Waiting lists in Spanish public hospitals:: A system dynamics approach
Waiting lists in Spanish public hospitals:: A system dynamics approach
复制标题
DOI：
10.1002/(sici)1099-1727(199923)15:3
复制
发表时间：
1999-09-01
影响因子：
4.8
通讯作者：
García, R
中科院分区：
文献类型：
--
作者：
González-Busto, B;García, R
漫长的等待名单是西班牙国家医疗服务面临的主要问题之一。由于患者必须等待很长一段时间才能获得医疗护理而产生的政治和社会关切，已经制定了政策，以缩短甚至取消这些名单。由于到目前为止，西班牙对等待名单的大部分研究工作都是基于排队理论，因此我们考虑建立一个模拟模型，以提高我们对等待名单随时间的变化的理解，并分析在管理等待名单时常用策略的长期有效性。该模拟模型包括目前正在实施的政策(公立和私营医院的分包活动、所谓的特殊计划、轮候名单的更新或修订)和一些新的建议(能力投资决策和假期错开)。通过模型的模拟，我们能够就这些政策的有用性和长期影响提出一些建议。版权所有(C)1999 John Wiley&Sons，Ltd.
Long waiting lists is one of the major problems faced by the Spanish National Health Service. As a result of the political and social concern generated by the long periods of time patients have to wait to receive medical care, policies have been designed in order to shorten or even eliminate these lists. Since most of the research work analyzing waiting lists in Spain, has up to now, been based on queuing Theory, we considered building a simulation model in order to improve our understanding of how waiting lists behave over time and to analyze the long-term effectiveness of the policies commonly used when managing them. This simulation model includes the policies; currently in practice (subcontracting activities to public and privately owned hospitals, the so-called "special programs", waiting list updating or revision) and some new proposals (capacity investment decision and Staggering of the vacation periods). Simulation with the model enables us to make Some recommendations as to the usefulness and the long-term impact of these policies. Copyright (C) 1999 John Wiley & Sons, Ltd.