在COVID-19期间实施医院内转移战略,并根据DEMATEL技术识别成功因素
Bahareh Ahmadinejad1, Alireza Jalali, Fatemeh Bahramian
1Author Affiliations: Sport Medicine and Knee Research Center, Milad Hospital, Tehran, Iran (Ms Ahmadinejad); Health Systems Engineering Research Center, Milad Hospital, Tehran, Iran (Ms Ahmadinejad and Dr Jalali); Griffith Centre of Biomedical and Rehabilitation Engineering, School of Allied Health Sciences, Griffith University, Gold Coast, Queensland, Australia (Ms Bahramian); Department of Industrial Engineering, Faculty of Engineering, University of Qom, Qom, Iran (Mr Shabani); and Department of Management and Accounting, Allameh Tabataba'i University, Tehran, Iran (Mr Sherafati).
医院内转移 (IHT) 战略有效地解决了COVID-19期间医疗保健人员短缺的问题. 这项评估表明,IHT可以改善患者转移和员工在流行病后的经验.
科学领域:
- 医疗保健管理的管理
- 医院运营 医院运营
- 流行病的准备 流行病的准备
背景情况:
- 由于COVID-19大流行,全球医疗保健系统受到严重压力.
- 人员短缺,特别是受过培训的人员短缺,是一个关键的挑战.
- 在米拉德医院实施了医院内转移 (IHT) 战略,以缓解这些人员配置问题.
研究的目的:
- 在COVID-19大流行期间评估IHT战略的有效性.
- 确定继续IHT战略的可行性和好处.
- 确定影响IHT战略成功和延续的关键因素.
主要方法:
- 在COVID-19病房和IHT.咨询了六名经验丰富的监督员.
- 使用决策试验和评估实验室 (DEMATEL) 方法.
- 分析IHT成功因素之间的影响网络.
主要成果:
- 大多数确定的标准是影响其他因素的因果关系因素.
- 提高患者满意度 (C1) 和减少浪费时间 (C8) 并不是因果网络中的主要驱动因素.
- 在DEMATEL分析中,绘制了IHT成功因素之间的复杂相互关系.
结论:
- IHT战略为优化病房间间际患者转移提供了有价值的见解.
- 结果可以提高医疗保健工作人员的日常工作流程和经验.
- 这项研究表明,将医疗决策与多属性决策方法的整合具有实用性.
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