利用协作式护理改善医疗保健复原力以应对灾害

IF 4.5 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY
Danuphon Tippong , Sanja Petrovic , Vahid Akbari
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引用次数: 0

摘要

本文描述了离散事件模拟模型,旨在研究三种不同的策略,这些策略提供紧急医疗响应操作,涉及不同的协作,以提高医疗保健网络在灾害管理中的弹性。三种策略包括历史上的非合作护理,当前的半合作护理和一种新的合作护理,我们提出了解决前两种策略的局限性。这些策略在初始治疗期间的信息共享水平、资源分配和患者运输决策方面存在差异。为了适应医疗环境,采用了一个通用的弹性度量,并用于评估各种灾难情景(轻度、中度和重度)下的协作护理策略。在我们的实验环境中,与其他两种方法相比,新的协作护理策略持续增强了恢复力,促进了更快地恢复到灾前状态。相比之下,半协作护理策略在几乎所有情况下都表现出更差的弹性,尽管它在处理少数患者时表现优于非协作护理。本研究为管理人员提供了医疗保健网络内的协作特征及其对灾害期间网络弹性的影响的见解。这些见解对应急规划人员在制定更有效的协作护理战略和支持在灾害应对中分享资源的决策方面很有价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare resilience improvement using collaborative care in response to disasters
This paper describes discrete event simulation models developed to investigate three different strategies which provide emergency medical response operations with different collaborations involved to improve resilience of the healthcare network in disaster management. Three strategies include the historical non-collaborative care, the current semi-collaborative care, and a new collaborative care that we propose to address the limitations of the first two strategies. These strategies differ in the level of information sharing during initial treatments, and decisions on resource allocation and patient transportation. A general resilience metric was adapted to fit the healthcare context and used to evaluate the collaborative care strategies in various disaster scenarios (mild, moderate, and severe). In our experimental setting, the new collaborative care strategy consistently enhanced resilience, facilitating a quicker return to the pre-disaster state compared to the other two approaches. In contrast, the semi-collaborative care strategy demonstrated worse resilience in nearly all scenarios, although it outperformed the non-collaborative care when dealing with a small number of patients. The study offers managerial insights into collaborative characteristics within the healthcare network and their influence on the network resilience during disasters. The insights can be valuable to emergency planners in formulating more effective strategies for collaborative care and support the decision making on resource sharing in response to disasters.
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来源期刊
International journal of disaster risk reduction
International journal of disaster risk reduction GEOSCIENCES, MULTIDISCIPLINARYMETEOROLOGY-METEOROLOGY & ATMOSPHERIC SCIENCES
CiteScore
8.70
自引率
18.00%
发文量
688
审稿时长
79 days
期刊介绍: The International Journal of Disaster Risk Reduction (IJDRR) is the journal for researchers, policymakers and practitioners across diverse disciplines: earth sciences and their implications; environmental sciences; engineering; urban studies; geography; and the social sciences. IJDRR publishes fundamental and applied research, critical reviews, policy papers and case studies with a particular focus on multi-disciplinary research that aims to reduce the impact of natural, technological, social and intentional disasters. IJDRR stimulates exchange of ideas and knowledge transfer on disaster research, mitigation, adaptation, prevention and risk reduction at all geographical scales: local, national and international. Key topics:- -multifaceted disaster and cascading disasters -the development of disaster risk reduction strategies and techniques -discussion and development of effective warning and educational systems for risk management at all levels -disasters associated with climate change -vulnerability analysis and vulnerability trends -emerging risks -resilience against disasters. The journal particularly encourages papers that approach risk from a multi-disciplinary perspective.
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