Vissers J M
Graduate School of Industrial Engineering and Management Science, Eindhoven University of Technology, The Netherlands.
IMA J Math Appl Med Biol. 1995 Sep-Dec;12(3-4):259-74. doi: 10.1093/imammb/12.3-4.259.
The current practice of allocating resources within a hospital introduces peaks and troughs in the workloads of departments and leads therefore to loss of capacity. This happens when requirements for capacity coordination are not adequately taken into account in the decision making process of allocating resources to specialties. The first part of this research involved an analysis of the hospital's production system on dependencies between resources, resulting in a number of capacity coordination requirements that need to be fulfilled for optimized resource utilization. The second, modelling, part of the study involved the development of a framework for resource management decision making, of a set of computer models to support hospital managerial decision making on resource allocation issues in various parts of the hospital, and of an implementation strategy for the application of the models to concrete hospital settings. The third part of the study was devoted to a number of case-studies, illustrating the use of the models when applied in various resource management projects, such as a reorganization of an operating theatre timetable, or the development of a master plan for activities of a group of general surgeons serving two locations of a merged hospital system. The paper summarizes the main findings of the study and concludes with a discussion of results obtained with the new allocation procedure and with recommendations for future research.
目前医院内部资源分配的做法导致各科室工作量出现高峰和低谷，进而造成产能损失。当在向各专科分配资源的决策过程中没有充分考虑产能协调需求时，就会出现这种情况。本研究的第一部分对医院生产系统中资源之间的依存关系进行了分析，得出了一些为优化资源利用而需要满足的产能协调要求。研究的第二部分即建模部分，涉及开发一个资源管理决策框架、一组支持医院管理层就医院各部门资源分配问题进行决策的计算机模型，以及将这些模型应用于具体医院环境的实施策略。研究的第三部分致力于一系列案例研究，展示这些模型在各种资源管理项目中的应用情况，比如手术室时间表的重新安排，或者为服务于合并后医院系统两个地点的一组普通外科医生制定活动总体规划。本文总结了该研究的主要发现，并以对新分配程序所得结果的讨论以及对未来研究的建议作为结尾。
