选择,路线和时间表:优化社区护理医疗服务提供与强制性访问和患者优先级的社区护理医疗服务
Shima Azizi1, Özge Aygül2, Brenton Faber3
1Business Analytics and Information Systems, Peter J. Tobin College of Business, St. John's University, Queens, NY, USA. azizis@stjohns.edu.
Health care management science
|July 18, 2023
概括
社区护理医生提供出院后的主动家庭访问,以改善患者福利和降低医院费用. 这项研究引入了一个优化框架,以提高社区护理医疗计划效率和患者护理.
科学领域:
- 医疗保健管理的管理
- 运营研究 运营研究
- 公共卫生 公共卫生
背景情况:
- 美国的医疗保健是反应性的,依赖于急救部门,并面临出院计划,医院再入院和急救部门反弹率的挑战.
- 社区护理医疗代表了向主动家庭护理的转变,特别是在医院或急诊室出院后.
研究的目的:
- 建立第一个基于优化的框架来研究社区护理医疗计划的运营效率.
- 开发一个模型,公平地提高患者福利,降低医院费用,并尽量减少再入院和急诊室访问.
主要方法:
- 开发了一个新的层次目标功能,优先考虑患者福利,降低成本,减少再入院/急诊访问.
- 纳入了为当天紧急患者访问设置的新约束.
- 扩展模型以确定一个单一的优化配方中的程序可行性最低补充资源.
- 利用基于医疗需求的目标功能,根据临床特征对患者进行优先排序,并为更短的旅程优化提供者路由.
主要成果:
- 确定了最佳和近最佳的患者访问选择,安排和提供者路由策略.
- 通过对真实世界的数据进行计算实验,在合理的时间框架内实现高效的程序操作的能力.
- 产生了适用于建立和改进社区护理医疗计划的管理见解.
结论:
- 开发的优化框架有效地提高了社区护理医疗计划的效率和有效性.
- 这些发现支持医疗保健系统的数据驱动决策,旨在改善出院后的护理和降低医疗保健成本.
- 这种方法提供了一个可扩展的解决方案,以优化社区医疗保健计划中的资源配置和患者管理.
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