利用多保真度模型优化门诊人员配置水平

Bowen Pang, Xiaolei Xie, B. Heidergott, Yijie Peng
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引用次数: 1

摘要

中国大型医院的门诊部工作量非常大。病人通常要等很长时间才能得到治疗。增加包括护士和医生在内的医疗人员在经济上是昂贵的。因此,优化门诊部门的人员规划以减少过多的患者等待时间至关重要。高保真仿真模型能准确捕捉门诊系统的特征。但仅基于仿真模型来获得最优的人员规划决策是非常耗时的。简化的排队模型可以得到最优人员规划问题的解析解,但不能完全反映实际门诊系统的特点。我们提出利用高保真度仿真模型的输出来驱动低保真度排队模型的输出更接近门诊系统的输出,然后利用数据驱动的排队模型进行人员计划决策。以某大型医院为例进行了实证研究,验证了该方法的有效性和高效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
optimizing outpatient Department Staffing Level using Multi-Fidelity Models
The workload of the outpatient departments in Chinese large hospitals is extremely high. Patients often have to wait for a long time before getting their treatments. It is economically expensive to increase medical staffs including nurses and doctors. Therefore, it is critical to optimize staff planning in the outpatient departments to reduce excessive patient waiting time. A high-fidelity simulation model can accurately capture the features of the outpatient service system. But it is very time-consuming to obtain the optimal staff planning decision only based on the simulation model. A simplified queueing model might lead to an analytical solution for the optimal staff planning problem, but it can not fully capture the feature of the real outpatient service system. We propose to use the outputs of the high-fidelity simulation model to drive the output of the low-fidelity queueing model closer to that of the outpatient service system, and then use the data-driven queueing model to make the staff planning decision. Empirical studies on a major hospital are carried out, which demonstrate the effectiveness and efficiency of our method.
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