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医院床位资源配置的马尔可夫排队模型优化。

Optimization of Markov Queuing Model in Hospital Bed Resource Allocation.

机构信息

The Affiliated Changshu Hospital of Soochow University, Changshu, Jiangsu 215500, China.

The Office of Medical and Health Association, Changshu, Jiangsu 215500, China.

出版信息

J Healthc Eng. 2020 Dec 8;2020:6630885. doi: 10.1155/2020/6630885. eCollection 2020.

Abstract

Bed resources are the platform in which most medical and health resources in the hospital play a role and carry the core functions of the health service system. How to improve the efficiency of the use of bed resources through scientific management measures and methods and ultimately achieve the optimization of overall health resources is the focus of hospital management teams. This paper analyzes the previous research models of knowledge related to queuing theory in medical services. From the perspective of the hospital and the patient, several indicators such as the average total number of people, the utilization rate of bed resources, the patient stop rate, and the patient average waiting time are defined to measure the performance of the triage queue calling model, which makes the patient queue more reasonable. According to the actual task requirements of a hospital, a Markov queuing strategy based on Markov service is proposed. A mathematical queuing model is constructed, and the process of solving steady-state probability based on Markov theory is analyzed. Through the comparative analysis of simulation experiments, the advantages and disadvantages of the service Markov queuing model and the applicable scope are obtained. Based on the theory of the queuing method, a queuing network model of bed resource allocation is established in principle. Experimental results show that the queuing strategy of bed resource allocation based on Markov optimization effectively improves resource utilization and patient satisfaction and can well meet the individual needs of different patients. It does not only provide specific optimization measures for the object of empirical research but also provides a reference for the development of hospital bed resource allocation in theory.

摘要

床位资源是医院中大多数医疗和卫生资源发挥作用并承载卫生服务体系核心功能的平台。如何通过科学的管理措施和方法提高床位资源的使用效率,最终实现整体卫生资源的优化,是医院管理团队关注的焦点。本文分析了医疗服务中排队论相关知识的前期研究模型。从医院和患者两个角度,定义了平均总人数、床位资源利用率、患者停诊率、患者平均等待时间等几个指标,衡量分诊排队叫号模型的性能,使患者排队更加合理。根据医院的实际任务要求,提出了一种基于马尔可夫服务的马尔可夫排队策略。构建了一个数学排队模型,并分析了基于马尔可夫理论求解稳态概率的过程。通过仿真实验的对比分析,得出了服务马尔可夫排队模型的优缺点和适用范围。基于排队方法理论,原则上建立了床位资源分配的排队网络模型。实验结果表明,基于马尔可夫优化的床位资源分配排队策略有效提高了资源利用率和患者满意度,能够很好地满足不同患者的个体需求。它不仅为实证研究对象提供了具体的优化措施,也为医院床位资源分配的理论发展提供了参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb08/7787837/d372f90fd823/JHE2020-6630885.001.jpg

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