基于模糊逻辑方法的敏捷性评估：以医疗药房为例。
Agility assessment using fuzzy logic approach: a case of healthcare dispensary.
作者信息
Suresh M, Patri Rojalin
机构信息
Amrita School of Business, Amrita Vishwa Vidyapeetham, Amrita University, Coimbatore, 641 112, India.
Research Scholar, Amrita School of Business, Amrita Vishwa Vidyapeetham, Amrita University, Coimbatore, 641 112, India.
出版信息
BMC Health Serv Res. 2017 Jun 9;17(1):394. doi: 10.1186/s12913-017-2332-y.
BACKGROUND
Agile concepts are not only beneficial for manufacturing sector but also for service sector such as healthcare. However, assessment of agility has been predominantly done in manufacturing enterprises. This study demonstrates a means to measure agility of a healthcare organization by assessing agility of a university dispensary. Its contribution to the knowledge base is twofold. First, it proposes a means to measure the agility of a healthcare organization and second, it identifies the attributes that prevent agile performance and outlines the suggestive measure to enhance its agile capabilities.
METHOD
A case study approach has been adopted and fuzzy logic has been employed to measure the agility of the case dispensary. At first, the measures of assessment which include four enablers, fifteen criteria and forty-five attributes have been identified from the literature and rated by the experts indicating the importance of the measures in the assessment. Then, the case dispensary has been assessed on those measures by collecting observed performance rating from decision makers. At last, Fuzzy logic has been applied on the performance rating data to analyze and interpret the agile capability of the dispensary.
RESULTS
The findings suggest that transparent information flow, adequate salary and bonuses for caregivers, reading error in medical descriptions, in house/nearby pathology laboratory services, technical up-gradation of dispensary equipments and facilities, minimization of patient throughput time and adequate training programme for safety practices are the attributes that weakens agile capability of the University dispensary. The current agility of the dispensary was found to be 'Agile' which is average in relation to the agility labels.
CONCLUSION
Attributes such as transparent information flow, adequate salary and bonuses for caregivers, elimination of reading error in medical descriptions, in house/nearby pathology laboratory services, technical up-gradation of dispensary equipments and facilities, minimization of patient throughput time and adequate training programme for safety practices are extremely crucial for enhancing agile capability of a healthcare organization.
背景
敏捷概念不仅对制造业有益，对医疗保健等服务业也有益。然而，敏捷性评估主要在制造企业中进行。本研究展示了一种通过评估大学药房的敏捷性来衡量医疗保健组织敏捷性的方法。其对知识库的贡献有两方面。第一，它提出了一种衡量医疗保健组织敏捷性的方法；第二，它识别了阻碍敏捷绩效的属性，并概述了提高其敏捷能力的建议措施。
方法
采用案例研究方法，并运用模糊逻辑来衡量案例药房的敏捷性。首先，从文献中确定了包括四个促成因素、十五个标准和四十五个属性的评估指标，并由专家进行评级，表明这些指标在评估中的重要性。然后，通过收集决策者的观察绩效评级，对案例药房在这些指标上进行评估。最后，将模糊逻辑应用于绩效评级数据，以分析和解释药房的敏捷能力。
结果
研究结果表明，透明的信息流、护理人员充足的薪资和奖金、医疗描述中的阅读错误、内部/附近的病理实验室服务、药房设备和设施的技术升级、患者周转时间的最小化以及安全实践的充分培训计划是削弱大学药房敏捷能力的属性。发现该药房目前的敏捷性为“敏捷”，相对于敏捷标签而言处于平均水平。
结论
透明的信息流、护理人员充足的薪资和奖金、消除医疗描述中的阅读错误、内部/附近的病理实验室服务、药房设备和设施的技术升级、患者周转时间的最小化以及安全实践的充分培训计划等属性对于提高医疗保健组织的敏捷能力极为关键。
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