Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal
Background: Recent reforms in Portugal aimed at strengthening the role of the primary care system, in order to improve the quality of the health care system. Since 2006 new policies aiming to change the organization, incentive structures and funding of the primary health care sector were designed, p...
| Main Authors: | , , |
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| Other Authors: | |
| Format: | Article |
| Language: | English |
| Published: |
BioMed Central Ltd
2011
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| Online Access: | http://hdl.handle.net/1721.1/67078 |
| _version_ | 1811074110237704192 |
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| author | Fialho, Andre S. Oliveira, Monica D. Sa, Armando B. |
| author2 | Massachusetts Institute of Technology. Engineering Systems Division |
| author_facet | Massachusetts Institute of Technology. Engineering Systems Division Fialho, Andre S. Oliveira, Monica D. Sa, Armando B. |
| author_sort | Fialho, Andre S. |
| collection | MIT |
| description | Background: Recent reforms in Portugal aimed at strengthening the role of the primary care system, in order to improve the quality of the health care system. Since 2006 new policies aiming to change the organization, incentive structures and funding of the primary health care sector were designed, promoting the evolution of traditional primary health care centres (PHCCs) into a new type of organizational unit - family health units (FHUs). This study aimed to compare performances of PHCC and FHU organizational models and to assess the potential gains from converting PHCCs into FHUs. Methods: Stochastic discrete event simulation models for the two types of organizational models were designed and implemented using Simul8 software. These models were applied to data from nineteen primary care units in three municipalities of the Greater Lisbon area. Results: The conversion of PHCCs into FHUs seems to have the potential to generate substantial improvements in productivity and accessibility, while not having a significant impact on costs. This conversion might entail a 45% reduction in the average number of days required to obtain a medical appointment and a 7% and 9% increase in the average number of medical and nursing consultations, respectively. Conclusions: Reorganization of PHCC into FHUs might increase accessibility of patients to services and efficiency in the provision of primary care services. |
| first_indexed | 2024-09-23T09:43:19Z |
| format | Article |
| id | mit-1721.1/67078 |
| institution | Massachusetts Institute of Technology |
| language | English |
| last_indexed | 2024-09-23T09:43:19Z |
| publishDate | 2011 |
| publisher | BioMed Central Ltd |
| record_format | dspace |
| spelling | mit-1721.1/670782022-09-30T16:25:52Z Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal Fialho, Andre S. Oliveira, Monica D. Sa, Armando B. Massachusetts Institute of Technology. Engineering Systems Division Fialho, Andre S. Background: Recent reforms in Portugal aimed at strengthening the role of the primary care system, in order to improve the quality of the health care system. Since 2006 new policies aiming to change the organization, incentive structures and funding of the primary health care sector were designed, promoting the evolution of traditional primary health care centres (PHCCs) into a new type of organizational unit - family health units (FHUs). This study aimed to compare performances of PHCC and FHU organizational models and to assess the potential gains from converting PHCCs into FHUs. Methods: Stochastic discrete event simulation models for the two types of organizational models were designed and implemented using Simul8 software. These models were applied to data from nineteen primary care units in three municipalities of the Greater Lisbon area. Results: The conversion of PHCCs into FHUs seems to have the potential to generate substantial improvements in productivity and accessibility, while not having a significant impact on costs. This conversion might entail a 45% reduction in the average number of days required to obtain a medical appointment and a 7% and 9% increase in the average number of medical and nursing consultations, respectively. Conclusions: Reorganization of PHCC into FHUs might increase accessibility of patients to services and efficiency in the provision of primary care services. 2011-11-18T19:55:43Z 2011-11-18T19:55:43Z 2011-10 2011-01 2011-11-15T12:20:10Z Article http://purl.org/eprint/type/JournalArticle 1472-6963 http://hdl.handle.net/1721.1/67078 BMC Health Services Research. 2011 Oct 15;11(1):274 21999336 en http://dx.doi.org/10.1186/1472-6963-11-274 BMC Health Services Research Creative Commons Attribution http://creativecommons.org/licenses/by/2.0 Fialho et al.; licensee BioMed Central Ltd. application/pdf BioMed Central Ltd BioMed Central Ltd |
| spellingShingle | Fialho, Andre S. Oliveira, Monica D. Sa, Armando B. Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal |
| title | Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal |
| title_full | Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal |
| title_fullStr | Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal |
| title_full_unstemmed | Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal |
| title_short | Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal |
| title_sort | using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in portugal |
| url | http://hdl.handle.net/1721.1/67078 |
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