在重症监护中的优先设定:一种多标准的方法来排序进入重症监护病房的床位
Ana Flávia A Dos Santos1, Lucas A Dos Santos2, Talita D C Frazão2
1Production Engineering Department, Technology Center, Universidade Federal do Rio Grande do Norte, Avenida Senador Salgado Filho, Natal, 59072-970, Rio Grande do Norte, Brazil. ana.alves.076@ufrn.edu.br.
BMC health services research
|October 4, 2025
概括
开发了一种多标准决策模型,以优先考虑巴西成人重症监护病房的床位分配. 患者6被推入院,证明了对重症监护资源管理的理性和透明方法.
科学领域:
- 公共卫生 公共卫生
- 决策科学 决策科学 决策科学
- 医疗服务管理 医疗服务管理
背景情况:
- 公共卫生服务的高需求和有限能力,特别是在巴西的重症监护病房 (ICU).
- 在统一卫生系统 (SUS) 和私人医疗保健之间,在ICU床位的可用性方面存在显著的差异.
- 多标准决策分析 (MCDA) 为资源分配提供了一个透明和合理的框架.
研究的目的:
- 开发一个MCDA模型来分配巴西里约格兰德多诺尔特州的成人重症监护病房的床位.
- 引入一个结构化和理性的决策过程,以确定重症监护病床的优先级.
主要方法:
- 使用十二步框架和PROMETHEE I和II方法进行决策辅助.
- 采用P.γ排名问题方法,使用六个临床细节.
- 结构化了问题,建模了偏好,并为排名汇总了结果.
主要成果:
- 产生了部分和完整的预订,以优先考虑患者.
- 灵敏度分析证实了模型的强度和稳定性.
- 病人6在所有情景中始终排名最高.
结论:
- 该模型有效地正式化和合理化了ICU床位分配决策.
- 患者6被推入院,优化资源使用在一个受限制的环境中.
- 该研究提供了一种透明和基于证据的方法,用于确定重症监护的优先级.
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