to healthcare. These studies have been published in a number of unrelated publishing outlets, which may hamper the widespread reference and use of such resources. In this paper, we analyse existing research in healthcare simulation in order to categorise and synthesise it in a meaningful manner. ⋯ The results present a classification of the healthcare publications according to the simulation techniques they employ; the impact of published literature in healthcare simulation; a report on demonstration and implementation of the studies' results; the sources of funding; and the software used. Healthcare planners and researchers will benefit from this study by having ready access to an indicative article collection of simulation techniques applied to healthcare problems that are clustered under meaningful headings. This study facilitates the understanding of the potential of different simulation techniques in solving diverse healthcare problems.
-
A method is proposed for allocating doctors to weekly shifts in an accident and emergency department of a hospital. Two models, solved by dynamic programming, are used. The first finds the optimal solution to the problem of allocating doctors per hour of the week proportionally to the corresponding patient arrival-rate; and the second uses this solution to smooth out the hourly discrepancies in the number of doctors within a shift. The solution is then assessed by computer simulation.