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Adapting Agile Strategies to Healthcare Service Delivery

机译:调整敏捷策略以提供医疗服务

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Agility is a fundamental characteristic of successful supply chains faced with volatile and unpredictable demand, and has been suggested as a promising new paradigm for improving healthcare delivery. Agility is an organization-wide capability that seeks to improve overall responsiveness to customer demands, synchronize supply to demand, and cope with uncertainty. However, even if many conceptual models of agility are available, extant literature fails to clearly delineate how 'agile' can be applied in healthcare services and to what extent healthcare systems can benefit from these approaches, nor are there comparisons to current healthcare system redesign paradigms. Given the resource constraints in most hospitals, it is useful, if not critical, to develop a good understanding of how, and to what effect, the agile paradigm can be applied in healthcare. We test specific agile operational practices in a simulated healthcare environment using system dynamics modeling, establishing the comparative effectiveness of changes to system structures that promote market sensitivity, demand information sharing, and centralized planning. This study provides healthcare managers and policy makers with concrete guidance to improve system performance through adopting agile practices, and opens a new area for service supply chain management research.
机译:敏捷性是成功的供应链面对动荡且不可预测的需求的基本特征,并且已被建议作为改善医疗保健交付的有希望的新范例。敏捷性是组织范围内的一种功能,旨在提高对客户需求的整体响应能力,使供需同步,并应对不确定性。但是,即使有许多敏捷性的概念模型可用,现有文献也无法清楚地描述“敏捷”可如何应用于医疗保健服务以及医疗保健系统可从这些方法中受益的程度,也无法与当前的医疗保健系统重新设计范式进行比较。考虑到大多数医院的资源限制,如果不是很关键,则可以很好地理解如何将敏捷范例应用于医疗保健以及对医疗保健具有何种效果。我们使用系统动力学建模在模拟的医疗保健环境中测试特定的敏捷操作实践,确定系统结构变更的相对有效性,从而促进市场敏感性,需求信息共享和集中计划。这项研究为医疗保健经理和政策制定者提供了具体指导,以通过采用敏捷实践来提高系统性能,并为服务供应链管理研究开辟了一个新领域。

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