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題名:使用UML與模擬技術於醫院急診室流程改善之研究--以中部某區域教學醫院為例
書刊名:大葉學報
作者:葉進儀 引用關係陳民枝吳軍劼
作者(外文):Yeh, Jinn-yiChen, JeanneWu, Jun-jie
出版日期:2002
卷期:11:1
頁次:頁91-102
主題關鍵詞:急診室統一模式語言系統模擬醫療照顧品質Emergency departmentEDUnified modeling languageUMLSystem simulationHealthcare quality
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:0
  • 點閱點閱:30
     由於環境的快速變遷,讓人類的健康常常面臨極大的考驗,因而醫院的急診室常常扮演著人類生死存亡的關鍵角色,又由於醫療服務具有高度的專業性及不可替代性,使得民眾對急診室有著高度的期許與依賴,但很多醫院的急診部門仍然有病患等待過久且延誤就醫的問題,造成了許多醫療上的糾紛,而且不斷加劇上升的醫療保健費用,增加了許多醫院的負擔,使得醫療照顧品質管理形成高度風險化,因此如何在兼顧醫院的成本下改善急診室的流程,來增加病患對醫療院所的滿意度實為一重要的課題。   本篇論文應用統一模式語言(unified modeling language, UML)與模擬技術來探討國內醫療院所急診流程的改善方法,UML承襲物件導向分析與設計的方法,可用來作為描述模擬模組藍圖的標準模式語言,系統模擬則是許多專家學者建議使用,對於改進醫療保健為一種非常有效的工具,此研究之資料蒐集自中部的某地區教學醫院,經過電腦分析比較結果發現在不改變目前現有的資源下,適當的流程改善可以有效地降低循環時間、系統中之人數、及等待時間,達到提升醫療照顧品質,進而維持適度的醫療成本,減少醫療資源浪費的目的。
     In a rapidly changing environment, the personal health of humans is often challenged. The emergency department (ED) of a hospital is often challenged to play a role between life and death. Increasingly, patients have higher expectations of professionalism in healthcare. However, EDs in many hospitals have long waits wherein patients are sometimes not treated expeditiously. This results in malpractice suits that cause healthcare costs to be increasingly on the rise. This added burden to hospitals places healthcare quality management at high risk. Therefore, controlling costs while introducing changes in EDs in order to increase patients’ satisfaction is indeed an important issue. This research uses Unified Modeling Language (UML) with simulation techniques to study the processes of EDs in order make appropriate process-change recommendations. UML is an object-oriented analytical and programming method used to create a blueprint of a simulation model for an ED. Many researchers have suggested that system simulation is an efficient tool for improving healthcare quality. The data for this research was collected from a local teaching hospital in Central Taiwan. After computer analysis and comparison, it was found that ED processes can be improved by making certain adjustments without changing resources. Therefore, with appropriate adjustments, the cycle time, number of persons in the system and waiting time can be effectively lowered. These adjustments in turn result in increased healthcare quality, cost savings and decreased wastage of resources.
期刊論文
1.粘孝堉、陳信誠(19990700)。應用等候理論評估醫院急診室人力資源之研究。品質管制月刊,35(7),55-60。  延伸查詢new window
2.Edmonds, M. I.、O'Connor, H. M.(1999)。The use of computer simulation as a strategic decision-making tool: a case study of an emergency department application。Healthcare Management Forum,12(2),32-33。  new window
3.Hou, T. H.、Huang, C. K.、Huang, C. W.、Shen, W. H.、Tsai, T. W.(1999)。Apply simulation techniques on process reengineering evaluation - a case study in Pao-Chu Hospital。The Journal of China Association for Medical Informatics,10,27-40。  new window
4.Jones, A.、Ridener, A. J.、Smith, K. G.(1997)。Preparing for change: emergency department queuing theory and computer simulation。Topics in Emergency Medicine,19(2),40-46。  new window
5.Lopez-Valcarcel, B. G.、Perez, P. B.(1994)。Evaluation of alternative functional designs in an emergency department by means of simulation。Simulation,63(1),20-28。  new window
6.Yeh, J.、Chen, J.(2001)。Application of simulation techniques to enhance Taiwan’s outpatient services with reference to those in America。Journal of Da-yeh University,10(2),91-99。  new window
7.顏春煌(20000400)。UML在軟體工程上的塑模功能。管理與資訊學報,5,317-325。new window  延伸查詢new window
會議論文
1.McGuire, F.(1994)。Using simulation to reduce length of stay in emergency departments。1994 Winter Simulation Conference,861-867。  new window
學位論文
1.侯幸雨(1999)。應用模擬技術探討台灣醫院門診預約掛號系統(碩士論文)。國立中正大學。  延伸查詢new window
2.黃俊智(1997)。應用模擬技術探討某專科診所門診預約掛號制度(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.Kelton, W. D.、Sadowski, R. P.、Sadowski, D. A.(1998)。Simulation with ARENA。New York, NY:McGraw Hill。  new window
2.Law, A. M.、Kelton, W. D.(2000)。Simulation Modeling and Analysis。New York:McGraw Hill。  new window
圖書論文
1.Banks, J.(1998)。Principles of simulation。Handbook of Simulation: principles, Methodology, Advances, Applications, and Practice。New York, NY:Wiley Interscience。  new window
2.McGuire, F.(1998)。Simulation in healthcare。Handbook of Simulation: principles, Methodology, Advances, Applications, and Practice。New York, NY:Wiley Interscience。  new window
 
 
 
 
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