多专科门诊病人入院服务的建模与仿真

Bruno Mocarzel, David Shelton, Berkcan Uyan, Eduardo Pérez, J. Jimenez, Lenore DePagter
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引用次数: 18

摘要

医疗保健诊所资源的战术规划涉及选择性病人入院计划和资源能力的中期分配。其主要目标是实现患者的公平获取,为战略商定数量的患者提供服务,并有效利用资源。在本文中,我们描述了一个门诊医疗保健诊所的仿真模型,该诊所面临与患者入院和资源工作流相关的多个问题。在诊所发现的主要问题是:1)电话不能及时接听;2)病人要等待很长时间才能入住和出院。仿真模型的重点是前台的操作。我们研究了不同的资源分配策略,并根据真实的诊所、历史数据以及患者和管理人员的绩效指标报告了计算结果。
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Modeling and simulation of patient admission services in a multi-specialty outpatient clinic
Tactical planning of resources in healthcare clinics concerns elective patient admission planning and the intermediate term allocation of resource capacities. Its main objectives are to achieve equitable access for patients, to serve the strategically agreed number of patients, and to use resources efficiently. In this paper, we describe a simulation model for an outpatient healthcare clinic facing multiple issues related to patient admission and resource workflow. The main problems identified at the clinic are: 1) phones are not answered promptly and 2) patients experience long wait time to check in and check out. The simulation model focuses on the front desk operations. We investigate different resource allocation policies and report on computational results based on a real clinic, historical data, and both patient and management performance measures.
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