病床管理在流行病时代的功能-反应时间和病床改造的案例研究
Chiara Barchielli1,2, Milena Vainieri1, Chiara Seghieri1
1Management and Healthcare Laboratory, Institute of Management, Sant'Anna School of Advanced Studies, 56127 Pisa, Italy.
概括
面对COVID-19,床位管理 (BM) 对医疗保健系统至关重要,因为医院床位减少了. 有效的BM利用中间护理床位和灵活的物流来管理患者需求并保持急性护理能力.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在COVID-19大流行之前的十年里,欧洲医院面临着大量的床位减少.
- 疫情导致前所未有的需求激增,压倒现有的医院容量.
- 一个关键的挑战是平衡稀缺的床位可用性与急症护理的需求.
研究的目的:
- 调查床位管理 (BM) 在加强医疗保健系统在COVID-19大流行期间的弹性方面的作用.
- 分析BM如何优化意大利一个大型地方卫生局 (LHA) 的医院病床利用率和资源配置.
- 评估招募外部病床和管理内部患者物流的有效性.
主要方法:
- 对意大利中部一个大型地方卫生局 (LHA) 的案例研究分析.
- 利用行政数据来评估床位管理策略.
- 审查从附属私人医疗机构招募床位的情况.
- 对用于COVID-19患者护理的床位转换和重新转换的分析.
- 对内部患者物流管理的评估.
主要成果:
- 从附属私人设施招募了大约500张床位,以应对增加的需求.
- 中级护理床的战略性使用扩大了医院的物流边界.
- 床位的迅速转换和重新转换适应了波动的COVID-19患者数量.
- 有效的内部患者物流管理创造了必要的病床容量.
结论:
- 有效的床位管理 (BM) 在COVID-19大流行期间对维持医疗保健系统稳定性起到了重要作用.
- 整合中等护理床位和灵活的床位转换策略显得至关重要.
- 积极管理患者流和外部资源,提高了系统吸收需求的能力.
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