Imperial College London
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ProfessorMarisaMiraldo

Business School

Professor in Health Economics and Policy
 
 
 
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Contact

 

m.miraldo Website CV

 
 
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Location

 

418Business School BuildingSouth Kensington Campus

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Summary

 

Publications

Citation

BibTex format

@techreport{Christen:2020:10.25561/78033,
author = {Christen, P and D'Aeth, J and Lochen, A and McCabe, R and Rizmie, D and Schmit, N and Nayagam, AS and Miraldo, M and White, P and Aylin, P and Bottle, R and Perez, Guzman PN and Donnelly, C and Ghani, A and Ferguson, N and Hauck, K},
doi = {10.25561/78033},
title = {Report 15: Strengthening hospital capacity for the COVID-19 pandemic},
url = {http://dx.doi.org/10.25561/78033},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - RPRT
AB  - Planning for extreme surges in demand for hospital care of patients requiring urgent life-saving treatment for COVID-19, and other conditions, is one of the most challenging tasks facing healthcare commissioners and care providers during the pandemic. Due to uncertainty in expected patient numbers requiring care, as well as evolving needs day by day, planning hospital capacity is challenging. Health systems that are well prepared for the pandemic can better cope with large and sudden changes in demand by implementing strategies to ensure adequate access to care. Thereby the burden of the pandemic can be mitigated, and many lives saved. This report presents the J-IDEA pandemic planner, a hospital planning tool to calculate how much capacity in terms of beds, staff and ventilators is obtained by implementing healthcare provision interventions affecting the management of patient care in hospitals. We show how to assess baseline capacity, and then calculate how much capacity is gained by various healthcare interventions using impact estimates that are generated as part of this study. Interventions are informed by a rapid review of policy decisions implemented or being considered in 12 European countries over the past few months , an evaluation of the impact of the interventions on capacity using a variety of research methods, and by a review of key parameters in the care of COVID-19 patients.The J-IDEA planner is publicly available, interactive and adaptable to different and changing circumstances and newly emerging evidence. The planner estimates the additional number of beds, medical staff and crucial medical equipment obtained under various healthcare interventions using flexible inputs on assumptions of existing capacities, the number of hospitalisations, beds-to-staff ratios, and staff absences due to COVID-19. A detailed user guide accompanies the planner. The planner was developed rapidly and has limitations which we will address in future iterations. It support
AU  - Christen,P
AU  - D'Aeth,J
AU  - Lochen,A
AU  - McCabe,R
AU  - Rizmie,D
AU  - Schmit,N
AU  - Nayagam,AS
AU  - Miraldo,M
AU  - White,P
AU  - Aylin,P
AU  - Bottle,R
AU  - Perez,Guzman PN
AU  - Donnelly,C
AU  - Ghani,A
AU  - Ferguson,N
AU  - Hauck,K
DO  - 10.25561/78033
PY  - 2020///
TI  - Report 15: Strengthening hospital capacity for the COVID-19 pandemic
UR  - http://dx.doi.org/10.25561/78033
UR  - https://www.imperial.ac.uk/media/imperial-college/medicine/mrc-gida/2020-04-17-COVID19-Report-15.pdf
UR  - http://hdl.handle.net/10044/1/78033
ER  -
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