A simulation model for predicting hospital occupancy for Covid-19 using archetype analysis

COVID-19 pandemic has sent millions of people to hospitals worldwide, exhausting on many occasions the capacity of healthcare systems to provide care patients required to survive. Although several epidemiological research works have contributed a variety of models and approaches to anticipate the pa...

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Main Authors: Eduardo Redondo, Vittorio Nicoletta, Valérie Bélanger, José P. Garcia-Sabater, Paolo Landa, Julien Maheut, Juan A. Marin-Garcia, Angel Ruiz
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:Healthcare Analytics
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772442523000643
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author Eduardo Redondo
Vittorio Nicoletta
Valérie Bélanger
José P. Garcia-Sabater
Paolo Landa
Julien Maheut
Juan A. Marin-Garcia
Angel Ruiz
author_facet Eduardo Redondo
Vittorio Nicoletta
Valérie Bélanger
José P. Garcia-Sabater
Paolo Landa
Julien Maheut
Juan A. Marin-Garcia
Angel Ruiz
author_sort Eduardo Redondo
collection DOAJ
description COVID-19 pandemic has sent millions of people to hospitals worldwide, exhausting on many occasions the capacity of healthcare systems to provide care patients required to survive. Although several epidemiological research works have contributed a variety of models and approaches to anticipate the pandemic spread, very few have tried to translate the output of these models into hospital service requirements, particularly in terms of bed occupancy, a key question for hospital managers. This paper proposes a tool for predicting the current and future occupancy associated with COVID-19 patients of a hospital to help managers make informed decisions to maximize the availability of hospitalization and intensive care unit (ICU) beds and ensure adequate access to services for confirmed COVID-19 patients. The proposed tool uses a discrete event simulation approach that uses archetypes (i.e., empirical models of trajectories) extracted from empirical analysis of actual patient trajectories. Archetypes can be fitted to trajectories observed in different regions or to the particularities of current and forthcoming variants using a rather small amount of data. Numerical experiments on realistic instances demonstrate the accuracy of the tool’s predictions and illustrate how it can support managers in their daily decisions concerning the system’s capacity and ensure patients the access the resources they require.
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spelling doaj.art-60dc99c2711c47c3b39d8d5061fce6432023-06-25T04:44:22ZengElsevierHealthcare Analytics2772-44252023-11-013100197A simulation model for predicting hospital occupancy for Covid-19 using archetype analysisEduardo Redondo0Vittorio Nicoletta1Valérie Bélanger2José P. Garcia-Sabater3Paolo Landa4Julien Maheut5Juan A. Marin-Garcia6Angel Ruiz7Faculty of Business Administration, Université Laval, Quebec (Quebec), G1K 7P4, Canada; Interuniversity Research Center on Enterprise Networks, Logistics and Transportation (CIRRELT), CanadaFaculty of Business Administration, Université Laval, Quebec (Quebec), G1K 7P4, Canada; Interuniversity Research Center on Enterprise Networks, Logistics and Transportation (CIRRELT), CanadaInteruniversity Research Center on Enterprise Networks, Logistics and Transportation (CIRRELT), Canada; Department of Logistics and Operations Management, HEC Montréal, 3000 chemin de la Cote Sainte-Catherine, Montreal (Quebec), H3T 2A7, CanadaROGLE, Department of Organización de Empresas, Universitat Politècnica de València, Valencia s/n, 46021 Valencia, SpainFaculty of Business Administration, Université Laval, Quebec (Quebec), G1K 7P4, Canada; Interuniversity Research Center on Enterprise Networks, Logistics and Transportation (CIRRELT), CanadaROGLE, Department of Organización de Empresas, Universitat Politècnica de València, Valencia s/n, 46021 Valencia, SpainROGLE, Department of Organización de Empresas, Universitat Politècnica de València, Valencia s/n, 46021 Valencia, SpainFaculty of Business Administration, Université Laval, Quebec (Quebec), G1K 7P4, Canada; Interuniversity Research Center on Enterprise Networks, Logistics and Transportation (CIRRELT), Canada; Correspondence to: Pavillon Palasis-Prince, Université Laval, 2325 Rue de la Terrasse, Quebec City, QC, Canada G1V 0A6.COVID-19 pandemic has sent millions of people to hospitals worldwide, exhausting on many occasions the capacity of healthcare systems to provide care patients required to survive. Although several epidemiological research works have contributed a variety of models and approaches to anticipate the pandemic spread, very few have tried to translate the output of these models into hospital service requirements, particularly in terms of bed occupancy, a key question for hospital managers. This paper proposes a tool for predicting the current and future occupancy associated with COVID-19 patients of a hospital to help managers make informed decisions to maximize the availability of hospitalization and intensive care unit (ICU) beds and ensure adequate access to services for confirmed COVID-19 patients. The proposed tool uses a discrete event simulation approach that uses archetypes (i.e., empirical models of trajectories) extracted from empirical analysis of actual patient trajectories. Archetypes can be fitted to trajectories observed in different regions or to the particularities of current and forthcoming variants using a rather small amount of data. Numerical experiments on realistic instances demonstrate the accuracy of the tool’s predictions and illustrate how it can support managers in their daily decisions concerning the system’s capacity and ensure patients the access the resources they require.http://www.sciencedirect.com/science/article/pii/S2772442523000643Healthcare managementCOVID-19Bed managementDiscrete event simulationArchetype analysis
spellingShingle Eduardo Redondo
Vittorio Nicoletta
Valérie Bélanger
José P. Garcia-Sabater
Paolo Landa
Julien Maheut
Juan A. Marin-Garcia
Angel Ruiz
A simulation model for predicting hospital occupancy for Covid-19 using archetype analysis
Healthcare Analytics
Healthcare management
COVID-19
Bed management
Discrete event simulation
Archetype analysis
title A simulation model for predicting hospital occupancy for Covid-19 using archetype analysis
title_full A simulation model for predicting hospital occupancy for Covid-19 using archetype analysis
title_fullStr A simulation model for predicting hospital occupancy for Covid-19 using archetype analysis
title_full_unstemmed A simulation model for predicting hospital occupancy for Covid-19 using archetype analysis
title_short A simulation model for predicting hospital occupancy for Covid-19 using archetype analysis
title_sort simulation model for predicting hospital occupancy for covid 19 using archetype analysis
topic Healthcare management
COVID-19
Bed management
Discrete event simulation
Archetype analysis
url http://www.sciencedirect.com/science/article/pii/S2772442523000643
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