使用模拟建模来改变医院的规划和管理,以解决健康不平等问题
Eren Demir1, Usame Yakutcan1, Stephen Page1
1Hertfordshire Business School, University of Hertfordshire, AL10 9AB, Hatfield, United Kingdom.
Social science & medicine (1982)
|March 17, 2024
概括
本研究介绍了SimulEQUITY,一个模拟模型,通过考虑个体患者的需求和社会经济因素来解决医院的健康不平等问题,超越人口层面的计划,为公平的医疗保健服务提供服务.
科学领域:
- 医疗保健管理的管理
- 运营研究 运营研究
- 卫生公平研究 卫生公平研究
背景情况:
- 健康不平等仍然存在,受社会经济因素的影响,如就业,收入和教育,影响弱势群体获得医疗保健.
- 解决健康公平问题需要了解医院规划和医疗保健提供中的复杂相互联系.
- 运营研究为医疗保健战略和运营中的复杂决策提供了分析工具.
研究的目的:
- 开发基于模拟的建模框架 (SimulEQUITY) 以解决医院层面的健康不平等问题.
- 通过纳入个体患者需求和社会经济差异,挑战现有的人口级别医疗保健规划.
- 为评估干预策略和预测未来医疗保健不平等模式提供决策支持工具包.
主要方法:
- 使用离散事件模拟开发了一个基于模拟的建模框架 (SimulEQUITY).
- 模拟整个医院的运作,包括住院,门诊和急救服务.
- 整合了个体患者的属性和社会经济变量,以建模患者的途径.
主要成果:
- 模拟公平框架全面模拟医院运营,捕捉患者途径的社会经济差异.
- 它可以探索涉及过程,资源和环境因素的各种场景.
- 该模型有助于评估干预策略和潜在的未来医疗保健不平等模式.
结论:
- SimulEQUITY提供了一种动态的,基于软件的医院管理和战略规划方法,超越了基于人口的简化模型.
- 该框架支持决策者确定有效的干预措施,以减少健康不平等.
- 在英国一家医院的实际实施证明了该模型在促进公平的医疗保健准入和结果方面的实用性.
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