运用约束理论的持续改进流程来解决医疗服务提供者预约安排系统的执行问题。
Using the theory of constraints' processes of ongoing improvement to address the provider appointment scheduling system execution problem.
作者信息
Cox James F
机构信息
Management Department, Terry College of Business, University of Georgia, Athens, GA, USA.
出版信息
Health Syst (Basingstoke). 2019 Sep 1;10(1):41-72. doi: 10.1080/20476965.2019.1646105.
Many primary care clinics suffer from chaos. In scheduling, providers are continually trying unsuccessfully to balance supply and demand, and in execution, to manage disruptions to provider focus and patient flow. In this research the theory of constraints' (TOC) three processes of ongoing improvement (POOGI) provide a direction for the solution to achieving more, cheaper, better, and faster healthcare. This research is the second of a two-part study examining the appointment scheduling literature, identifying the core problem (using a case study for validation) and providing a generic process for developing effective provider appointment scheduling systems (PASS). In the first part, PASS design was studied and in this second part PASS execution is studied. A strawman process is developed to apply across outpatient medical practices. With this generic process implemented across outpatient scheduling systems cost could be reduced significantly while the quality and timeliness could be increased significantly.
许多初级保健诊所都处于混乱状态。在排班方面，医护人员不断尝试平衡供需，但未成功；在执行过程中，还要应对影响医护人员注意力和患者流程的干扰因素。在本研究中，约束理论（TOC）的持续改进三流程（POOGI）为实现更多、更便宜、更好、更快的医疗保健解决方案提供了方向。本研究是一项分为两部分的研究中的第二部分，该研究审视了预约排班文献，确定了核心问题（通过案例研究进行验证），并提供了一个开发有效的医护人员预约排班系统（PASS）的通用流程。在第一部分中，研究了PASS设计，在第二部分中，研究了PASS执行。开发了一个通用流程以应用于门诊医疗实践。通过在门诊排班系统中实施这一通用流程，可显著降低成本，同时显著提高质量和及时性。
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