From production systems to health care delivery systems: a retrospective look on similarities, difficulties and opportunities
From production systems to health care delivery systems: a retrospective look on similarities, difficulties and opportunities
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DOI：
10.1080/00207543.2016.1277276
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发表时间：
2017-01
影响因子：
9.2
通讯作者：
Xiang Zhong;H. Lee;Jingshan Li
中科院分区：
文献类型：
--
作者：
Xiang Zhong;H. Lee;Jingshan Li
过去 50 年来，制造系统引起了广泛的研究关注。近年来，人们对旨在提高效率、安全和护理质量的医疗保健系统研究越来越感兴趣。制造系统和医疗保健提供系统之间的相似之处凸显了将制造经验和知识转移到医疗保健领域的重要性。本文基于我们从生产系统研究到医疗保健提供系统研究过程中获得的教训和经验，讨论了生产系统和医疗保健提供系统在系统建模、设计、性能评估和持续改进方面的相似之处，并探讨了由于可变性、约束、动态和人类行为而产生的差异和困难。在此基础上，讨论了医疗保健服务系统中涵盖护理操作、规划和安排、患者过渡以及安全和团队合作的机会。最后，提出了挑战和未来的方向。我们期望这项工作能够成为促进更深入、更全面的研究的催化剂。
Manufacturing systems have attracted substantial research attentions during the last 50 years. In recent years, there has been growing interest in health care systems research to improve efficiency, safety and care quality. The similarities identified between manufacturing systems and health care delivery systems heighten the importance of transferring the experience and knowledge in manufacturing to health care. In this paper, based on the lessons we learned and the experience we obtained during our journey from production systems research to health care delivery systems study, we discuss the similarities between production systems and health care delivery systems in system modelling, design, performance evaluation and continuous improvements and investigate the differences and difficulties that stem from variability, constraints, dynamics and human behaviour. Building upon these, the opportunities encompassing care operations, planning and scheduling, patient transitions, and safety and teamwork in health care delivery systems are discussed. Finally, the challenges and future directions are proposed. We expect this work to serve as a catalyst to stimulate more in-depth and comprehensive studies.