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通过重新分配救护车基地来缩短紧急医疗服务响应时间。

Reducing Emergency Medical Service response time via the reallocation of ambulance bases.

作者信息

Nogueira L C, Pinto L R, Silva P M S

机构信息

Federal University of Minas Gerais, Antônio Carlos, 6627, Pampulha, Belo Horizonte, MG, Brazil.

出版信息

Health Care Manag Sci. 2016 Mar;19(1):31-42. doi: 10.1007/s10729-014-9280-4. Epub 2014 Apr 18.

DOI:10.1007/s10729-014-9280-4
PMID:24744263
Abstract

The demand for highly efficient and effective services and consumer goods is an essential prerequisite for modern organizations. In healthcare, efficiency and effectiveness mean reducing disabilities and maintaining human life. One challenge is guaranteeing rapid Emergency Medical Service (EMS) response. This study analyzes the EMS of Belo Horizonte, Brazil, using two modeling techniques: optimization and simulation. The optimization model locates ambulance bases and allocates ambulances to those bases. A simulation of this proposed configuration is run to analyze the dynamic behavior of the system. The main assumption is that optimizing the ambulance base locations can improve the system response time. Feasible solutions were found and the current system may be improved while considering economic and operational changes.

摘要

对高效且有效的服务和消费品的需求是现代组织的一个基本前提。在医疗保健领域,效率和有效性意味着减少残疾并维持人类生命。一个挑战是确保紧急医疗服务(EMS)的快速响应。本研究使用两种建模技术:优化和模拟,对巴西贝洛奥里藏特的紧急医疗服务进行分析。优化模型确定救护车基地的位置,并将救护车分配到这些基地。对该提议配置进行模拟以分析系统的动态行为。主要假设是优化救护车基地位置可改善系统响应时间。找到了可行的解决方案,并且在考虑经济和运营变化的情况下,当前系统可能会得到改进。

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