心脏康复中心最佳位置的算法:一个空间视角
Thiago Mauro de Lima Moraes1, Luís Felipe Leite da Silva2,3, Mauro Augusto Dos Santos4
1Universidade Federal Rural do Rio de Janeiro (UFRRJ), Rio de Janeiro, Brazil (de Lima Moraes, Gregorio, and de Souza Filho).
Journal of cardiopulmonary rehabilitation and prevention
|January 23, 2026
概括
优化心脏康复 (CR) 诊所位置显著减少了患者的旅行距离,改善了获得护理的机会. 战略性资源配置提高了CR计划的效率和患者的坚持,特别是在高风险人群中.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 运营研究 运营研究
背景情况:
- 距离心脏康复 (CR) 诊所的地理距离是患者参与和遵守的主要障碍.
- 这一障碍不成比例地影响高风险心血管患者,需要持续的CR.
- 改善CR服务的可访问性对于更好的临床结果至关重要.
研究的目的:
- 优化CR诊所的地理配置,以尽量减少患者的旅行距离.
- 通过战略性资源分配,提高CR计划的可访问性和有效性.
- 解决因距离而导致的CR启动和延续的障碍.
主要方法:
- 采用p-中位数优化模型来确定理想的CR诊所位置.
- 对高心血管风险患者分析了六种不同的情景.
- 该模型的目的是尽量减少患者到CR设施的平均旅行距离.
主要成果:
- 增加了4个CR诊所,使目标人群的平均旅行距离减少了14%~17%.
- 优化模型发现了临床集中在特定领域的趋势.
- 结果强调了现有的差异和CR服务的不公平分配.
结论:
- 优化的CR诊所分配提高了医疗保健系统的效率和资源分配.
- 这种战略方法改善了治疗的可访问性,与基于价值的医疗保健原则保持一致.
- 数学建模为公平有效的CR服务提供提供了框架.
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