Using a Markov reward model to estimate spend-down costs for a geriatric department.
A Markov model is used to describe movements of geriatric patients within a hospital system where the states of the Markov chain are acute/rehabilitative, long-stay care, discharge or death.
By assigning costs to the states of this model, we can estimate the spend-down costs of running down services given that there are no more admissions and different costs are assigned to acute/rehabilitative and long-stay care.
The model is used to estimate the spend-down costs using data previously validated for three Departments of Geriatric Medicine in the South West Thames Region of England.
Our approach allows hospital planners to identify cost-effective strategies which take into account the fact that some geriatric patients remain in long-stay care for very long periods of time.
Mots-clés Pascal : Modèle Markov, Gériatrie, Hôpital, Estimation coût, Occupation lit
Mots-clés Pascal anglais : Markov model, Geriatrics, Hospital, Cost estimation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0124775
Code Inist : 002B30A04B. Création : 16/11/1999.