根据预算限制,救护车的位置和搬迁:研究覆盖率最大化的模式和救护车共享,以提高紧急医疗服务的绩效
Youness Frichi1, Lina Aboueljinane2, Fouad Jawab2
1Industrial Services and Technologies, High School of Technology, Sidi Mohamed Ben Abdellah University, Fez, Morocco. youness.frichi@usmba.ac.ma.
Health care management science
|May 21, 2025
概括
这项研究优化了在预算限制下为紧急医疗服务 (EMS) 提供救护车位置模型. 混合型1和救护车共享显著提高了覆盖率,并减少了等待时间,特别是在预算有限的情况下.
科学领域:
- 运营研究 运营研究
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 救护车的位置对于紧急医疗服务 (EMS) 的表现至关重要,但经济效率往往被忽视.
- 现有的模式专注于最大化覆盖范围,对预算限制和运营成本的考虑有限.
研究的目的:
- 修订和评估包括预算限制和运营成本的救护车位置模型.
- 评估救护车类型,多期搬迁和救护车共享对EMS性能的影响.
主要方法:
- 调整三个覆盖率最大化模型 (时间依赖的MEXCLP,mDSM,Q-MALP-M2) 以包括预算限制.
- 使用离散事件模拟开发和评估两种混合模型.
- 调查救护车共享作为一种提高绩效的战略.
主要成果:
- 混合动力模型1通过优先考虑新车站建设和救护车采购而不是仅购买救护车,表现出卓越的性能.
- 救护车共享显著改善了EMS的性能,特别是在预算限制和高需求的情况下.
- 救护车共享的好处随着预算拨款的增加而减少.
结论:
- 优化救护车定位策略,特别是混合模型1,对于提高EMS经济和运营性能至关重要.
- 救护车共享是一种可行的策略,可以提高EMS的效率,特别是在资源有限的环境中.
- 在预算范围内,平衡基础设施和车队投资是最大限度地提高EMS效率的关键.
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