Modelling intermediate care services as part of an integrated care pathway

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dc.contributor.advisorGilson, Lucyen_ZA
dc.contributor.advisorKotze, Kevinen_ZA
dc.contributor.authorWilson, Nicola Annen_ZA
dc.date.accessioned2016-07-11T13:48:25Z
dc.date.available2016-07-11T13:48:25Z
dc.date.issued2016en_ZA
dc.description.abstractThis 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.identifier.apacitationWilson, 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/11427/20290en_ZA
dc.identifier.chicagocitationWilson, 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/11427/20290en_ZA
dc.identifier.citationWilson, N. 2016. Modelling intermediate care services as part of an integrated care pathway. University of Cape Town.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
dc.identifier.urihttp://hdl.handle.net/11427/20290
dc.identifier.vancouvercitationWilson 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/11427/20290en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentHealth Policy and Systems Divisionen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherHealth Systemsen_ZA
dc.titleModelling intermediate care services as part of an integrated care pathwayen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPHen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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