优化医院的应急响应:对冲击能力规划和危机资源管理的系统审查
Savvas Petanidis1, Krishna Chandramouli2, George Floros1,3
1School of Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, 55236 Thessaloniki, Greece.
Healthcare (Basel, Switzerland)
|November 13, 2025
概括
医疗保健组织需要更好的方法来为患者激增做好准备. 本综述综合了预测需求和管理能力的当前策略,突出了改善准备能力的领域.
科学领域:
- 医疗保健管理的管理
- 公共卫生准备情况 公共卫生准备情况
- 卫生系统科学 卫生系统科学
背景情况:
- 医疗保健系统在危机期间管理患者急剧增长方面面临越来越多的挑战.
- 对患者容量激增的组织准备对于服务连续性和患者结果至关重要.
- 目前关于评估和运行突变准备的现有证据是分散的.
研究的目的:
- 系统地审查和综合有关评估组织为患者激增能力做好准备的文献.
- 确定用于医疗保健急剧管理的方法,战略框架和资源分配机制.
- 探索医院容量规划算法和临时设施战略.
主要方法:
- 从PubMed和科学网络 (2014-2024) 系统审查文献.
- 利用了四个结构化搜索查询,重点关注需求预测,容量规划,劳动力模型和资源管理.
- 选择并分析了142篇文章,分为六个主题组.
主要成果:
- 确定了经验案例研究,资源扩展策略和应激反应的伦理框架.
- 突出了IT驱动的算法,预测工具和政策评估与经验教训.
- 发现了基于证据的框架和模拟模型,用于预测规划,以及临时设施和人员重新部署的现实世界实施.
结论:
- 关于医疗应急准备的文献越来越多,但碎片化.
- 在算法预测和能力建模方面已经取得了进展,但准备度指标的标准化和伦理整合仍然缺乏.
- 未来的研究应侧重于整合性框架,将技术,运营和道德准备相结合,应对突变情景.
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