门诊中的医护人员与患者调度研究综述

    A Review on Provider and Patient Scheduling in Ambulatory Care

    • 摘要: 随着我国居民的医疗需求迅速增长,如何通过优化医护人员与患者调度策略以高效利用有限的医疗资源是重要的研究问题。为系统综述智慧医疗背景下门诊医护人员与患者调度的国内外研究进展,首先围绕医疗资源供需匹配的核心目标,剖析了医护人员调度(含数量决策与排班优化)和患者调度(含静态预约与动态响应)两类关键问题。进而从同质/异质服务者、行为因素、决策周期等维度梳理了医护人员调度的研究脉络;从服务提供者特征、患者类型与行为、服务系统复杂性等方面归纳了患者调度的建模与优化方法。最后,在总结研究现状的基础上,指出当前研究在联合调度、行为建模、多阶段协同等方面的不足,并提出未来应关注医护人员技能成长、患者依从性、数据驱动的行为预测及人机交互等方向,为了解门诊调度优化的发展路径和推动智慧医疗系统的应用提供了理论参考。

       

      Abstract: With the rapid growth of the healthcare demand of residents, how to efficiently utilize limited resources by optimizing the scheduling strategies of medical staffs and patients is an important research issue. A systematic review is conducted on important international and domestic literature of ambulatory staff and patient scheduling. First, focusing on the core objective of matching healthcare supply and demand, the discussion examines two critical issues: healthcare staff scheduling (including staffing and scheduling optimization) and patient scheduling (including static appointment scheduling and dynamic responses). Subsequently, the research trajectory of healthcare staff scheduling is outlined from the perspectives of homogeneous versus heterogeneous providers, behavioral factors, and decision cycles; meanwhile, modeling and optimization approaches to patient scheduling are synthesized with respect to provider characteristics, patient types and behaviors, and the complexity of service systems. Finally, based on a summary of the current state of research, limitations are identified in areas such as joint scheduling, behavioral modeling, and multi-stage coordination, and future research directions are highlighted, including healthcare staff skill development, patient compliance, data-driven behavioral prediction, and human–machine interaction. These insights provide theoretical guidance for understanding the evolution of outpatient scheduling optimization and for promoting the implementation of smart healthcare systems.

       

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