Larsson Agneta, Fredriksson Anna
Department of Technology Management and Economics, Chalmers University of Technology , Goteborg, Sweden.
Department of Science and Technology, Linköping University , Linköping, Sweden.
Int J Health Care Qual Assur. 2019 Feb 11;32(1):233-245. doi: 10.1108/IJHCQA-11-2017-0218.
The purpose of this paper is to explore tactical planning potential within hospital departments. The study had two objectives: first, to develop a framework for tactical capacity planning in healthcare departments by identifying and structuring essential components for healthcare capacity management; and, second, to identify context-specific requirements and functionality demands on tactical planning processes within healthcare.
DESIGN/METHODOLOGY/APPROACH: A framework for tactical capacity planning was developed through a literature review. Additionally, an exploratory multiple-case study was performed, with cases from three Swedish hospital departments, which provide the opportunity to study framework applicability in its natural context.
Findings illustrate how an active tactical planning process can facilitate adjustments to capacity. However, the multiple-case study shows that there are contextual differences between departments, depending on available treatments and resources that affect capacity adjustments, and how the planning process activities should be structured.
ORIGINALITY/VALUE: This project develops a framework for a tactical capacity-planning process adapted to healthcare provider contexts. By developing the framework, based on the literature and tactical level planning processes within three Swedish hospital case studies, the authors bridge gaps between theory and application regarding healthcare capacity planning.
本文旨在探讨医院各科室的战术规划潜力。该研究有两个目标：第一，通过识别和构建医疗能力管理的基本要素，为医疗科室的战术能力规划制定一个框架；第二，确定医疗领域内战术规划流程的特定情境要求和功能需求。
设计/方法/途径：通过文献综述制定了战术能力规划框架。此外，进行了一项探索性多案例研究，案例来自瑞典的三个医院科室，这为在自然情境中研究框架的适用性提供了机会。
研究结果表明，积极的战术规划过程如何促进对能力的调整。然而，多案例研究表明，各科室之间存在情境差异，这取决于影响能力调整的现有治疗方法和资源，以及规划过程活动应如何构建。
原创性/价值：该项目开发了一个适用于医疗服务提供者情境的战术能力规划流程框架。通过基于文献和瑞典三个医院案例研究中的战术层面规划流程来开发该框架，作者弥合了医疗能力规划理论与应用之间的差距。
