COMPUTER SIMULATION OF IMPROVEMENTS IN HOSPITAL LENGTH OF STAY FOR REHABILITATION PATIENTS
COMPUTER SIMULATION OF IMPROVEMENTS IN HOSPITAL LENGTH OF STAY FOR REHABILITATION PATIENTS
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DOI：
10.2340/16501977-1957
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发表时间：
2015-05-01
影响因子：
3.5
通讯作者：
Stoelwinder, Johannes U.
中科院分区：
文献类型：
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作者：
New, Peter W.;Stockman, Keith;Stoelwinder, Johannes U.
目的：为了估计潜在的改善，在急性和康复医院的住院时间为康复patients从假设的情况下，解决障碍patient flow.Design：数据的持续时间为患者（n=360）承认急性医院，随后转移到住院康复2病房在墨尔本，澳大利亚被用来开发一个计算机模拟model.Subjects：模拟患者。研究方法：住院时间的计算机模型的开发，验证检查进行和替代护理pathways simulated.Results：几乎所有的情况下，导致住院时间与基线相比，显着变化。变化的效应量通常为小到中等。在所有假设的情况下，康复放电障碍的持续时间显示出显着的变化。效果大小是一个单一的障碍，但更大的变化时，多个障碍，同时changed.Conclusion：卫生系统建模可以提供有关潜在的改善住院时间的信息，从解决障碍，病人流量影响康复patients。这可以为护理模式的改革提供信息，并有助于成本效益分析。
Objective: To estimate the potential improvement in acute and rehabilitation hospital length of stay for rehabilitation patients from hypothetical scenarios that address barriers to patient flow.Design: Data about the duration of key processes for patients (n=360) admitted to acute hospitals and subsequently transferred to inpatient rehabilitation in 2 wards in Melbourne, Australia were used to develop a computer simulation model.Subjects: Simulated patients. Methods: A computer model of length of stay was developed, validation checks performed and alternate care pathways simulated.Results: Almost all scenarios resulted in significant changes in the length of stay compared with baseline. The effect size for the changes was typically small to medium. The duration of the rehabilitation discharge barriers showed significant changes in all hypothetical scenarios. The effect size was smaller when changes were made to a single barrier, but larger when multiple barriers were changed simultaneously.Conclusion: Health system modelling can provide information regarding potential improvements in length of stay from addressing barriers to patient flow affecting rehabilitation patients. This can inform reforms to models of care and assist with cost benefit analyses.