Resources

1
Operation management of healthcare delivery
Professor Xiaolan Xie
Center for Biomedical and Healthcare Engineering

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Chapter 1. Healthcare delivery and its operation

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Goal
present quantitative techniques from the
perspective of health care organisations’ delivery of
care, rather than their traditional manufacturing
applications.

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Context and trends
Rising health expenditures (17.6% in USA, 11.6% in France for 2009)
1995 1996 1997 1998 1999 2000 2001 2002
Average 7,8 7,9 7,7 7,8 8 7,9 8,2 8,6
Medium 3,4 3,9 4,2 4,8 5 5,1 5,6 5,7
Maximum 13,3 13,2 13 13 13 13,1 13,9 14,6
Health expenditure as %GDP of 30 OECD countries

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Context and trends
•Increasing demand due to demographic change and aging
population.
•Shift from offer-driven to patient-centered health care
with more active role of patients in health care and better
informed patients
•Growing concern of health care safety and quality ->
Need of traceability of health care delivery
•Arrivals of new ICT technologies (delivery robots, RFID,
telemedicine, HIS, PDA, e-prescription, POS, EDI, online
appointment, eVisit, …)
•Hospitals are bigger and bigger and more complex
(CHU-StE 2000 beds –7259 employes, Ruijin Hospital –
2000 beds + 12000 outpatients/day, Huaxi hospital –4000+
beds, Zhengzuo hospital 10000+ beds