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

Hye Min Byun; Eun Kyoung Yun

doi:10.4040/jkan.2018.48.5.554

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

Original Article

Journal of Korean Academy of Nursing 2018; 48(5): 554-564.

Published online: 31 October 2018

DOI: https://doi.org/10.4040/jkan.2018.48.5.554

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

Hye Min Byun¹, Eun Kyoung Yun²

¹College of Nursing Science, Kyung Hee University, Seoul, Korea.

²College of Nursing Science · East-West Nursing Research Institute, Kyung Hee University, Seoul, Korea.

Address reprint requests to: Yun, Eun Kyoung. College of Nursing Science · East-West Nursing Research Institute, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea. Tel: +82-2-961-2348, Fax: +82-2-961-9398, ekyun@khu.ac.kr

Received 2 April 2018 Revised 10 September 2018 Accepted 11 September 2018

Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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.

Keywords: Patient Transfer, Referral and Consultation, Counseling, Continuity of Patient Care

Figures and Tables

Figure 1

Management model of patients being transferred.

Figure 2

Basic simulation of model.

Figure 3

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

Figure 4

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

Figure 5

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

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