一种间隔类型-2模糊的多标准决策方法,用于患者床位分配
Liqun Chen1, Weibo Liu2, Jianghua Zhang1
1School of Management, Shandong University, Jinan, 250000, China.
Scientific reports
|July 2, 2025
概括
这项研究引入了医院病床管理的新框架,通过考虑医疗紧急情况,诊断和等待时间,有效优先考虑患者. 它增强了医疗保健机构公平分配资源的决策.
科学领域:
- 医疗保健 运营 研究 研究 研究
- 决策科学 决策科学 决策科学
- 医疗信息学 医疗信息学
背景情况:
- 有效的住院病床管理对于优化医疗保健资源和患者护理质量至关重要.
- 现有的患者优先级框架往往无法考虑患者特异性因素,标准相互依赖性和决策不确定性.
- 医院床位容量与患者需求之间存在严重的不平衡,需要改进决策工具.
研究的目的:
- 开发一种混合的多标准决策 (MCDM) 框架,用于在住院治疗中优先考虑患者.
- 整合间隔类型-2模糊集,DEMATEL和VIKOR方法,以解决决策中的不确定性和相互依赖.
- 为医疗保健中公平有效地分配资源提供一个强大的工具.
主要方法:
- 一个混合的MCDM框架,结合了间隔类型-2模糊集,决策试验和评估实验室 (DEMATEL) 方法和VIKOR (VlseKriterijumska Optimizacija I Kompromisno Resenje) 方法.
- 使用间隔类型-2模糊集来管理评估中的语言不确定性.
- 使用DEMATEL来确定评估标准之间的因果关系,并使用双双语言VIKOR方法来对患者入院选择进行排名.
主要成果:
- 经验分析确定了医疗紧迫性,诊断类型优先级和等待时间作为患者优先级的最有影响力的标准.
- 拟议的框架成功地模拟了决策标准之间的相互依赖.
- 该研究表明,该框架能够为患者入院提供透明和结构化的排名.
结论:
- 开发的混合MCDM框架提供了一种灵活和可解释的方法,以改善患者入院决策.
- 它为在能力有限的医疗保健环境中公平有效地分配资源提供了一个强大的工具.
- 这项研究通过加强患者优先级策略,为医疗保健运营研究做出了贡献.
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