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Dynamic modelling of national healthcare system

机译:国家医疗保健系统的动态建模

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Purpose - The purpose of this paper is to discover and structurally represent the overall possibilities and limitations of quality phenomenon in national health-care sector. The authors consider this domain as a whole and also deal with cross-sector relations, which are usually simplified or omitted. Design/methodology/approach - Presented problem represents a macro-level strategy planning task. The authors use the tools of system dynamics and the basic methodology consists of four generic stages, including problem formulation, conceptual specifications, computational modeling and experimentation. Findings - The authors propose architecture of quality-driven simulation model of national health-care system, validated by simple computational prototype. It covers all major players in this sector, i.e. patients, hospitals, government and insurers. Practical implications - The proposed model can be very useful, especially for current and future policymakers, as a tool for decision-making. They can create better decisions based on the knowledge of a wide variety of factors influencing the system and thus achieve the public health objectives more effectively. Originality/value - The innovativeness of presented research is based on an assumption that strategic concentration on quality in health-care sector can solve the majority of its current bottlenecks. According to the interpretation of the authors, qualitative aspects include primarily the non-clinical activities, such as management, marketing, external relations or staff development.
机译:目的-本文的目的是发现并在结构上代表国家卫生保健部门质量现象的总体可能性和局限性。作者将这一领域视为一个整体,还涉及跨部门关系,通常将其简化或省略。设计/方法/方法-提出的问题代表了宏观水平的战略计划任务。作者使用系统动力学的工具,基本方法包括四个通用阶段,包括问题表述,概念规范,计算模型和实验。研究结果-作者提出了由简单计算原型验证的国家卫生保健系统质量驱动模拟模型的体系结构。它涵盖了该部门的所有主要参与者,即患者,医院,政府和保险公司。实际意义-提议的模型作为决策工具可能非常有用,尤其对于当前和未来的决策者而言。他们可以基于影响系统的各种因素的知识来制定更好的决策,从而更有效地实现公共卫生目标。原创性/价值-提出的研究报告的创新性是基于这样一个假设,即对卫生保健领域的战略重点关注可以解决当前的大多数瓶颈。根据作者的解释,定性方面主要包括非临床活动,例如管理,营销,对外关系或员工发展。

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