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Summary: Efficiency evaluation for pooling resources in health care
Peter T. Vanberkel1
, Richard J. Boucherie2
, Erwin W. Hans3
Johann L. Hurink2
, Nelly Litvak2
University of Twente, Enschede, The Netherlands
1,2
Department of Applied Mathematics,
Faculty of Electrical Engineering, Mathematics, and Computer Science
1,3
Operational Methods for Production and Logistics,
School of Management and Governance
Abstract
Hospitals traditionally segregate resources into centralized functional departments such
as diagnostic departments, ambulatory care centres, and nursing wards. In recent years this
organizational model has been challenged by the idea that higher quality of care and efficiency
in service delivery can be achieved when services are organized around patient groups. Exam-
ples include specialized clinics for breast cancer patients and clinical pathways for diabetes
patients. Hospitals are struggling with the question of whether to become more centralized
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