Forecasting emergency department arrivals using INGARCH models

Background: Forecasting patient arrivals to hospital emergency departments is critical to dealing with surges and to efficient planning, management and functioning of hospital emerency departments. Objective: We explore whether past mean values and past observations are useful to forecast daily pati...

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Detalles Bibliográficos
Autores: Reboredo, J.C., Barba-Queiruga, J.R., Ojea-Ferreiro, J., Reyes Santías, Francisco
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Servizo Galego de Saúde (SERGAS)
Repositorio:RUNA. Repositorio da Consellería de Sanidade e Sergas
OAI Identifier:oai:runa.sergas.gal:20.500.11940/21511
Acceso en línea:https://portalcientifico.sergas.gal//documentos/6550da0392517a5a7db94df1
http://hdl.handle.net/20.500.11940/21511
Access Level:acceso abierto
Palabra clave:AS Santiago
CHUS
Descripción
Sumario:Background: Forecasting patient arrivals to hospital emergency departments is critical to dealing with surges and to efficient planning, management and functioning of hospital emerency departments. Objective: We explore whether past mean values and past observations are useful to forecast daily patient arrivals in an Emergency Department. Material and methods: We examine whether an integer-valued generalized autoregressive conditional heteroscedastic (INGARCH) model can yield a better conditional distribution fit and forecast of patient arrivals by using past arrival information and taking into account the dynamics of the volatility of arrivals. Results: We document that INGARCH models improve both in-sample and out-of-sample forecasts, particularly in the lower and upper quantiles of the distribution of arrivals. Conclusion: Our results suggest that INGARCH modelling is a useful model for short-term and tactical emergency department planning, e.g., to assign rotas or locate staff for unexpected surges in patient arrivals.