Vahl S P
Am J Perinatol. 1986 Apr;3(2):135-8. doi: 10.1055/s-2007-999851.
Operating costs of hospitals make great demands on resources. This paper describes the possibility of using the methodology of linear systems to find ways for designing for reduced operating costs in a maternity unit in England. The organizational framework of the United Kingdom National Health Service, and its capital planning processes are outlined. Capital cost control methods used in building English hospitals are explained and then the early stages of an experiment in which the step response of an injection of capital to a capital building project are described. The project itself is in a maternity unit. Maternity has been chosen because it is particularly suitable for this kind of experiment having a relatively well defined input and output, and well established indicators of clinical outcome. It is hoped that insight into the step response will shed light on new ways of designing for reduced operating costs.
医院的运营成本对资源提出了很高的要求。本文描述了使用线性系统方法来寻找降低英国一家产科病房运营成本设计方法的可能性。概述了英国国家医疗服务体系的组织框架及其资本规划流程。解释了英国医院建设中使用的资本成本控制方法，然后描述了一项实验的早期阶段，该实验涉及向一个基本建设项目注入资金的阶跃响应。该项目本身位于一个产科病房。选择产科是因为它特别适合这种实验，具有相对明确的输入和输出，以及完善的临床结果指标。希望通过对阶跃响应的深入了解，能为降低运营成本的新设计方法提供思路。
