评估COVID-19保护措施和人员缺席对放射治疗实践的影响:一个模拟研究
Elisabeth Jambor1, Joe Viana2,3,4, Melanie Reuter-Oppermann5
1University of Kaiserslautern-Landau (RPTU), Kaiserslautern, Germany.
PloS one
|January 17, 2025
概括
像工作人员缺席和COVID-19措施这样的流行病中断显著增加了放射治疗患者的等待时间,并减少了吞吐量. 维持足够的员工数量对于危机期间的癌症护理连续性至关重要.
科学领域:
- 医学物理 医学物理
- 医疗保健服务研究 医疗服务研究
- 运营研究 运营研究
背景情况:
- 放射治疗是资源密集型的,需要优化患者的吞吐量,质量和安全.
- 由于COVID-19大流行,放射治疗中心的运营变化成为必要的,以保护患者和工作人员.
- 这项研究量化了与流行病相关的措施和人员缺席对放射治疗手术的影响.
研究的目的:
- 量化COVID-19防护措施和员工缺席对患者等待时间和放射治疗的吞吐量的影响.
- 为业务连续性规划和未来中断期间的流程调整提供数据.
主要方法:
- 开发了一个放射治疗中心的离散事件模拟模型.
- 分析了21种情景,按人员/设备短缺情况分类,以及低和高发病率的COVID-19防护措施.
- 该模型评估了各种干扰条件下的患者流量,等待时间和吞吐量.
主要成果:
- 员工缺席显著增加了患者等待时间,减少了吞吐量.
- 此外,COVID-19防护措施也增加了等待时间,降低了患者的吞吐量.
- 对等待时间的影响最为重要的是,放射治疗师或线性加速器的可用性有限,管理人员缺席.
结论:
- 在流行病期间,放射治疗中心必须拥有足够的人员,以防止延长等待时间和减少吞吐量.
- 放射治疗中心管理人员在实施保护措施时可能成为瓶;外包这些任务可以减轻这一问题.
- 模拟建模对于放射治疗业务连续性规划和健康危机期间的决策非常有价值.
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