Bowers John, Lyons Bob, Mould Gillian, Symonds Tom
Department of Management and Organisation, University of Stirling, Stirling FK9 4LA.
Health Care Manag Sci. 2005 Aug;8(3):205-11. doi: 10.1007/s10729-005-2011-0.
When health service managers in Nottingham planned to move much of their outpatient activity to a proposed Diagnosis and Treatment Centre (DTC) they welcomed the opportunity to re-design the delivery of these services in a new setting. However, the lack of accessible, detailed information about outpatients' resource requirements posed an initial problem. Numerous, separate information systems offered diverse data: these were validated and assimilated into a single model of outpatient requirements. Discussions with staff and examples of innovative practice in other hospitals were investigated to develop an understanding of the implications of re-design for resources and capacity planning. The result was a high level outpatient planning model which could estimate the outpatients' requirements for related services such as radiology, therapies, pathology, endoscopy, cardiology tests, pharmacy and even patient transport. The model was developed as a decision support tool for managers examining a range of options for the Diagnosis and Treatment Centre allowing them to explore the effects of assumptions about future demand and changing practice in the delivery of healthcare.
当诺丁汉的医疗服务管理者计划将大部分门诊业务转移至拟建的诊断与治疗中心（DTC）时，他们欣然迎来了在新环境中重新设计这些服务交付方式的机会。然而，缺乏关于门诊患者资源需求的可获取、详细信息构成了一个初始问题。众多独立的信息系统提供了多样的数据：这些数据经过验证后被整合到一个单一的门诊需求模型中。与工作人员进行了讨论，并对其他医院的创新实践案例进行了研究，以深入了解重新设计对资源和容量规划的影响。结果是形成了一个高级门诊规划模型，该模型能够估算门诊患者对放射学、治疗、病理学、内窥镜检查、心脏病学检测、药房乃至患者转运等相关服务的需求。该模型是作为一种决策支持工具而开发的，供管理者审视诊断与治疗中心的一系列选项，使他们能够探讨关于未来需求的假设以及医疗保健交付方式变化所产生的影响。
