Understanding Waiting Lists Pressures

Understanding Waiting Lists Pressures
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了解等候名单压力

DOI:
10.1101/2022.08.23.22279117
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发表时间:
2022
期刊:
--
影响因子:
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通讯作者:
Fong K
Fong K
中科院分区:
--
文献类型:
--
作者:
Fong K

文献摘要

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由于大流行的直接影响以及需要对NHS资源进行投资的长期压力,NHS等候名单目前处于创纪录的长度。这些因素使得管理者和临床医生在安排择期手术时做出越来越复杂的决定。管理者在管理等候名单时必须了解基本动态、权衡和压力。排队理论是运筹学的关键部分,广泛应用于制造业、零售业、信息技术和其他行业。本文提供了一个阐述排队理论的背景下,目前的NHS积压。有了这些信息,管理人员将能够了解需求,队列大小,等待时间,容量要求和权衡不同的等待列表。我们描述的指标和报告系统开发,以了解等待名单的压力,在一个大的NHS的信任。我们的目标是使管理人员能够更好地了解他们的等候名单,以实现目标并改善健康结果。
NHS waiting lists currently sit at record lengths due to a combination of the immediate impact of the pandemic and, as well as, long-run pressures requiring investment on NHS resources. These factors have left managers and clinicians with increasingly complex decisions when scheduling elective operations. It is imperative that managers understand the basic dynamics, tradeoffs, and pressures when managing waiting lists.Queueing theory is a key part of operational research, extensively used throughout manufacturing, retail, information technology and other sectors. This article provides an exposition of the theory of queues within the context of the current NHS backlog. With this information a manager will be able understand the demand, queue size, waiting times, capacity requirements and trade-offs for different waiting lists. We describe the metrics and a reporting system developed to understand waiting list pressures in a large NHS trust. Our aim is to enable managers to better understand their waiting lists, to achieve targets and improve health outcomes.