Modelling intermediate care services as part of an integrated care pathway

 

Show simple item record

dc.contributor.advisor Gilson, Lucy en_ZA
dc.contributor.advisor Kotze, Kevin en_ZA
dc.contributor.author Wilson, Nicola Ann en_ZA
dc.date.accessioned 2016-07-11T13:48:25Z
dc.date.available 2016-07-11T13:48:25Z
dc.date.issued 2016 en_ZA
dc.identifier.citation Wilson, N. 2016. Modelling intermediate care services as part of an integrated care pathway. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/20290
dc.description.abstract This study explores the implications of implementing enhanced or redesigned intermediate care initiatives in the Western Cape of South Africa from the 2014/15 financial year onwards. Using a dynamic modelling methodology, we developed an empirical model of an integrated care system to explain the linkages, relationships and interactions among service components and analyse the implications of one of the proposed Healthcare 2030 policy interventions - intermediate care - on hospital admissions, waiting times and length of stay of all patients. We tested and compared a number of alternative intervention points using a simulation model parameterised with service component data from the Department of Health Information Systems. The findings from the study show the inconsistencies between the perceived structure and the available data from the respective service components that describe the resultant behavioural effects on an integrated care system, especially when care pathways cross organisational boundaries. The main managerial learning was around the existence and nature of organisational boundaries that require joint working and sharing of information. We conclude from the simulation results for the alternative scenarios tested that the implementation of enhanced or redesigned intermediate care initiatives can moderate the rate of growth in the demand for hospital services by reducing a percentage of hospital readmissions. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Health Systems en_ZA
dc.title Modelling intermediate care services as part of an integrated care pathway en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Health Policy and Systems Division en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MPH en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Wilson, N. A. (2016). <i>Modelling intermediate care services as part of an integrated care pathway</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Health Policy and Systems Division. Retrieved from http://hdl.handle.net/11427/20290 en_ZA
dc.identifier.chicagocitation Wilson, Nicola Ann. <i>"Modelling intermediate care services as part of an integrated care pathway."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Health Policy and Systems Division, 2016. http://hdl.handle.net/11427/20290 en_ZA
dc.identifier.vancouvercitation Wilson NA. Modelling intermediate care services as part of an integrated care pathway. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Health Policy and Systems Division, 2016 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/20290 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Wilson, Nicola Ann AB - This study explores the implications of implementing enhanced or redesigned intermediate care initiatives in the Western Cape of South Africa from the 2014/15 financial year onwards. Using a dynamic modelling methodology, we developed an empirical model of an integrated care system to explain the linkages, relationships and interactions among service components and analyse the implications of one of the proposed Healthcare 2030 policy interventions - intermediate care - on hospital admissions, waiting times and length of stay of all patients. We tested and compared a number of alternative intervention points using a simulation model parameterised with service component data from the Department of Health Information Systems. The findings from the study show the inconsistencies between the perceived structure and the available data from the respective service components that describe the resultant behavioural effects on an integrated care system, especially when care pathways cross organisational boundaries. The main managerial learning was around the existence and nature of organisational boundaries that require joint working and sharing of information. We conclude from the simulation results for the alternative scenarios tested that the implementation of enhanced or redesigned intermediate care initiatives can moderate the rate of growth in the demand for hospital services by reducing a percentage of hospital readmissions. DA - 2016 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - Modelling intermediate care services as part of an integrated care pathway TI - Modelling intermediate care services as part of an integrated care pathway UR - http://hdl.handle.net/11427/20290 ER - en_ZA


Files in this item

This item appears in the following Collection(s)

Show simple item record