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Restructuring patient flow logistics around patient care needs: implications and practicalities from three critical cases.

机译:围绕患者护理需求重组患者流程物流:三个关键案例的含义和实用性。

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摘要

To make hospitals more patient-centered it is necessary to intervene on patient flow logistics. The study analyzes three innovative redesign projects implemented at three Italian hospitals. The three hospitals have reorganized patient flow logistics around patient care needs using, as proxies, the expected length of stay and the level of nursing assistance. In order to do this, they have extensively revised their logistical configuration changing: (1) the organization of wards, (2) the hospital's physical lay-out, (3) the capacity planning system, and (4) the organizational roles supporting the patient flow management. The study describes the changes implemented as well as the results achieved and draws some general lessons that provide useful hints for those other hospitals involved in such type of redesign projects. The paper ends by discussing some policy implications. In fact, the results achieved in the three cases investigated provide interesting material for further discussion on clinical, operational, and economic issues.
机译:为了使医院更加以患者为中心,有必要干预患者流量的后勤工作。该研究分析了在三家意大利医院实施的三个创新性重新设计项目。这三家医院已根据预期的住院时间和护理援助水平,围绕患者的护理需求重组了患者物流。为此,他们对后勤配置进行了广泛修订,包括:(1)病房的组织;(2)医院的物理布局;(3)容量规划系统;以及(4)支持医院的组织角色。病人流量管理。该研究描述了已实施的变更以及所取得的成果,并吸取了一些一般性的经验教训,这些经验教训为那些参与此类重新设计项目的其他医院提供了有用的提示。本文最后讨论了一些政策含义。实际上,在这三个案例中获得的结果为进一步讨论临床,操作和经济问题提供了有趣的材料。

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