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By Brant E. Fries

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S used to eval-':olte availability and coverage is det3rmined in d straigh~-forwclrd manner from thd datcl. No optimizat\o~ is peLrormed, however, in the described British application. ion into districts and consider service calls fro~ any cite within a district as originating at i'_s centroid. e cen troic'ls. o·.... ortant but compliccltil~~ as-pect or cl"lbulclncec; "covering" for others which are busy. \IOr~S (1973i who simula~es the expected r~spcnse tinlcs for a given deploymen~ of clmbulances and uses a computer scarc~ routine to pick deployments which improve this criterion.

1 the load in and utilization of each compart'1lent t>lotted by timp. of the cay. Two simula~ec conditions arc compared, differing in the starti~g time Qf tre clinic anc the treatment rate in the examining rooms. RAO ET AL. (1972) examine the effect or. patient waiting time of opcnin~ a clinic before the physicians arrive. th~ The outpatient pharmacy is the focus of an article by ~YEHS ET l\L. (1972). lndling of "Will-call" orders, compared to those of waiting p,'\licnts. 51 Finally, l'.. 's. llio~:.

F VIt iellts durin'J the day, .. nd of the effect of occuP:I;,cy-contL"olling carll' discharge, all with the <]c><11 of id~ntHying the simplest ",ooel possible for plLnnir,~ L:lective admissions. A model presented by ESOGnUE i\~D SmGII (197Gc) is in SO:-:1e manners similar to those cited "thus falL, this se,;ti')n. ss of patient is adr:littcd so Jon<:T as a bed is available. A birth-and-~catt stochastic model in combination with a COS"t criterion formed by combining the costs of unused be~s and tur:lawclYs allows the ,leter:;)ination of the optimal cutoff value.

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