Determining optimal allocation of naval obstetric resources with linear programming

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Authors
Eidson, Robert P.
O'Moore, Maurice F.
Subjects
Obstetrics (OB)
medical treatment facility (MTF)
diagnosis related group (DRG)
bureau of medicine and surgery (BUMED)
Naval Medical Center Portsmouth (NMCP)
Naval Medical Center San Diego (NMCSD)
Naval Hospital Camp Pendleton (NHCP)
Naval Hospital Camp Lejeune (NHCL)
labor delivery and recovery (LDR).
Advisors
Tick, Simona
Date of Issue
2013-12
Date
Publisher
Monterey, CA; Naval Postgraduate School
Language
Abstract
The U.S. Navy Bureau of Medicine and Surgery allocates funding for obstetric staffing resources such as doctors, nurses, and midwives. Furthermore, these resources operate within a fixed number of labor/delivery and postpartum rooms, thereby establishing a theoretical maximum capacity of delivery volume. This study identifies the expected delivery volume created by the facility capacity of four major naval military treatment facilities (MTF) within the United States. Based on the calculated volume, this thesis utilizes a linear programming model to determine the optimum mix of doctors, nurses, and midwives to achieve the target delivery numbers. This is achieved while concurrently incorporating all relevant constraints within military medical treatment facilities. As a result, the model allows hospitals to meet target delivery volumes while simultaneously utilizing their allocated resources in the most effective manner. Additionally, the model can accommodate changes in the inputs and constraints and can be used to provide support for similar resource allocation decision problems.
Type
Thesis
Description
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Department
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Distribution Statement
Approved for public release; distribution is unlimited.
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.
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