基于 Progressive Patient Care 策略的病床与护士协同优化配置研究
首发时间:2018-07-11
摘要:基于Progressive patient care策略,以分级护理为原则划分治疗单元,研究了病床与护士资源协同配置问题。本文结合排队网络及整数规划,在患者到达以及住院时间的不确定条件下,以最小化两种资源空闲或短缺成本与护士工资成本之和为目标,建立整数规划模型,运用具有全局寻优能力的动态规划算法求解每个治疗单元床位及护士数量。数值实验以天津市某三甲综合医院普外科患者出入院数据为依据,结果表明,本文提出的资源配置方法比现行方法更优。
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Research of beds and nursing human resource allocation in inpatient department based on Progressive Patient Care
Abstract:Based on Progressive patient care and the principle of grading nursing, this paper studied the cooperative allocation problem of bed and nursing human resource in inpatient department. Queuing network and conditional exception are applied to infer the distribution of everyday hospitalizations in each unit, in the case of random arriving and length of stay of patients. An integer programming model is built, in order to minimize the sum of shortage or idle cost of beds and nurses and nurse wages cost. Dynamic programming algorithm is used to solve the model. Numerical experiments are based on the data of the general surgery department of a general hospital in Tianjin and show the resource allocation scheme proposed in this paper is more cost-effective, compared to original scheme of the department.
Keywords: Industrial Engineering Bed Capacity Nursing Human Resource Integer Programming Dynamic Programming
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基于 Progressive Patient Care 策略的病床与护士协同优化配置研究
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