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Modelling intermediate care services as part of an integrated care pathway
This study explores the implications of implementing enhanced or redesigned intermediate care initiatives in the Western Cape of South Africa from the 2014/15 financial year onwards. Using a dynamic modelling methodology, we developed an empirical model of an integrated care system to explain the li...
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| Format: | Thesis |
| Language: | English |
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Health Policy and Systems Division
2016
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| _version_ | 1867613231786229760 |
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| access_status_str | Open Access |
| author | Wilson, Nicola Ann |
| author2 | Gilson, Lucy |
| author_browse | Gilson, Lucy Wilson, Nicola Ann |
| author_facet | Gilson, Lucy Wilson, Nicola Ann |
| author_sort | Wilson, Nicola Ann |
| collection | Thesis |
| description | This study explores the implications of implementing enhanced or redesigned intermediate care initiatives in the Western Cape of South Africa from the 2014/15 financial year onwards. Using a dynamic modelling methodology, we developed an empirical model of an integrated care system to explain the linkages, relationships and interactions among service components and analyse the implications of one of the proposed Healthcare 2030 policy interventions - intermediate care - on hospital admissions, waiting times and length of stay of all patients. We tested and compared a number of alternative intervention points using a simulation model parameterised with service component data from the Department of Health Information Systems. The findings from the study show the inconsistencies between the perceived structure and the available data from the respective service components that describe the resultant behavioural effects on an integrated care system, especially when care pathways cross organisational boundaries. The main managerial learning was around the existence and nature of organisational boundaries that require joint working and sharing of information. We conclude from the simulation results for the alternative scenarios tested that the implementation of enhanced or redesigned intermediate care initiatives can moderate the rate of growth in the demand for hospital services by reducing a percentage of hospital readmissions. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/20290 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:32:51.499Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | Health Policy and Systems Division |
| publisherStr | Health Policy and Systems Division |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/20290 Modelling intermediate care services as part of an integrated care pathway Wilson, Nicola Ann Gilson, Lucy Kotze, Kevin Health Systems This study explores the implications of implementing enhanced or redesigned intermediate care initiatives in the Western Cape of South Africa from the 2014/15 financial year onwards. Using a dynamic modelling methodology, we developed an empirical model of an integrated care system to explain the linkages, relationships and interactions among service components and analyse the implications of one of the proposed Healthcare 2030 policy interventions - intermediate care - on hospital admissions, waiting times and length of stay of all patients. We tested and compared a number of alternative intervention points using a simulation model parameterised with service component data from the Department of Health Information Systems. The findings from the study show the inconsistencies between the perceived structure and the available data from the respective service components that describe the resultant behavioural effects on an integrated care system, especially when care pathways cross organisational boundaries. The main managerial learning was around the existence and nature of organisational boundaries that require joint working and sharing of information. We conclude from the simulation results for the alternative scenarios tested that the implementation of enhanced or redesigned intermediate care initiatives can moderate the rate of growth in the demand for hospital services by reducing a percentage of hospital readmissions. 2016-07-11T13:48:25Z 2016-07-11T13:48:25Z 2016 Master Thesis Masters MPH http://hdl.handle.net/11427/20290 eng application/pdf Health Policy and Systems Division Faculty of Health Sciences University of Cape Town |
| spellingShingle | Health Systems Wilson, Nicola Ann Modelling intermediate care services as part of an integrated care pathway |
| thesis_degree_str | Master's |
| title | Modelling intermediate care services as part of an integrated care pathway |
| title_full | Modelling intermediate care services as part of an integrated care pathway |
| title_fullStr | Modelling intermediate care services as part of an integrated care pathway |
| title_full_unstemmed | Modelling intermediate care services as part of an integrated care pathway |
| title_short | Modelling intermediate care services as part of an integrated care pathway |
| title_sort | modelling intermediate care services as part of an integrated care pathway |
| topic | Health Systems |
| url | http://hdl.handle.net/11427/20290 |
| work_keys_str_mv | AT wilsonnicolaann modellingintermediatecareservicesaspartofanintegratedcarepathway |