计划和设计服务的新方法. 使用软件优化头癌患者到医院的通勤时间
Michael Goodfellow1, James O'Hara1, Matthew Kennedy2
1Department of Otolaryngology, Freeman Hospital, Freeman Rd, High Heaton, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne NE7 7DN, United Kingdom.
The British journal of oral & maxillofacial surgery
|December 28, 2023
概括
发展卫星医院可以显著降低患者前往头癌 (HNC) 预约的旅行负担. 这通过缩短通勤时间和减少对多种公共交通选择的依赖来改善医疗保健的准入.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 交通运输规划 交通运输规划
背景情况:
- 医院预约的患者旅行造成了相当大的后勤和时间负担.
- 优化医疗保健提供需要了解和减轻患者通勤挑战.
- 头癌 (HNC) 患者往往需要专门的,集中的护理,可能导致长途旅行.
研究的目的:
- 开发和应用一个计算程序来评估患者通勤到医院预约的情况.
- 评估建立卫星医院对患者旅行时间和HNC患者可及性的影响.
- 确定卫星医院的最佳位置,以改善患者获得护理的机会.
主要方法:
- 开发了一个基于Python的计算机程序来计算患者通勤距离和时间.
- 通勤计算考虑了公共和私人运输,包括道路网络和交通数据.
- 分析了头癌 (HNC) 患者 (n=709) 到第三级推中心和潜在的卫星地点的患者旅行数据.
主要成果:
- 在三级医疗中心旁边实施卫星医院,大大减少了公共和私人交通的患者旅行距离和时间.
- 平均旅行时间可能会减少10分钟 (私人) 和25分钟 (公共交通).
- 需要两种或更多形式的公共交通的患者比例从70%下降到44.1%的卫星服务.
结论:
- 计算方法可以有效地规划卫星医院的位置,以尽量减少患者的旅行负担.
- 卫星医院通过减少通勤时间和运输复杂性来改善头癌患者的医疗保健可访问性.
- 该战略提高了患者获得护理的机会,并支持有效的医疗保健提供模式.
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