Evaluation of reverse referral partnership in a tiered hospital system - A queuing-based approach
Evaluation of reverse referral partnership in a tiered hospital system - A queuing-based approach
复制标题
分级医院系统中反向转诊伙伴关系的评估——基于排队的方法
DOI：
10.1080/00207543.2017.1327731
复制
发表时间：
2017-01-01
影响因子：
9.2
通讯作者：
Jiang, Zhibin
中科院分区：
文献类型：
--
作者：
Li, Na;Kong, Nan;Jiang, Zhibin
反向转诊是指将病人从综合医院转诊到社区保健中心。近年来，它已成为流行的急性后护理在中国的分级医院系统，因为它有助于实现更平衡的利用之间的设施在不同的水平。然而，由于参与医院之间可能存在利益冲突，如何实施反向转诊伙伴关系仍不清楚。在本文中，我们评估了一个逆转转诊伙伴关系，涉及一家医院的每一种类型，我们开发的排队模型，为两家医院捕捉多个病人的等待，服务和过渡，与反向转诊到位。我们使用基于盈利的绩效结果来评估每家医院的盈利能力及其加入合作伙伴关系的意愿。我们联合收割机上述评估，进一步评估伙伴关系的有效性。通过这项工作，我们希望提供政策见解，政府形成有效的医院伙伴关系。
Reverse referral implies referring patients from a comprehensive hospital to a community healthcare centre. In recent years, it has become popular for post-acute care in the tiered Chinese hospital system as it helps achieve more balanced utilisation between facilities at different levels. Nevertheless, it remains unclear how to implement the reverse referral partnership given the likely conflicting interests between the involved hospitals. In this paper, we evaluate a reversal referral partnership involving one hospital of each type, for which we develop queuing models for the two hospitals to capture multiple patient waits, services and transitions, with reverse referral in place. We use queuing-based performance outcomes to evaluate the profitability of each hospital and its willingness to join the partnership. We combine the above evaluations to further assess the partnership effectiveness. Through this work, we expect to provide policy insights to the government for forming hospital partnerships effectively.