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@article{Lebcir:2017:10.1186/s12913-017-1994-9,
author = {Lebcir, R and Demir, E and Ahmad, R and Vasilakis, C and Southern, D},
doi = {10.1186/s12913-017-1994-9},
journal = {BMC Health Services Research},
title = {A Discrete Event Simulation model to evaluate the use of community services in the treatment of patients with Parkinson's disease in the United Kingdom},
url = {http://dx.doi.org/10.1186/s12913-017-1994-9},
volume = {17},
year = {2017}
}

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TY  - JOUR
AB  - Background: The  numberof  people  affected  byParkinson’s  disease  (PD)  is increasing in the United Kingdom driven by populationageing. The treatment of the disease is complex, resource intensive and currently there is no known cure to PD. The  National  Health  Service  (NHS),  the  public  organisation  delivering  healthcare  in the  UK,  is  under  financial  pressures.  There  is  a  need  to  find  innovative  ways  to improve  the  operational  and financial  performance  of  treating  PD  patients. The use of community services is a new and promising way of providing treatment and care to PD patients a reduced cost than hospitalcare. The aim of this study is to evaluate the  potentialoperational  and  financial  benefits,  which  could  be  achieved  through increased integration of community services in the delivery of treatment and care to PD patients in the UKwithout compromising care quality. Methods:A Discrete  Event  Simulation  modelwas  developed  to  represent  the  PD care  structure  including  patients’  pathways,  treatment  modes,  and  the  mix  of resources required to treat PD patients. The model was parametrised with data from a  large  NHS Trust  in  the  UKand  validated  using  informationfrom  the  same  trust.Four   possible   scenarios   involving   increased  use  of   community   services   were simulated on the model.Results:Shifting  more  patients  with  PD from  hospital treatment  to  community services  will  reduce  the  number  of  visits  of  PD  patients  to  hospitalsby  about  25%and the number of PD doctors and nurses required to treat these patientsby around 32%. Hospital based treatment costsand overall should decrease by26% leading to overall savings of 10% in the total cost of treating PD patients.
AU  - Lebcir,R
AU  - Demir,E
AU  - Ahmad,R
AU  - Vasilakis,C
AU  - Southern,D
DO  - 10.1186/s12913-017-1994-9
PY  - 2017///
SN  - 1472-6963
TI  - A Discrete Event Simulation model to evaluate the use of community services in the treatment of patients with Parkinson's disease in the United Kingdom
T2  - BMC Health Services Research
UR  - http://dx.doi.org/10.1186/s12913-017-1994-9
UR  - http://hdl.handle.net/10044/1/43826
VL  - 17
ER  -

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