https://scholars.lib.ntu.edu.tw/handle/123456789/109686
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor | 醫療機構管理研究所;Graduate Institute of Health Care Organization Administration | en |
dc.contributor.author | SU, SYI | en |
dc.contributor.author | SHIH, CHUNG-LIANG | en |
dc.creator | SU, SYI;SHIH, CHUNG-LIANG;SU, SYI | en |
dc.creator | 蘇喜;石崇良;蘇喜 | zh-tw |
dc.date | 2003 | en |
dc.date.accessioned | 2008-05-02T03:14:34Z | - |
dc.date.accessioned | 2018-06-29T16:57:43Z | - |
dc.date.available | 2008-05-02T03:14:34Z | - |
dc.date.available | 2018-06-29T16:57:43Z | - |
dc.date.issued | 2003 | - |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/64659 | - |
dc.description.abstract | Study objectives: In the emergency medical services (EMS) system, appropriate prehospital care can substantially decrease casualty mortality and morbidity. This study designed a simulation model, evaluated the existing EMS system, and suggested improvements. Methods: The study focused on 23 networked EMS hospitals affiliated with 36 emergency response units (subgroups) to perform two-tier rescues (advanced life support [ALS] in addition to basic life support [BLS] services) in Taipei, Taiwan. Using the existing EMS model as a base, this research constructed a computer simulation model and explored several model alternatives to achieve the study's objectives. The virtual models varied with staffing Level, number of assigned emergency network hospitals, and various two-tier rescue probabilities. Results: Increasing the staffing to two teams for Hospital 22 lessened the call waiting probability ( delay between rescue call and ambulance dispatch) by 50%, even if the dispatch rate of the two-tier rescue increased from the empirical 2% to a simulated 10 and 20%. Changing the two-tier rescue pattern so each EMS subgroup cooperated with two specific, preassigned network hospitals towered the probability of patients having to wait for rescue dispatch to under 1%. Conclusion: The following alternatives provided the greatest combination of effectiveness, quality patient care, and cost-efficiency: (1) because of its unique location, increase Hospital 22's staffing level to two ALS teams. (2) Establish a specific rescue protocol for the two- tier system that preassigns two network hospitals to each of the 36 EMS subgroups along with a prearranged calling sequence. If implemented, this will improve EMS performance, streamline the system, reduce randomness, and enhance efficiency. (C) 2003 Elsevier Ireland Ltd. All rights reserved. | en |
dc.format | application/ | en |
dc.language | en-us | en |
dc.language | en-US | en |
dc.language.iso | en_US | - |
dc.relation | INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS v.73 n.1-3 pp.57~72 | en |
dc.relation.ispartof | INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS | - |
dc.subject | reallocation | en |
dc.subject | computer simulation | en |
dc.subject | emergency medical service | en |
dc.subject | prehospital care | en |
dc.subject | utilization | en |
dc.title | MODELING AN EMERGENCY MEDICAL SERVICES SYSTEM USING COMPUTER SIMULATION | en |
dc.type | journal article | en |
dc.relation.pages | 57-72 | - |
dc.relation.journalvolume | v.73 | - |
dc.relation.journalissue | n.1-3 | - |
dc.identifier.uri.fulltext | http://ntur.lib.ntu.edu.tw/bitstream/246246/64659/1/23.pdf | - |
item.languageiso639-1 | en_US | - |
item.cerifentitytype | Publications | - |
item.fulltext | with fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.openairetype | journal article | - |
item.grantfulltext | open | - |
顯示於: | 健康政策與管理研究所 |
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