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首页> 外文会议>System Dynamics Society International Conference; System Dynamics Society Anniversary Celebration; 20070729-0802; 20070729-0802; Boston,MA(US); Boston,MA(US) >Planning for adaptability in healthcare infrastructure
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Planning for adaptability in healthcare infrastructure

机译：规划医疗基础设施的适应性

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As part of an integrated system, healthcare infrastructure should be planned and evaluated in conjunction with the services it supports. However, this is challenging because of uncertainty about future requirements due to technological, demographic, medical and policy change. Long lasting infrastructure needs to support healthcare processes that change rapidly.In the UK public private partnership models provide additional challenges for the National Heath Service. Contractual agreements between public sector providers of care services and the organisations responsible for the provision and maintenance of the built infrastructure typically last 30 years or more. Over this period both the demands for care services and the technologies used to deliver them are likely to change considerably. Infrastructure needs to be able to adapt to these changes, and planning tools need to recognise the interdependencies within the care service and care infrastructure system.System dynamics modelling offers the potential to plan for these challenges. It can help to guide the planning process of new healthcare infrastructure under conditions of uncertainty, so that the services it enables can meet present and future needs. The stylised model presented considers care service delivery over time depending on infrastructure flexibility options (e.g. to increase capacity) under different scenarios in order to support infrastructure planning.
机译：作为集成系统的一部分，医疗保健基础设施应与其支持的服务一起进行规划和评估。但是，由于技术，人口，医疗和政策变化对未来需求的不确定性，这具有挑战性。持久的基础设施需要支持快速变化的医疗流程。在英国，公共私人合作伙伴关系模式为国家卫生服务局带来了更多挑战。公共部门护理服务提供者与负责提供和维护已建成基础设施的组织之间的合同协议通常持续30年或更长时间。在此期间，对护理服务的需求和用于提供这些服务的技术都可能发生很大变化。基础设施需要能够适应这些变化，而规划工具则需要认识到护理服务和护理基础设施系统之间的相互依赖性。系统动力学建模提供了针对这些挑战进行规划的潜力。它可以帮助在不确定的情况下指导新的医疗基础设施的规划过程，从而使其能够满足当前和未来的需求。提出的程式化模型考虑了在不同情况下根据基础架构灵活性选项（例如增加容量）在一段时间内提供护理服务的情况，以支持基础架构规划。

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