先進的なアクセス:プライマリケアにおける待ち時間や遅延を減らす
Mark Murray1, Donald M Berwick
1Mark Murray & Associates, Sacramento, Calif, USA.
JAMA
|February 25, 2003
まとめ
アドバンスド アクセスなどの産業エンジニアリングの原則を適用することで,医療の遅延を大幅に減らすことができます. このモデルは,スケジュールとリソースの割り当てを最適化し,追加のリソースなしで患者のアクセスを改善することによって,同じ日の予約を提供しています.
科学分野:
- ヘルスケア・マネジメント・ヘルスケア・マネジメント
- 事業 事業研究 事業研究
- プライマリーケア (プライマリーケア)
背景:
- 医療制度では,患者のケアに重大な遅れがつき,それは多くの場合,真の資源の不足ではなく,非効率的なスケジュールとリソースの配分に起因する.
- これらの遅延は,患者へのアクセスと,医療システムの全体的な効率性に悪影響を及ぼします.
研究 の 目的:
- 医療の遅延を減らすために,産業工学の原理,特にキューの理論と高度なアクセスモデルの応用を探求する.
- 追加のリソースを必要とせずに,患者の待つ時間を大幅に削減することが可能であることを実証するためです.
主な方法:
- 診療環境に適応したキューリング理論と産業工学の原理を用いて.
- 先進的なアクセスモデルを実装し,患者さんに当日予約を提供することを優先します.
- 供給と需要のバランス,予約の遅れの削減,予約のタイプの標準化,緊急計画作成,需要の管理,ボトルネックリソースの利用可能性の向上など6つの重要な要素に焦点を当てます.
主要な成果:
- アドバンスド・アクセスのモデルは,プライマリーケア施設での待機時間を短縮することに成功しています.
- 実施は,小規模な実践においても,遅延を大幅に削減することができます.
- モデルの有効性は,医師の能力を超えない需要に依存しています.
結論:
- 医療の遅延は,単に資源を増やすだけでなく,最適化されたスケジュールと資源管理を通じて,しばしば体系的で,対処可能である.
- 産業工学に根ざしたAdvanced Accessは,患者のアクセスを改善し,待ち時間を短縮するための実行可能な戦略を提供します.
- 採用に成功するには,既定の慣行を克服し,強力なリーダーシップのコミットメントを必要とします.
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