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大流行期间组织医疗保健劳动力的建模策略:应用于2019冠状病毒病

Modelling strategies to organize healthcare workforce during pandemics: Application to COVID-19.

作者信息

Sánchez-Taltavull Daniel, Castelo-Szekely Violeta, Candinas Daniel, Roldán Edgar, Beldi Guido

机构信息

Department for Visceral Surgery and Medicine, Bern University Hospital, University of Bern, Switzerland; Bern Center for Precision Medicine, Switzerland.

Department for Visceral Surgery and Medicine, Bern University Hospital, University of Bern, Switzerland; Bern Center for Precision Medicine, Switzerland.

出版信息

J Theor Biol. 2021 Aug 21;523:110718. doi: 10.1016/j.jtbi.2021.110718. Epub 2021 Apr 13.

Abstract

Protection of the healthcare workforce is of paramount importance for the care of patients in the setting of a pandemic such as coronavirus disease 2019 (COVID-19). Healthcare workers are at increased risk of becoming infected. The ideal organisational strategy to protect the workforce in a situation in which social distancing cannot be maintained remains to be determined. In this study, we have mathematically modelled strategies for the employment of the hospital workforce with the goal of simulating the health and productivity of the workers. The models were designed to determine if desynchronization of medical teams by dichotomizing the workers may protect the workforce. Our studies model workforce productivity and the efficiency of home office applied to the case of COVID-19. The results reveal that a desynchronization strategy in which two medical teams work alternating for 7 days increases the available workforce.

摘要

在2019冠状病毒病(COVID-19)这样的大流行背景下,保护医护人员对于患者护理至关重要。医护人员感染风险增加。在无法保持社交距离的情况下,保护医护人员的理想组织策略仍有待确定。在本研究中,我们通过数学建模制定医院医护人员的雇佣策略,目的是模拟医护人员的健康状况和工作效率。这些模型旨在确定通过将医护人员一分为二使医疗团队不同步工作是否能保护医护人员。我们的研究对应用于COVID-19病例的医护人员工作效率和居家办公效率进行了建模。结果显示,一种两个医疗团队交替工作7天的不同步策略可增加可用医护人员数量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf8e/8041737/728927ee72ef/gr1_lrg.jpg

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