在不确定性下,社区健康路径的建模和安排
1Department of Industrial and Systems Engineering, Texas A&M University, College Station, TX, USA.
Health informatics journal
|February 5, 2024
概括
优化安排社区卫生途径 (CHP) 是一个挑战. 随机编程方法提高了不确定性下的资源配置,与确定性方法相比,提供了公平和现实的客户计划.
科学领域:
- 运营研究 运营研究
- 卫生系统管理管理卫生系统管理
- 公共卫生 公共卫生
背景情况:
- 在社区医疗保健机构,特别是在中央集中的Pathways社区中心,协调有限的资源,由于资源限制和动态的运营因素,提出了重大挑战.
- 有效的安排对于患者及时获得护理至关重要,但往往由于资源可用性和客户需求波动的不确定性而受到阻碍.
研究的目的:
- 引入和评估一种随机编程 (SP) 方法,以优化社区卫生途径 (CHP) 在集中社区卫生环境中的调度.
- 解决资源可用性的不确定性及其对客户访问时间和时间表公平性的影响.
主要方法:
- 开发了一个随机编程 (SP) 模型,以优化社区卫生途径 (CHP) 的计划,考虑到资源的不确定性.
- 将SP方法应用于来自美国县的Pathways社区中心的现实数据,包括各种CHP,医疗保健工作者和其他资源.
主要成果:
- 客户端访问时间受到HUB资源的不确定未来可用性和客户端需求水平的重大影响.
- 高客户需求与更长的客户访问时间相关,突出显示了需求波动对服务交付的影响.
- 随机编程模型比确定性方法产生更现实的时间表,当资源可用性被认为是已知的时,这种方法可能过于乐观.
结论:
- 随机编程模型在类似的社区卫生工作者角色中提供公平的客户端时间表.
- 这种方法提供了有价值的管理见解,以改善社区卫生机构的资源分配和调度效率.
- 解决资源不确定性对于准确的访问时间预测和公平的服务分配至关重要.
相关概念视频
Methods of Documentation VI: Case Management Model
573
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
573
Model Approaches for Pharmacokinetic Data: Distributed Parameter Models
69
Pharmacokinetic models are mathematical constructs that represent and predict the time course of drug concentrations in the body, providing meaningful pharmacokinetic parameters. These models are categorized into compartment, physiological, and distributed parameter models.
The distributed parameter models are specifically designed to account for variations and differences in some drug classes. This model is particularly useful for assessing regional concentrations of anticancer or...
The distributed parameter models are specifically designed to account for variations and differences in some drug classes. This model is particularly useful for assessing regional concentrations of anticancer or...
69
Uncertainty: Overview
555
In analytical chemistry, we often perform repetitive measurements to detect and minimize inaccuracies caused by both determinate and indeterminate errors. Despite the cares we take, the presence of random errors means that repeated measurements almost never have exactly the same magnitude. The collective difference between these measurements - observed values - and the estimated or expected value is called uncertainty. Uncertainty is conventionally written after the estimated or expected value.
555
Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K
Pharmacokinetic Models: Comparison and Selection Criterion
73
Physiological and compartmental models are valuable tools used in studying biological systems. These models rely on differential equations to maintain mass balance within the system, ensuring an accurate representation of the dynamic processes at play.
Physiological models take a detailed approach by considering specific molecular processes. They can predict drug distribution, metabolism, and elimination changes, providing a comprehensive understanding of how drugs interact with the body.
Physiological models take a detailed approach by considering specific molecular processes. They can predict drug distribution, metabolism, and elimination changes, providing a comprehensive understanding of how drugs interact with the body.
73
Models of Health Promotion and Illness Prevention I
2.0K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.0K


