Journal List > J Korean Acad Nurs > v.48(5) > 1106710

Byun and Yun: Development and Analysis of System Dynamics Model for Predicting on the Effect of Patient Transfer Counseling with Nurses

Abstract

Purpose

This study aimed to construct a management model for patient transfer in a multilevel healthcare system and to predict the effect of counseling with nurses on the patient transfer process.

Methods

Data were collected from the electronic medical records of 20,400 patients using the referral system in a tertiary hospital in Seoul from May 2015 to April 2017. The data were analyzed using system dynamics methodology.

Results

The rates of patients who were referred to a tertiary hospital, continued treatment, and were terminated treatment at a tertiary hospital were affected by the management fee and nursing staffing in a referral center that provided patient transfer counseling. Nursing staffing in a referral center had direct influence on the range of increase or decrease in the rates, whereas the management fee had direct influence on time. They were nonlinear relations that converged the value within a certain period.

Conclusion

The management fee and nursing staffing in a referral center affect patient transfer counseling, and can improve the patient transfer process. Our findings suggest that nurses play an important role in ensuring smooth transitions between clinics and hospitals.

Figures and Tables

Figure 1

Management model of patients being transferred.

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Figure 2

Basic simulation of model.

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Figure 3

Scenario simulation: percentage of patients who are referred to a tertiary hospital.

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Figure 4

Scenario simulation: percentage of patients who continue treatment at a tertiary hospital.

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Figure 5

Scenario simulation: percentage of patients who are terminated treatment at a tertiary hospital.

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Notes

This manuscript is a modified version of the first author's master's thesis from Kyung Hee University.

CONFLICTS OF INTEREST The authors declared no conflict of interest.

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Eun Kyoung Yun
https://orcid.org/0000-0002-3472-5152

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