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芝加哥医院的区位效率:一个实验模型

Locational efficiency of Chicago hospitals: an experimental model.

作者信息

Morrill R L, Earickson R

出版信息

Health Serv Res. 1969 Summer;4(2):128-41.

PMID:5809794
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1067214/
Abstract

An experimental simulation model is described by which imbalances in the distribution of hospitals may be evaluated and location shifts suggested to meet future needs. The model, partly deterministic and partly probabilistic, is here used to project the effects on patient travel of shifting capacity and of shifting demand. Applied to the metropolitan Chicago hospital system, the model results indicate that relocation of hospital beds would considerably decrease patient travel, but that the same improvement in patient travel and in hospital utilization could be achieved, with a far less radical and costly shift of beds, by relaxing existing constraints of income and race.

摘要

本文描述了一个实验模拟模型,通过该模型可以评估医院分布的不均衡情况,并提出位置转移建议以满足未来需求。该模型部分为确定性模型,部分为概率性模型,在此用于预测转移容量和转移需求对患者就医行程的影响。应用于芝加哥大都市医院系统时,模型结果表明,病床的重新安置将大幅减少患者就医行程,但通过放宽现有的收入和种族限制,以远不那么激进和昂贵的病床转移方式,也可以实现患者就医行程和医院利用率的相同改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a4/1067214/8cbde475efb2/hsresearch00579-0054-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a4/1067214/f8061952ec8c/hsresearch00579-0051-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a4/1067214/d27144222706/hsresearch00579-0051-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a4/1067214/0ecf19c4881d/hsresearch00579-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a4/1067214/b93d0e1011fc/hsresearch00579-0053-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a4/1067214/8cbde475efb2/hsresearch00579-0054-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a4/1067214/f8061952ec8c/hsresearch00579-0051-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a4/1067214/d27144222706/hsresearch00579-0051-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a4/1067214/0ecf19c4881d/hsresearch00579-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a4/1067214/b93d0e1011fc/hsresearch00579-0053-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94a4/1067214/8cbde475efb2/hsresearch00579-0054-a.jpg

相似文献

1
Locational efficiency of Chicago hospitals: an experimental model.芝加哥医院的区位效率:一个实验模型
Health Serv Res. 1969 Summer;4(2):128-41.
2
Variation in the character and use of Chicago area hospitals.芝加哥地区医院的特点和用途差异。
Health Serv Res. 1968 Fall;3(3):224-38.
3
Predictive hospital reimbursement and evaluation model.
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4
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Health Serv Res. 1967 Summer;2(2):154-69.
5
Evaluating national hospital policy: a systems approach.评估国家医院政策:一种系统方法。
Health Serv Res. 1972 Spring;7(1):11-22.
6
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Inquiry. 1974 Dec;11(4):276-81.
7
A note on objectives for regional hospital planning.
Natl Hosp Health Care. 1976 May;2(1):13, 19-22.
8
Mathematical modeling can identify departmental space needs.数学建模可以确定部门的空间需求。
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9
The systems approach to planning.规划的系统方法。
Hospitals. 1972 Feb 1;46(3):111-4.
10
Spatial patterns of hospital utilization: the impact of distance and time.医院利用的空间模式:距离和时间的影响。
Inquiry. 1984 Spring;21(1):84-95.

引用本文的文献

1
Location of ambulatory care centers in a metropolitan area.大都市地区门诊护理中心的位置。
Health Serv Res. 1973 Summer;8(2):121-38.
2
Locating ambulatory medical care facilities for the elderly.为老年人寻找门诊医疗设施。
Health Serv Res. 1986 Oct;21(4):499-514.

本文引用的文献

1
INCOME AND THE RECEIPT OF MEDICAL CARE.收入与医疗服务的获取
Am J Public Health Nations Health. 1965 Apr;55(4):510-21. doi: 10.2105/ajph.55.4.510.
2
Use of general hospitals; variation with methods of payment.综合医院的使用情况;支付方式的差异。
Public Health Rep (1896). 1959 Apr;74(4):316-24.
3
Research on the demand for health services.卫生服务需求研究。
Milbank Mem Fund Q. 1966 Jul;44(3):Suppl:128-65.
4
Variation in the character and use of Chicago area hospitals.芝加哥地区医院的特点和用途差异。
Health Serv Res. 1968 Fall;3(3):224-38.
5
Methods and concepts of an interdisciplinary regional hospital study.一项跨学科区域医院研究的方法与概念
Health Serv Res. 1968 Fall;3(3):166-73.