县域医疗共同体便携式彩超设备配置选点模型构建与实证研究  

Model construction and empirical study of location selection model for portable color Doppler ultrasound equipment configuration in county medical community

作　　者：王艳清 赵移畛 苗豫东 李泉漫 吴建[1] Wang Yanqing;Zhao Yizhen;Miao Yudong;Li Quanman;Wu Jian(College of Public Health,Zhengzhou University,Zhengzhou 450001,China;Henan Luoyang Bonesetting Hospital(He'nan Orthopedic Hospital),Zhengzhou 450000,China)

机构地区：[1]郑州大学公共卫生学院,450001 [2]河南省洛阳正骨医院(河南省骨科医院),郑州450000

出　　处：《中华医院管理杂志》2021年第10期868-872,共5页Chinese Journal of Hospital Administration

基　　金：国家重点研发计划(2018YFC0114501)。

摘　　要：开展医疗共同体(以下简称医共体)医疗设备优化选点配置,对科学配置设备资源、提升医共体服务能力具有重要作用。作者以县域医共体便携式彩色多普勒超声仪(以下简称彩超)选点配置运营成本最小、居民就诊花费时间最短为目标,根据价值工程法建立医共体配置总价值目标函数,考虑距离、时间、人员资质等相关约束条件,构建县域医共体便携式彩超设备选点配置最优规划数学模型。实证研究结果显示,基于既定约束条件,5000次迭代测算终结后,模型在实证医共体9个选配点中输出5个相对优化的配置点,且当每个配置点的配置数量为1台时,医共体内配置总价值达到最大。研究为我国县域医共体设备资源配置提供了新思路和可行方法。Carrying out the optimal location selection of medical equipment in the medical community plays an important role in scientifically allocating equipment resources and improving the service capacity of medical community.Aiming at minimizing the operating cost of the location selection and configuration of the portable color Doppler ultrasound instrument in the county medical community and the shortest time spent on medical visits for residents,the authors established the total value objective function of the medical community configuration according to the value engineering method;and considered the relevant constraints such as distance,time and personnel quality,the mathematical model of optimal planning for the selection and configuration of portable color Doppler ultrasound equipment in county medical community was constructed.The empirical research results showed that based on the established constraints,after 5000 iterations,the model output 5 relatively optimized allocation points among the 9 allocation points,and when the allocation number of each allocation point was 1,the total allocation value in the medical community reached the maximum.This study could provide a new idea and feasible method for the allocation of equipment resources of county medical community in China.

关 键 词：资源分配 县域医疗共同体 选点 模型 彩色多普勒超声 

分 类 号：R197.1[医药卫生—卫生事业管理]