在不确定性下的战术能力规划 - - 能力限制分析
Hendrik Winzer1, Tor Kristian Stevik2, Kaspar Akilles Lilja2
1School of Economics and Business, Norwegian University of Life Sciences, Ås, Norway.
Journal of health organization and management
|September 11, 2024
概括
医院容量规划需要了解局限性. 人员和信息是关键的约束因素,在医院各级和各职能之间有动态变化,影响战术规划的有效性.
科学领域:
- 医疗保健管理的管理
- 运营研究 运营研究
- 医院管理局 医院管理局
背景情况:
- 面对患者需求波动的医院,战术能力规划对于医院至关重要,正如COVID-19大流行期间所见的那样.
- 有效的规划取决于对医院容量限制的清晰理解,而这一点仍未得到充分探索.
研究的目的:
- 分析医院环境中的容量限制的性质.
- 为提高第三级公共医院的战术能力规划提供见解.
主要方法:
- 挪威一家公共三级医院对容量限制进行了详细分析.
- 进行了22次深入采访,与参与大流行相关能力规划和决策的个人进行了深入采访.
- 数据被分类,并使用对应分析来识别模式.
主要成果:
- 人员和信息成为最常被引用的能力限制.
- 中层管理和专业治疗职能报告这些限制的暴露率最高.
- 发现容量限制是动态的,在层次层次和组织功能之间存在差异.
结论:
- 战术能力规划应考虑动态的,跨学科的患者途径和跨职能和水平的变化.
- 运营经理应该优先考虑组织内部的信息流,以提高医院的灵活性.
- 这项研究为医院容量限制提供了新的见解,这对于加强战术规划非常有价值.
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