动态再分组化以提高医疗保健系统的效用
Aydin Teymourifar1, Maria A M Trindade2
1Universidade Católica Portuguesa, Católica Porto Business School, Centro de Estudos em Gestão e Economia, Porto, Portugal. aydinteymurifar@gmail.com.
Journal of health, population, and nutrition
|July 5, 2024
概括
本研究介绍了再分部门化,这是一个平衡区域医疗保健系统的动态策略. 定期的医院调整可以提高效用,容量和质量,即使需求下降.
科学领域:
- 医疗保健管理的管理
- 运营研究 运营研究
- 系统工程 系统工程
背景情况:
- 医疗保健系统面临着影响实用性的重大平衡挑战.
- 需求和能力的动态变化需要适应性策略.
- 现有的方法往往缺乏灵活性来解决系统范围内的不平衡.
研究的目的:
- 建议和评估区域医疗保健系统的动态再部门化战略.
- 通过均衡的资源分配,提高医疗保健系统的效用.
- 研究定期医院调整对容量和质量的影响.
主要方法:
- 根据区域医疗保健系统的部门化概念,开发了一个公用事业功能.
- 作为核心策略,纳入了动态重组化,包括定期关闭医院.
- 模拟的重组化场景使用现实世界的案例研究数据跨越多个时间段.
- 在需求下降的条件下分析系统性能.
主要成果:
- 通过拟议的重组化场景,在医疗保健系统实用性方面取得了实质性的改进.
- 通过定期系统调整实现的动态效用收益量化.
- 通过战略性医院改造,展示了医疗保健设施的增强能力和质量.
- 验证了该方法在管理波动的需求模式方面的有效性.
结论:
- 再部门化为平衡区域医疗保健系统提供了实用和动态的解决方案.
- 提出的方法有效地提高了医疗保健系统的实用性和响应能力.
- 战略调整,包括医院关闭,可以优化资源配置和服务提供.
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