在阿姆斯特丹地区COVID-19大流行期间患者协调:对容量利用和患者流量的影响
E Berkeveld1, M D F Rhebergen2, F W Bloemers3,2,4
1Amsterdam University Medical Center Location Vrije Universiteit Amsterdam, Department of Trauma Surgery, De Boelelaan 1117, 1081 HV, Amsterdam, the Netherlands. e.berkeveld@amsterdamumc.nl.
BMC health services research
|February 18, 2025
概括
通过集中协调COVID-19患者,通过平衡患者分配,改善了医院容量利用. 建议在危机管理方面尽早升级协调工作.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 流行病学 流行病学
背景情况:
- 荷兰成立了工作组,以通过比例的患者分配来管理COVID-19的需求激增.
- 这项研究调查了中央集中的COVID-19患者协调对疫情期间医院容量利用的影响.
研究的目的:
- 评估集中患者协调在COVID-19爆发期间管理医院容量的有效性.
- 为了比较医院容量利用率与没有区域协调.
主要方法:
- 采用了追溯观察双队列研究设计.
- 一个排队模型模拟了两个不同时期的协调和没有协调的场景 (ROAZ Noord-Holland Flevoland工作组).
- 数据包括每天的患者转移,入院,以及ICU和临床COVID-19患者的医院容量.
主要成果:
- 在两个队伍中,超过1700名COVID-19患者在地区内和地区之间转移.
- 在第一个队列中,协调减少了ICU和临床患者的医院利用率超过100%的情况.
- 协调总体上提高了最初在100%容量以下的医院的利用率,这表明负载平衡.
结论:
- 区域协调COVID-19患者有效改善了医院利用率的分配.
- 为有效的危机管理,建议从地方到国家集中协调的迅速升级.
- 进一步的研究应该探索将协调策略应用于其他患者类别,以获得更广泛的益处.
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