Nguyen Jean-Michel, Six Patrick, Antonioli Daniel, Lombrail Pierre, Le Beux Pierre
PIMESP, St Jacques Hospital, CHU Nantes, 44093 Nantes, France.
Stud Health Technol Inform. 2003;95:310-5.
The determination of the number of beds needed for a hospital department is a complex problem that try to take into account efficiency, forecasting of needs, appropriateness of stays. Health authority used methods based on ratios that do not take into account local specificities and use rather to support an economic decision. On the other side, the models developed are too specific to be applied to all type of hospital department. Moreover, all the solutions depend on the LoS (Length of Stay). We have developed a non parametric method to solve this problem. This modelisation was successfully tested in teaching and non teaching hospitals, for an Intensive Care Unit, two Internal Medicine and a surgical departments. A software easy to use was developed, working on Windows available on our website www.sante.univ-nantes.fr/med/stat/.
确定医院科室所需病床数量是一个复杂的问题，需要考虑效率、需求预测、住院时长的合理性等因素。卫生部门采用基于比率的方法，但这些方法没有考虑到当地的特殊性，而是更多地用于支持经济决策。另一方面，所开发的模型过于特定，无法应用于所有类型的医院科室。此外，所有解决方案都取决于住院时长。我们开发了一种非参数方法来解决这个问题。该模型在教学医院和非教学医院的重症监护病房、两个内科和一个外科科室中成功进行了测试。我们还开发了一个易于使用的软件，该软件可在Windows系统上运行，可在我们的网站www.sante.univ-nantes.fr/med/stat/上获取。
