Department of Industrial Engineering, Dalhousie University, 5269 Morris Street, Halifax, B3H 4R2, NS, Canada.
Sobey School of Business, Saint Mary's University, 923 Robie, Halifax, B3H 3C3, NS, Canada.
Health Care Manag Sci. 2024 Sep;27(3):458-478. doi: 10.1007/s10729-024-09682-7. Epub 2024 Jul 22.
Discharge planning is integral to patient flow as delays can lead to hospital-wide congestion. Because a structured discharge plan can reduce hospital length of stay while enhancing patient satisfaction, this topic has caught the interest of many healthcare professionals and researchers. Predicting discharge outcomes, such as destination and time, is crucial in discharge planning by helping healthcare providers anticipate patient needs and resource requirements. This article examines the literature on the prediction of various discharge outcomes. Our review discovered papers that explore the use of prediction models to forecast the time, volume, and destination of discharged patients. Of the 101 reviewed papers, 49.5% looked at the prediction with machine learning tools, and 50.5% focused on prediction with statistical methods. The fact that knowing discharge outcomes in advance affects operational, tactical, medical, and administrative aspects is a frequent theme in the papers studied. Furthermore, conducting system-wide optimization, predicting the time and destination of patients after discharge, and addressing the primary causes of discharge delay in the process are among the recommendations for further research in this field.
出院计划是患者流程的重要组成部分,因为延迟会导致全院拥堵。由于结构化的出院计划可以减少住院时间,同时提高患者满意度,因此这个话题引起了许多医疗保健专业人员和研究人员的兴趣。通过帮助医疗保健提供者预测患者的需求和资源需求,预测出院结果(如目的地和时间)对于出院计划至关重要。本文研究了关于各种出院结果预测的文献。我们的综述发现了一些探索使用预测模型来预测出院患者时间、数量和目的地的论文。在所审查的 101 篇论文中,49.5%的论文着眼于使用机器学习工具进行预测,50.5%的论文侧重于使用统计方法进行预测。提前了解出院结果会影响运营、战术、医疗和行政方面,这是研究论文中的一个常见主题。此外,该领域的进一步研究建议进行全系统优化、预测患者出院后的时间和目的地,并解决出院延迟的主要原因。