Masterson Brian J, Mihara Thomas G, Miller George, Randolph Stephen C, Forkner M Emma, Crouter Andrew L
Wilford Hall Medical Center, USA.
Health Care Manag Sci. 2004 Aug;7(3):217-24. doi: 10.1023/b:hcms.0000039384.92373.c4.
Optimizing healthcare delivery--improving processes to reduce impediments to care--is an important goal of the Military Health System. Models and data can be effective tools to assist managers in achieving this goal. This paper illustrates this utility with a case study of the intensive care unit (ICU) at the US Air Force's Wilford Hall Medical Center. A discrete-event simulation demonstrates how the integration of corporate data and ICU data through a model can help identify changes intended to improve ICU performance. Results of the analysis describe impacts of ICU size and bed mix, operating policies, and the deployment of ICU staff on measures of occupancy, congestion, and physician training needs.
优化医疗服务——改进流程以减少医疗阻碍——是军事医疗系统的一个重要目标。模型和数据是协助管理人员实现这一目标的有效工具。本文通过对美国空军威尔福德·霍尔医疗中心重症监护病房（ICU）的案例研究来说明这种效用。离散事件模拟展示了如何通过一个模型将机构数据和ICU数据整合起来，以帮助识别旨在改善ICU绩效的变革。分析结果描述了ICU规模、床位组合、运营政策以及ICU工作人员配置对占用率、拥堵情况和医生培训需求等指标的影响。
