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dc.contributor.authorLebcir, Mohamed
dc.contributor.authorAtun, Rifat A.
dc.date.accessioned2020-06-11T00:06:49Z
dc.date.available2020-06-11T00:06:49Z
dc.date.issued2020-04-25
dc.identifier.citationLebcir , M & Atun , R A 2020 , ' Should doctors use their judgment? How a System Dynamics model elicited knowledge in neonatal care services ' , Journal of the Operational Research Society , vol. 71 , no. 7 , pp. 1113-1123 . https://doi.org/10.1080/01605682.2020.1730252
dc.identifier.issn0160-5682
dc.identifier.otherPURE: 19498604
dc.identifier.otherPURE UUID: fd58ea7f-385b-4aa3-9df0-a08fd17e2fea
dc.identifier.otherScopus: 85084358335
dc.identifier.urihttp://hdl.handle.net/2299/22835
dc.description© 2020 Taylor & Francis. This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of the Operational Research Society on 25 Apr 2020, available online: https://doi.org/10.1080/01605682.2020.1730252.
dc.description.abstractNeonatal services, which provide care to babies born with medical complications, are under financial pressures in the United Kingdom (UK). The services are heavily regulated affecting efficiency. One possible solution is to reduce the length of stay (LoS) of babies and allow a degree of doctors’ clinical judgment to make decisions. The aim of this paper is to determine the impact of using clinical judgment on neonatal services performance. To achieve this aim, an system dynamics (SD) model was built and validated in a UK neonatal unit. The model was used initially to evaluate the impact of LoS reduction on performance as clinical judgment policies were rejected by participants. The counterintuitive results led to a behavioural change and participants accepted clinical judgment policies which the results indicated should lead to considerable performance improvement. Results’ implications and SD’s modelling ability to foster learning and alter participants’ perceptions and behaviour are discussed.en
dc.format.extent11
dc.language.isoeng
dc.relation.ispartofJournal of the Operational Research Society
dc.rightsEmbargoed
dc.subjectOR in health
dc.subjectbehavioural OR
dc.subjectneonatal services
dc.subjectsimulation
dc.subjectsystem dynamics
dc.subjectManagement Information Systems
dc.subjectStrategy and Management
dc.subjectManagement Science and Operations Research
dc.subjectMarketing
dc.titleShould doctors use their judgment? How a System Dynamics model elicited knowledge in neonatal care servicesen
dc.contributor.institutionHertfordshire Business School
dc.description.statusPeer reviewed
dc.date.embargoedUntil2021-04-25
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85084358335&partnerID=8YFLogxK
dc.relation.schoolHertfordshire Business School
dc.description.versiontypeFinal Accepted Version
dcterms.dateAccepted2020-04-25
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1080/01605682.2020.1730252
rioxxterms.licenseref.uriUnspecified
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeEmbargoed


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