Conceptualizing Resilience in Healthcare Systems Through Domain Modeling

IF 4.5 2区计算机科学 Q1 COMPUTER SCIENCE, CYBERNETICS

IEEE Transactions on Computational Social Systems Pub Date : 2024-09-17 DOI:10.1109/TCSS.2024.3451519

Mie Wang;Junwei Wang;Hongfeng Wang

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引用次数: 0

Abstract

The healthcare system is a complex organization designed to provide medical services, exhibiting heterogeneity due to economic, legal, and cultural differences. To effectively manage the resilience of healthcare systems, it is essential to model their working domains. Furthermore, healthcare systems at different levels have distinct structures and substance flow characteristics. In particular, at the departmental level, the substance flow is primarily patient-centric, while at the hospital level, it includes orders, bills, and report flows. Interhospital scenarios may involve case flows and healthcare personnel movements. Therefore, this article proposes a healthcare system domain modeling framework based on the function-context-behavior-principle-state-structure (FCBPSS) tool, outlining its application in three hierarchical healthcare system levels. Unlike FCBPSS applications in other systems engineering fields, this framework not only captures the system's semantics but also encompasses ethical rules and operational standards within the healthcare system, making it an ideal tool for healthcare system domain modeling. Finally, the model's effectiveness is validated through the optimization of a case study at Sheng-Jing Hospital in Shenyang.

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通过领域建模概念化医疗保健系统中的弹性

医疗保健系统是一个旨在提供医疗服务的复杂组织，由于经济、法律和文化的差异而表现出异质性。为了有效地管理医疗保健系统的弹性，必须对其工作领域进行建模。此外，不同层次的卫生保健系统具有不同的结构和物质流动特征。特别是，在部门级别，物质流主要以患者为中心，而在医院级别，它包括订单、账单和报告流。医院间情景可能涉及病例流动和医护人员流动。因此，本文提出了一个基于功能-上下文-行为-原则-状态-结构（FCBPSS）工具的医疗保健系统领域建模框架，并概述了其在三个层次医疗保健系统中的应用。与其他系统工程领域的FCBPSS应用程序不同，该框架不仅捕获系统的语义，还包含医疗保健系统中的道德规则和操作标准，使其成为医疗保健系统领域建模的理想工具。最后，以沈阳市盛京医院为例，验证了该模型的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

IEEE Transactions on Computational Social Systems Social Sciences-Social Sciences (miscellaneous)

CiteScore

10.00

自引率

20.00%

发文量

316

期刊介绍： IEEE Transactions on Computational Social Systems focuses on such topics as modeling, simulation, analysis and understanding of social systems from the quantitative and/or computational perspective. "Systems" include man-man, man-machine and machine-machine organizations and adversarial situations as well as social media structures and their dynamics. More specifically, the proposed transactions publishes articles on modeling the dynamics of social systems, methodologies for incorporating and representing socio-cultural and behavioral aspects in computational modeling, analysis of social system behavior and structure, and paradigms for social systems modeling and simulation. The journal also features articles on social network dynamics, social intelligence and cognition, social systems design and architectures, socio-cultural modeling and representation, and computational behavior modeling, and their applications.