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首页> 外文期刊>The Milbank quarterly >Demand and supply-based operating modes--a framework for analyzing health care service production.
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Demand and supply-based operating modes--a framework for analyzing health care service production.

机译：基于需求和供应的运营模式-分析医疗服务生产的框架。

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CONTEXT: The structure of organizations that provide services should reflect the possibilities of and constraints on production that arise from the market segments they serve. Organizational segmentation in health care is based on urgency and severity as well as disease type, bodily function, principal method, or population subgroup. The result is conflicting priorities, goals, and performance metrics. A managerial perspective is needed to identify activities with similar requirements for integration, coordination, and control. METHODS: The arguments in this article apply new reasoning to the previous literature. FINDINGS: The method used in this article to classify health care provision distinguishes different types of health problems that share generic constraints of production. CONCLUSIONS: The analysis leads to seven different demand-supply combinations, each with its own operational logic. These are labeled demand and supply-based operating modes (DSO modes), and constitute the managerial building blocks of health care organizations. The modes are Prevention, Emergency, One visit, Project, Elective, Cure, and Care. As analytical categories the DSO modes can be used to understand current problems. Several operating modes in one unit create managerial problems of conflicting priorities, goals, and performance metrics. The DSO modes are constructed as managerially homogeneous categories or care platforms responding to general types of demand, and supply constraints. The DSO modes bring methods of industrial management to bear on efforts to improve health care.
机译：背景：提供服务的组织的结构应反映其服务的细分市场所带来的生产的可能性和约束。卫生保健中的组织细分基于紧迫性和严重性以及疾病类型，身体功能，主要方法或人群亚组。结果是优先级，目标和绩效指标相互矛盾。需要从管理的角度来识别对集成，协调和控制具有类似要求的活动。方法：本文中的论点将新的推理应用于先前的文献。结果：本文中用于对医疗保健提供进行分类的方法区分了具有共同生产限制的不同类型的健康问题。结论：分析得出七个不同的需求-供应组合，每个都有其自己的操作逻辑。这些被标记为基于需求和供应的操作模式（DSO模式），并且构成了医疗保健组织的管理基础。模式包括预防，紧急情况，一次就诊，计划，选修，治愈和护理。作为分析类别，DSO模式可用于了解当前问题。一个单元中的几种操作模式会产生优先级，目标和绩效指标相互冲突的管理问题。 DSO模式被构造为管理上同质的类别或护理平台，以响应一般类型的需求和供应约束。 DSO模式带来了工业管理方法，以改善医疗保健。

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