内部医学诊所的数据驱动领导力:优化患者流动和周转时间的DES-DOE框架
Chawis Boonmee1,2, Wipada Thamtrakul3
1Humanitarian Logistics and Crisis Operations Research Unit, Department of Industrial Engineering, Faculty of Engineering, Chiang Mai University, Chiang Mai, Thailand.
Journal of healthcare leadership
|November 27, 2025
概括
使用离散事件模拟 (DES) 和实验设计 (DOE) 优化医疗保健操作,减少了10.46%的患者周转时间. 这种数据驱动的框架提高了诊所的效率和患者流动.
科学领域:
- 医疗保健 运营 研究 研究 研究
- 工业工程 工业工程 工业工程
- 医疗服务管理 医疗服务管理
背景情况:
- 有效的医疗保健提供对于高质量的患者结果至关重要.
- 优化门诊服务需要数据驱动的决策支持框架.
- 内部医学诊所在管理患者流量和周转时间方面面临挑战.
研究的目的:
- 提高泰国公共医院内科诊所的门诊服务效率.
- 应用混合离散事件模拟 (DES) 和实验设计 (DOE) 框架.
- 为了优化患者流动和减少患者周转时间.
主要方法:
- 使用竞技场模拟软件开发了一种混合DES-DOE模型.
- 评估了五个关键的操作变量:到达模式,医生可用性,咨询延迟,预约测试和患者类别比例.
- 通过差异分析 (ANOVA) 分析了32个场景.
主要成果:
- 这五个因素都显著影响了患者的周转时间.
- 患者类别的比例表明对周转时间的影响最大.
- 优化的情景实现了10.46%的平均患者周转时间的减少.
结论:
- 整合DES和DOE为医疗保健运营改进提供了一个经过验证,可复制的框架.
- 从模拟中获得的基于证据的调整可以显著提高患者的吞吐量.
- 这种方法支持战略规划,劳动力管理和服务设计,以实现更具弹性的医疗保健系统.
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