基于排队论的远程会诊资源配置优化研究

发布时间：2018-01-05 15:20

本文关键词：基于排队论的远程会诊资源配置优化研究　出处：《郑州大学》2017年硕士论文　论文类型：学位论文

【摘要】：信息技术的不断进步带动了医学信息的发展,也使远程医疗在新世纪得到了飞速发展,为解决我国长期以来的“看病难、看病贵”问题提供了新的解决途径。随着国家政策的引导以及全国各地远程医学中心的建立,远程会诊量将大幅上升,现有的远程会诊资源配置很可能不能满足日益增长的远程会诊需求。如何合理的对医疗资源进行配置,既能保障远程会诊的服务率,又不至于空置和浪费诊室、专家等优质资源,将成为医院管理中的一个重要的研究课题。本文以排队论为理论依据,首先对远程会诊流程在理论上建立排队网络模型,并对所求的主要数量指标进行了理论推导。然后利用Simulink仿真平台对排队模型建立仿真模型。最后对郑州大学第一附属医院河南省远程医学中心的远程会诊应用进行实证研究。根据获得的近一年的21295个远程会诊数据,运用Minitab和Excel软件对数据进行处理后对远程会诊的会诊申请率λ和会诊服务率μ进行参数估计,得出相关的参数组合后,利用建立的远程会诊排队仿真模型对其进行模拟仿真。通过对仿真结果的分析,甄别出影响远程会诊排队网络拥堵的主要因素,并据此提出可行的优化建议。本文将理论分析与实证研究结合,为远程会诊资源配置的研究提供理论支持,丰富了排队论在远程会诊方面的研究与应用。不仅为实证研究的研究对象提供了具体的优化措施,也在理论上为远程会诊的发展提供了参考,对远程会诊的发展具有一定的推动意义。
[Abstract]:The continuous progress of information technology has led to the development of medical information, but also the rapid development of telemedicine in the new century, in order to solve our country for a long time "difficult to see a doctor." With the guidance of national policy and the establishment of telemedicine centers all over the country, the number of telemedicine consultation will increase greatly. The existing remote consultation resources allocation may not be able to meet the increasing demand for remote consultation. How to rationally configure medical resources can not only guarantee the service rate of remote consultation, but also not empty and waste the diagnosis room. Experts and other high-quality resources will become an important research topic in hospital management. Based on the queuing theory, this paper first establishes the queuing network model for the remote consultation process theoretically. The main quantitative indexes are deduced theoretically, and then the queuing model is established by using the Simulink simulation platform. Finally, the telemedicine center of Henan Province affiliated to the first affiliated Hospital of Zhengzhou University is analyzed. Based on 21295 remote consultation data obtained in one year. After processing the data with Minitab and Excel software, the parameter estimation of consultation application rate 位 and consultation service rate 渭 of remote consultation is carried out, and the related parameter combination is obtained. Through the analysis of the simulation results, the main factors affecting the congestion of the remote consultation queuing network are identified. Based on this, some feasible optimization suggestions are put forward. This paper combines theoretical analysis with empirical research to provide theoretical support for the research of remote consultation resource allocation. It enriches the research and application of queuing theory in remote consultation. It not only provides specific optimization measures for the research object of empirical research, but also provides a reference for the development of remote consultation in theory. It is of great significance to the development of remote consultation.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R-05;O226

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