van Sambeek J R C, Cornelissen F A, Bakker P J M, Krabbendam J J
Department of Quality and Process Innovation, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Int J Health Care Qual Assur. 2010;23(4):356-77. doi: 10.1108/09526861011037434.
The purpose of this article is to find decision-making models for the design and control of processes regarding patient flows, considering various problem types, and to find out how usable these models are for managerial decision making.
DESIGN/METHODOLOGY/APPROACH: A systematic review of the literature was carried out. Relevant literature from three databases was selected based on inclusion and exclusion criteria and the results were analyzed.
A total of 68 articles were selected. Of these, 31 contained computer simulation models, ten contained descriptive models, and 27 contained analytical models. The review showed that descriptive models are only applied to process design problems, and that analytical and computer simulation models are applied to all types of problems to approximately the same extent. Only a few models have been validated in practice, and it seems that most models are not used for their intended purpose: to support management in decision making.
RESEARCH LIMITATIONS/IMPLICATIONS: The comparability of the relevant databases appears to be limited and there is an insufficient number of suitable keywords and MeSH headings, which makes searching systematically within the broad field of health care management relatively hard to accomplish.
The findings give managers insight into the characteristics of various types of decision-support models and into the kinds of situations in which they are used.
ORIGINALITY/VALUE: This is the first time literature on various kinds of models for supporting managerial decision making in hospitals has been systematically collected and assessed.
本文旨在针对患者流流程的设计与控制，考虑各种问题类型，寻找决策模型，并探究这些模型对于管理决策的可用程度。
设计/方法/途径：对文献进行了系统回顾。根据纳入和排除标准，从三个数据库中选取了相关文献，并对结果进行了分析。
共选取了68篇文章。其中，31篇包含计算机模拟模型，10篇包含描述性模型，27篇包含分析模型。该综述表明，描述性模型仅应用于流程设计问题，而分析模型和计算机模拟模型在大致相同程度上应用于所有类型的问题。只有少数模型在实践中得到了验证，而且似乎大多数模型并未用于其预期目的：支持管理层进行决策。
研究局限性/启示：相关数据库的可比性似乎有限，且合适的关键词和医学主题词数量不足，这使得在医疗保健管理这一广泛领域内进行系统检索相对难以实现。
研究结果使管理人员深入了解各种类型决策支持模型的特点以及它们的使用场景。
原创性/价值：这是首次系统收集和评估有关支持医院管理决策的各类模型的文献。
