Rikkers R F
Health Serv Res. 1970 Fall;5(3):233-47.
The flow of patients into and through a hospital is simulated to determine the effect of flexible care-unit boundaries on hospital performance. Using empirical admissions data as input, the model depicts the variations in occupancy level, waiting time for admission, and number of admission requests not accommodated under various administrative policies. A policy that allows maximum flexibility, with boundaries permitted to vary over a wide range for all admission requests, is found to offer a possibility of increasing the occupancy level of a 99-bed hospital by nearly 6 percent. The potential applicability of the model to scheduling and other administrative problems is discussed.
对患者流入和通过医院的过程进行模拟，以确定灵活的护理单元边界对医院绩效的影响。该模型以经验性入院数据作为输入，描绘了在各种管理政策下占用水平、入院等待时间以及未得到满足的入院请求数量的变化情况。结果发现，一种允许最大灵活性的政策，即允许所有入院请求的边界在很大范围内变化，有可能使一家拥有99张床位的医院的占用水平提高近6%。还讨论了该模型在调度和其他管理问题上的潜在适用性。
