Một đánh giá hệ thống về các phương pháp nghiên cứu vận hành để mô hình hóa dòng bệnh nhân và kết quả trong chăm sóc sức khỏe cộng đồng và các môi trường khác

Informa UK Limited - Trang 1-21 - 2017
Ryan Palmer1, Naomi J. Fulop2, Martin Utley1
1Clinical Operational Research Unit, Department of Mathematics, University College London, London, UK
2Department of Applied Health Research, University College London, London, UK

Tóm tắt

Một mục tiêu của chính sách chăm sóc sức khỏe là chuyển nhiều dịch vụ cấp cứu vào các cơ sở cộng đồng. Đánh giá tài liệu hệ thống này trình bày phân tích về các phương pháp nghiên cứu vận hành đã được xuất bản để mô hình hóa dòng bệnh nhân trong chăm sóc sức khỏe cộng đồng, và để mô hình hóa sự kết hợp giữa dòng bệnh nhân và kết quả trong tất cả các môi trường. Đánh giá sự tham gia ở ba cấp độ – với các tài liệu tham khảo từ các bài báo được đưa vào cũng được xem xét – 25 bài báo "Dòng bệnh nhân trong chăm sóc cộng đồng", 23 bài báo "Dòng bệnh nhân và kết quả" và 5 bài báo thuộc giao thoa giữa chúng được đưa vào đánh giá. So sánh được thực hiện giữa từng môi trường của bài báo, định nghĩa về trạng thái, các yếu tố được xem xét ảnh hưởng đến dòng chảy, các chỉ số đầu ra và việc thực hiện kết quả. Những phức tạp và đặc điểm chung của các mô hình dịch vụ cộng đồng được thảo luận cùng với những hướng đi cho công việc tương lai. Chúng tôi nhận thấy rằng khi phát triển các mô hình dòng bệnh nhân cho các dịch vụ cộng đồng sử dụng kết quả, danh sách chờ ghép tạng có thể có những lợi ích chuyển nhượng.

Từ khóa

#Chăm sóc sức khỏe cộng đồng #dòng bệnh nhân #kết quả #mô hình hóa #nghiên cứu vận hành.

Tài liệu tham khảo

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