在医院服务中实施系统动态以提高运营效率:一项实证研究研究
Hongxin Huang1, Xiaojun Huang1, Zihan Zhang1
1School of Public Health, Hainan Medical University, Xueyuan Street 3, Haikou, 571199, Hainan, China.
Health research policy and systems
|October 15, 2025
概括
增加政府资金通过改善患者流动和降低成本来提高公共医院的效率. 资源削减和高患者需求对业绩产生负面影响,突出了战略性财政支持的必要性.
科学领域:
- 医疗保健管理的管理
- 运营研究 运营研究
- 系统动力学建模系统动力学建模
背景情况:
- 公共普通医院面临复杂的运营挑战,影响效率.
- 资源分配,患者流动和政策干预是医院绩效的关键因素.
研究的目的:
- 通过系统动态 (SD) 模型,研究公共普通医院的运营效率.
- 分析资源分配,患者流动和政策干预对医院绩效的影响.
- 探索人力资源,财政补贴和患者访问率之间的相互作用.
主要方法:
- 开发了一个系统动态 (SD) 模型来模拟医院的运行.
- 整合了医院容量,人员,财务投入和患者流动动态的数据.
- 分析了各种政策情景下的关键绩效指标,如床位占用率 (BOR),平均逗留时间 (ALOS),每次访问成本和工作负载指数.
主要成果:
- 增加的财政补贴 (情景2) 提高了运营效率,降低了ALOS,员工工作量和每次访问成本.
- 人力资源削减或患者快速增长的场景导致了不利的反循环,破坏了医院的绩效.
- 系统动态建模确定了影响医院效率的关键值和反机制.
结论:
- SD模型有效地捕捉了医院运营中的动态相互作用,用于政策评估.
- 增加政府资金是改善医院运营效率的最重要的驱动力.
- 需求激增和资源减少造成系统压力,需要谨慎的政策设计,以避免业绩的权衡.
相关概念视频
Health Information Technology and Healthcare Information System
3.3K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.3K
Methods of Documentation VI: Case Management Model
854
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
854
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Nursing Clinical Information System
1.2K
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.2K
Integrated Healthcare System
2.3K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.3K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K


