Patient Triage and Prioritization Under Austere Conditions

Patient Triage and Prioritization Under Austere Conditions
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DOI:
10.1287/mnsc.2017.2855
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发表时间:
2017-10
期刊:
Manag. Sci.
影响因子:
--
通讯作者:
Zhankun Sun;N. T. Argon;S. Ziya
Zhankun Sun;N. T. Argon;S. Ziya
中科院分区:
其他
文献类型:
--
作者:
Zhankun Sun;N. T. Argon;S. Ziya

文献摘要

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在战区和经济贫困地区,由于极端的资源限制,单一的提供者可能是唯一负责为一群患者提供紧急护理的人。在这种情况下,提供者面临的一个重要问题是是否进行分诊,以及如何对患者进行优先排序。通过选择对特定患者进行分类,提供者可以确定该患者的健康状况,从而确定该患者的紧迫性,但这将以延迟该患者以及所有其他患者的实际服务(稳定或初步治疗)为代价。在这个问题的驱使下,我们考虑了一个服务系统,其中有限多的病人在零点都有空,属于两个可能的分诊类别之一,其中每个类别的特征是等待成本和预期服务时间。患者的类别身份最初是未知的,但服务提供商可以选择花费时间进行分流以...
In war zones and economically deprived regions, because of extreme resource restrictions, a single provider may be the sole person in charge of providing emergency care to a group of patients. An important question the provider faces under such circumstances is whether or not to perform triage and how to prioritize the patients. By choosing to triage a particular patient, the provider can determine the health condition and thus the urgency of the patient, but that will come at the expense of delaying the actual service (stabilization or initial treatment) for that patient as well as all the other patients. Motivated by this problem, which also arises in other service contexts, we consider a service system where finitely many patients, all available at time zero, belong to one of the two possible triage classes, where each class is characterized by its waiting cost and expected service time. Patients’ class identities are initially unknown, but the service provider has the option to spend time on triage to...