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Evaluating policy interventions for delayed discharge: A system dynamics approach

机译:评估延迟排放的政策干预措施:系统动力学方法

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Global population ageing is creating an immense pressure on hospitals to meet the growing demand for elderly healthcare services. Current demand-supply gaps results in prolonged waiting times for patients and substantial costs for hospitals due to delay in discharges. This paper uses System Dynamics (SD) methodology to map the dynamic flow of elderly patients in the Irish healthcare system. The developed system dynamic model helped decision makers to envisage the complexity resulted in the system due to the infringing parameters. Stock and flow intervention policies are proposed and evaluated subject to the projected future demographic changes. The model enables policy makers to identify potential strategic policies that will contribute significantly to overcome the delayed discharge for elderly patients. Future work will focus on using a modified model of the developed national model in order to assist local communities in Ireland in their long-term planning for non-acute service sector for elderly.
机译:全球人口老龄化正在为医院创造巨大压力,以满足对老年医疗保健服务日益增长的需求。当前需求供应差距导致患者的长时间等待时间和由于延迟排放而导致医院的大量成本。本文采用系统动态(SD)方法来映射爱尔兰医疗保健系统的老年患者的动态流动。发达的系统动态模型帮助决策者设想由于侵权参数而设想系统导致的复杂性。提出股票和流动干预政策,并评估预计未来人口变化。该模型使策略制造商能够识别将促进潜在的战略政策,以克服老年患者的延迟出院。未来的工作将专注于使用发达国家模型的修改模型,以协助爱尔兰的当地社区在长期规划中为老年人的非急性服务部门。

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