NL2023043A - Civil hospital mobilization system and method thereof - Google Patents

Civil hospital mobilization system and method thereof Download PDF

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NL2023043A
NL2023043A NL2023043A NL2023043A NL2023043A NL 2023043 A NL2023043 A NL 2023043A NL 2023043 A NL2023043 A NL 2023043A NL 2023043 A NL2023043 A NL 2023043A NL 2023043 A NL2023043 A NL 2023043A
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mobilization
manpower
medical
hospital
reserve
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NL2023043B1 (en
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Zhang Lulu
Li Meina
Xue Chen
Ding Tao
Liu Xu
Yu Wenya
Dong Junqiang
Hu Chaoqun
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Second Military Medical Univ
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Abstract

The present invention provides a civil hospital mobilization system and method thereof, and the system includes a civil hospital mobilization model configured to simulate mobilization organization and management of a civil hospital resource, to obtain a 5 corresponding mobilization result. The civil hospital mobilization model includes an organization management module configured to generate a mobilization policy for the civil hospital resource; a mobilization execution module configured to mobilize the civil hospital resource according to the mobilization policy, and output a mobilization result. The system and method of the present invention can accurately reflect a dynamic relationship between 10 impact parameters in the civil hospital resource mobilization process, thereby providing a reference basis for making a valid mobilization policy. -34-

Description

BACKGROUND OF THE INVENTION
1. Field of the Invention [0001] The present invention relates to a data processing technical field, and more particularly to a civil hospital mobilization system and a method thereof.
2. Description of the Related Art [0002] There are often many uncertain factors in occurrence of disaster events, and effective organization and invocation of civil medical resources can reduce the damages caused to people and property by disaster events.
[0003] In order to improve mobilization efficiency of civil hospitals and reduce mobilization cost, the technicians proposed a qualitative analysis method for the relevant factors in the hospital mobilization process, so as to construct a corresponding system conceptual model. However, existing civil hospital mobilization system concept model has following defects.
[0004] The existing civil hospital mobilization system concept model does not change the system organization structure of the civil hospital mobilization, but focuses on reform of micro and macro management systems and policies, so the mobilization policies possibly gain in one thing and lose in another, for example, the mobilization policies are mostly concentrated on surface factors, and halted in unilateral effects, and unable to simulate feedback influence and dynamic interaction between the factors, and also unable to perform systematic research combining internal and external systems, structural factors and scientific factors, surface factors and deep factors. Furthermore, the existing civil hospital mobilization system concept model has insufficiency in explanation for the deep impact on the efficiency and cost of civil hospital mobilization, so it is hard to obtain an experimental basis for the policy intervention “target” and intervention intensity to promote the development of civil hospital mobilization system.
SUMMARY OF THE INVENTION [0005] In view of the defects of the conventional technologies, an objective of the present invention is to provide a civil hospital mobilization system and a method thereof.
[0006] In a first aspect, an embodiment of the present invention provides a civil hospital mobilization system comprising a civil hospital mobilization model configured to simulate mobilization organization and management of a civil hospital resource, to obtain a mobilization result, and the civil hospital mobilization model comprises:
[0007] an organization management module configured to generate a mobilization policy for the civil hospital resource;
[0008] a mobilization execution module configured to mobilize the civil hospital resource according to the mobilization policy, and output the mobilization result.
[0009] Preferably, the mobilization policy comprises mobilization in civil hospital manpower, mobilization in civil hospital funds, mobilization in civil hospital assets, and the civil hospital manpower comprises reserve-duty manpower and non-reserve-duty manpower.
[0010] Preferably, the civil hospital mobilization model comprises a mathematic equation characterizing an inter-impact relationship between different parameters, and the parameters comprise a stock, a rate, an auxiliary variable, a constant;
[0011] wherein the stock comprises a total amount of civil medical manpower, a total amount of civil medical assets, a total amount of funds, an amount of reserve-duty medical manpower, an amount of non-reserve-duty medical manpower, a total amount of medical manpower mobilization, a total amount of medical asset mobilization, a total amount of fund mobilization, a total cost of manpower mobilization coordination, a total cost of the manpower mobilization, a resource management, a mobilization plan, a mobilization decision, a mobilization implementation, or a mobilization cost;
[0012] wherein the rate comprises an increase in the medical manpower, an amount of medical manpower resignation, a decrease in manpower, an increase in non-reserve-duty manpower, an amount of reserve-duty manpower mobilization, an amount of non-reserve-duty manpower mobilization, an increase in reserve-duty manpower, an increase in the medical assets, a medical asset depreciation, an amount of medical asset mobilization, a total balance, or an increase in the manpower mobilization cost;
[0013] wherein the auxiliary variable comprises a completion rate of medical manpower mobilization, an increase ratio in manpower, an increase rate in manpower, an average manpower expenditure, a hospitalization manpower parameter, an amount of hospitalization manpower, a per capita hospitalization output, an income of hospitalization service, a supply-demand ratio of the hospitalization service, a hospitalization service capability, a medical manpower mobilization rate, a potential of the medical manpower mobilization, a per capita medical output, or an expense of medical equipment mobilization;
[0014] wherein the constant comprises per annual medical treatment times, a ratio of critical illnesses in hospital, an average price of hospitalization, an information system performance value, or an initial population.
[0015] In a second aspect, an embodiment of the present invention provides a method of mobilizing a civilian hospital, and the method can be applied in the above-mentioned civil hospital mobilization system, and comprises steps of:
[0016] constructing a civil hospital mobilization model;
[0017] simulating mobilization organization and management of a civil hospital resource, through the civil hospital mobilization model, so as to obtain a mobilization result.
[0018] Preferably, the step of constructing the civil hospital mobilization model comprises;
[0019] determining a target parameter for characterizing the mobilization result in a civil hospital mobilization process; and [0020] constructing a mathematic equation relating a stock, an auxiliary variable, a constant, a rate and the target parameter.
[0021] Preferably, the target parameter comprises a total amount of reserve-duty manpower mobilization, a total amount of non-reserve-duty manpower, a total amount of the medical manpower mobilization, a total amount of medical asset mobilization, a total amount of fund mobilization, a mobilization time, a total cost of the manpower mobilization, a total cost of manpower mobilization coordination;
[0022] wherein the stock comprises a total amount of civil medical manpower, a total amount of civil medical assets, a total amount of funds, reserve-duty medical manpower, non-reserve-duty medical manpower, a total amount of medical manpower mobilization, a total amount of medical asset mobilization, a total amount of fond mobilization, a total cost of manpower mobilization coordination, a total cost of the manpower mobilization, a resource management, a mobilization plan, a mobilization decision, a mobilization implementation, or a mobilization cost;
[0023] wherein the rate comprises an increase in medical manpower, an amount of medical manpower resignation, a decrease in manpower, an increase in non-reserve-duty manpower, an amount of reserve-duty manpower mobilization, an amount of non-reserve-duty manpower mobilization, an increase in reserve-duty manpower, an increase in medical assets, a medical asset depreciation, an amount of medical asset mobilization, a total balance, and an increase in the manpower mobilization cost;
[0024] wherein the auxiliary variable comprises a completion rate of medical manpower mobilization, an increase ratio in manpower, an increase rate in manpower, an average manpower expenditure, a hospitalization manpower parameter, an amount of hospitalization manpower, a per capita hospitalization output, an income of hospitalization service, a supply-demand ratio of the hospitalization services, a hospitalization service capability, a medical manpower mobilization rate, medical manpower mobilization potential, a per capita medical output, an expense of medical equipment mobilization;
[0025] wherein the constant comprises per annual medical treatment times, a ratio of critical illnesses in hospital, an average price of hospitalization, an information system performance value, or an initial population.
[0026] Preferably, after the step of constructing the mathematic equation relating the stock, the auxiliary variable, the constant, the rate and the target parameter, the method comprises: [0027] applying historical data to verify the mathematic equation relating the target parameter.
[0028] Preferably, the step of applying the historical data to verify the mathematic equation relating the target parameter, comprises:
[0029] according to the historical data, inputting known stock, known auxiliary variable, known constant, known rate into the civil hospital mobilization model, to obtain a simulation value corresponding to the target parameter;
[0030] comparing the simulation value with actual historical data, to obtain a sensitivity result of the civil hospital mobilization model.
[0031] Compared with the conventional technologies, the present invention has following beneficial effects.
[0032] The civil hospital mobilization system and method thereof provided by the present invention can simulate the mobilization organization and management of a civil hospital resource, by constructing the civil hospital mobilization model, so as to obtain the corresponding mobilization result. The civil hospital mobilization model can comprise an organization management module configured to generate a mobilization policy for the civil hospital resource; a mobilization execution module configured to mobilize the civil hospital resource according to the mobilization policy, and output the mobilization result. The present invention can accurately reflect a dynamic relationship between impact parameters in the civil hospital resource mobilization process, thereby providing a reference basis for making a valid mobilization policy.
BRIEF DESCRIPTION OF THE DRAWINGS [0033] The structure, operating principle and effects of the present invention will be described in detail byway of various embodiments which are illustrated in the accompanying drawings.
[0034] FIG. 1 is a schematic structural diagram of a civil hospital mobilization model according to an embodiment of the present invention.
[0035] FIG. 2 is a schematic diagram of processing data for an organization management module, according to an embodiment of the present invention;
[0036] FIG. 3 is a schematic diagram of processing data for a mobilization execution module, according to an embodiment of the present invention;
[0037] FIG. 4 is a schematic flow chart of a method for mobilizing a civil hospital, according to an embodiment of the present invention.
[0038] FIG. 5 is a schematic structural diagram of a cause tree of a total medical manpower mobilization amount, according to an embodiment of the present invention.
[0039] FIG. 6 is a schematic structural diagram of a result tree of a total medical manpower mobilization amount, according to an embodiment of the present invention.
[0040] FIG. 7 is a schematic diagram showing emulation results of medical total cost of manpower mobilization coordination, according to an embodiment of the present invention.
[0041] FIG. 8 is a schematic diagram showing emulation results for medical asset mobilization completion rate, according to an embodiment of the present invention.
[0042] FIG. 9 is a schematic diagram showing emulation results for a fund mobilization completion rate according to an embodiment of the present invention.
[0043] FIG. 10 is a schematic diagram showing emulation results of completion rate of medical manpower mobilization according to an embodiment of the present invention.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS [0044] The present invention disclosed herein has been described by means of specific embodiments. These embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art. It is to be acknowledged that these embodiments are exemplary implementations and are not to be construed as limiting the scope of the present invention in any way. However, numerous modifications, variations and enhancements can be made thereto by those skilled in the art without departing from the spirit and scope of the disclosure set forth in the claims.
[0045] FIG. 1 is a schematic structural diagram of a civil hospital mobilization model according to an embodiment of the present invention. FIG. 1 shows the civil hospital mobilization model, and the civil hospital mobilization model is configured to simulate mobilization organization and management of a civil hospital resource, to obtain a mobilization result correspondingly. The civil hospital mobilization model comprises an organization management module 10 and a mobilization execution module 20.
[0046] The organization management module 10 is configured to generate a mobilization policy for the civil hospital resource.
[0047] The mobilization execution module 20 is configured to mobilize the civil hospital resource according to the mobilization policy, and output the mobilization result.
[0048] In this embodiment, a stock comprises a total amount of civil medical manpower, a total amount of civil medical assets, a total amount of funds, an amount of reserve-duty medical manpower, an amount of non-reserve-duty medical manpower, a total amount of medical manpower mobilization, a total amount of medical asset mobilization, a total amount of fund mobilization, a total cost of manpower mobilization coordination, a total cost of the manpower mobilization, resource management, a mobilization plan, a mobilization decision, mobilization implementation, or mobilization cost. A rate comprises an increase in the medical manpower, an amount of medical manpower resignation, a decrease in manpower, an increase in non-reserve-duty manpower, an amount of reserve-duty manpower mobilization, an amount of non-reserve-duty manpower mobilization, an increase in reserve-duty manpower, an increase in the medical asset, an amount of medical asset depreciation, an amount of medical asset mobilization, total balance, and an increase in the manpower mobilization cost. An auxiliary variable comprises a completion rate of medical manpower mobilization, an increase ratio in manpower, an increase rate in manpower, an average manpower expenditure, a hospitalization manpower parameter, an amount of hospitalization manpower, per capita hospitalization output, an income of hospitalization service, a supply-demand ratio of the hospitalization service, hospitalization service capability, a medical manpower mobilization rate, potential of the medical manpower mobilization, per capita medical output, or an expense of medical equipment mobilization. A constant comprises per annual medical treatment times, a ratio of critical illnesses in hospital, an average price of hospitalization, an information system performance value, and initial population.
[0049] FIG. 4 is a schematic flow chart of a method for mobilizing a civil hospital, according to an embodiment of the present invention. Combining with FIG. l-FIG. 3, the method shown in FIG. 4 can include following steps.
[0050] In a step S101, main variables of the civil hospital mobilization model are determined. [0051] In this embodiment, since the civil hospital mobilization model has a large number of variables and it is not easy to determine the variables, the operation of selecting the variables must be combined with the model execution. The system variables of this model can be determined through a simulation experiment method, the variables are roughly selected for model debugging within a variation range thereof, and after there is no significant change in model behavior, the main variables can be determined.
[0052] The variables of the civil hospital mobilization model include the stock, the rate, the auxiliary variable and the constant. In order to simplify the model parameters, the parameter less significant over time can be approximately taken as a constant. This model applies three approaches to determine the constant, the first approach is to fit historical data, the second approach is to initialize the model at equilibrium, and the third approach is to initialize some special increasing (or decreasing) processes. In consideration that the determination of the constant possibly greatly impact the system behavior, some necessary technical processes are performed on the data having high fluctuation hi the actual system, to select average values of the data in certain time periods.
[0053] Particularly, various parameters of the civil hospital mobilization model can be evaluated by the following methods (1) Use statistical data and survey data to determine the parameters;
(2) Some conventional mathematical methods, such as econometrics, grey prediction, etc.;
(3) Analog calculation using the causal relationship among the factors in the model;
(4) Expert assessment.
[0054] In a step SI02, a mathematic equation corresponding to the main variables of the civil hospital mobilization model is obtained.
[0055] In this embodiment, eventually, a quantitative emulation model is established based on the qualitative analysis, and the mathematic equation can be used to establish a quantitative model for performing emulation on a computer, so the mathematic equation must meet the necessary conditions for emulation. Particularly, they comprise:
Mathematic equations for stock:
L (Equation 1)
N (Equation2)
Wherein, v represent the inflow rate and the outflow rate, respectively;
A mathematic equation for rate:
R A (Equations) r
Wherein, ' represents that the stock on the right of the equation shall be the value at time ‘represents that the auxiliary variable on the right of the equation shall be the value at time represents that the rate on the right of the equation shall be the value at time ; the above * and shall be determined depending on the sequence of variable calculation during emulation.
(1) Mobilization rescue capability
It is represented by the classic Cobb-Douglas equation Y=A L“KP. It is believed that the output growth rule of civil hospital mobilization system can be expressed as the function between system manpower resource L and capital K. The variables are defined as: Y is the system output, representing the wrar wound rescue capability of the system; K is the total amount of capital investment, expressed as the total amount of medical asset mobilization; L is the total amount of system manpower resource, expressed as the total amount of medical manpower mobilization; A is the output capability parameter, whereas a and β are the output elastic coefficients of manpower L and capital K, used as the parameters to be assessed. Namely:
Mobilization rescue capability=output capability parameter of mobilization system x total amount o f medical manpower mobilization elastlc coefficient of manpower output x l 0(a] am0Liri[ of medical asset mobilization(1-elastlc coefficient °f manpower output) (2) Determination of smooth function
Smooth function aims at message smoothing, and it has the action of message delay at the same time. Smooth function is classified into first-order smooth function and third-order smooth function, mainly including hospitalization manpower parameter, outpatient manpower parameter, etc. For example:
Hospitalization manpower parameter = first-order smooth function (per capita hospitalization output/ per capita medical output/supply-demand ratio of the hospitalization service, time step X smooth cycle of manpower distribution)
Wherein, the “per capita hospitalization output/per capita medical output/supply-demand ratio of the hospitalization service” is a smooth variable; time step x smooth cycle of manpower distribution is a variable smooth time; hospitalization manpower parameter is the smooth value of first-order index.
Mobilization attraction factor = first-order smooth function (average mobilization manpower expenditure/average manpower expenditure, time step x5)
Wherein, the “average mobilization manpower expenditure/average manpower expenditure” is a smooth variable; time step X 5 is a variable smooth time, representing five steps; the mobilization attraction factor is the smooth value of first-order index.
(3) Determination of logistic delay function
The delay occurred on the logistic line is called logistic delay, and the corresponding phenomenon that quantitative changes can be obtained only after retardation for a period of time. For example, reserve-duty medical manpower can play their roles after mobilization for a period of time, whereas non-reserve-duty medical manpower can play their roles after the mobilization preparation time and the training time of war wound rescue, and both variables are the delay functions of first-order logistic index. For example:
Transformation of reserve-duty manpower = implementation rate of mobilization x manpower mobilization implemented or not x initiation factor of manpower mobilization X first-order delay function (reserve-duty medical manpower x mobilization attraction factor, mobilization preparation time)
Transformation of non-reserve-duty manpower = implementation rate of mobilization x manpower mobilization implemented or not x non-reserve-duty manpower mobilized or not x initiation factor of manpower mobilization x first-order delay function (non-reserve-duty medical manpower x medical manpower mobilization rate x mobilization attraction factor, mobilization time) (4) Determination of logic function
Logic function has maximum function, minimum function, etc., including manpower mobilization implemented or not, the amount of reserve-duty manpower mobilization, etc. For example:
Manpower mobilization implemented or not = 1 (Applicable condition: medical manpower mobilization potential > 0; besides, the completion rate of medical manpower mobilization < 1) =0 (Applicable condition: medical manpower mobilization potential = 0; or, the completion rate of medical manpower mobilization = 1)
Amount of reserve-duty manpower mobilization = transformation of reserve-duty manpower mobilization (Applicable condition: transformation of reserve-duty manpower mobilization < reserve-duty medical manpower) = reserve-duty medical manpower (Applicable condition: transformation of reserve-duty manpower mobilization > reserve-duty medical manpower)
Since the quantities of suppliers and demanders of medical and health services are unequal in reality, we use the minimum function, that is, whichever is smaller will be selected in the logic function as the actual service amount of medical and health service institutions. For example,
Actual hospitalization amount = minimum function (amount of hospitalization demand, hospitalization service capability)
Actual outpatient amount = minimum function (outpatient service capability, amount of outpatient demand) (5) Determination of population function relationship
On the basis of summarizing references and combined with expert consultation, it is determined that the changes of total population is mainly affected by the birth rate and mortality of population. According to the theoretical method of modeling by system dynamics, the total population is determined as a variable of integration, so that the population variable function relationship is established.
(6) Determination of table function
The extreme value and intermediate value of such variable are preliminarily determined by analyzing the survey data on site, and their changing trends are determined by combining with expert consultation, so as to realize the Table of Increase Rate in Manpower, Table of Medical Manpower Mobilization Rate and Table of Investment Rate.
(7) Determination of Initial Value
Initial value is involved in the process of modeling, and the initial values of parameters shall be determined in accordance with Jiangxi Statistical Yearbook 2007, China Health Statistical Yearbook 2007 and the 2006 statistical data of Jiangxi Commission for National Defense Mobilization and in combination with expert consultation and additional data by site survey.
Particularly, see Table 1 and Table 2 for details of the main functions and variables of the civil hospital mobilization model.
Table 1 Main Functions and Variables of Civil Hospital Mobilization System
Model Variable Model Equation Unit
Stock
Resource management Information collection rate + Condition difference in examination (Applicable condition: Condition difference in examination > Information collection rate)
0.2 (Applicable condition: Condition difference in examination information collection rate)
Mobilization plan Information processing rate + Condition difference in mobilization plan (Applicable condition: Condition difference in mobilization plan > Information processing rate)
0.2 (Applicable condition: Condition difference in mobilization plan Information collection rate)
Mobilization decision Completion rate of plan + Condition difference in decision (Applicable condition: Condition difference in decision > Completion rate of plan) 0.2 (Applicable condition: Condition difference in decision Completion rate of plan)
Mobilization Decision implementation rate + Condition
implementation difference in organization (Applicable condition: Condition difference in organization > Decision implementation rate) 0.2 (Applicable condition: Condition difference in organization Decision implementation rate)
Total amount of civil 119761 + (Increase in the medical manpower - Person
medical manpower Amount of medical manpower resignation - Decrease in manpower)
Total amount of civil 2.37e* 1012 + (Increase in the medical assets - RMB: yuan
medical assets Transformation of medical equipment mobilization - Medical asset depreciation)
Total amount of funds 5.5184e><109+ (Total balance - Total RMB: yuan investment - Transformation of fund mobilization)
Reserve-duty medical Initial value of reserve-duty medical manpower Person
manpower + Increase in reserve-duty manpower - Amount of reserve-duty manpower mobilization (Applicable condit ion: Amount of reserve-duty manpower mobilization 5Ξ Reserve-duty medical manpower) Initial value of reserve-duty medical manpower (Applicable condition: Amount of reserve-duty
Non-reserve-duty medical manpower manpower mobilization > Reserve-duty
medical manpower) 119761 - Initial value of reserve-duty medical manpower + (Increase in non-reserve-duty manpower - Amount of non-reserve-duty manpower mobilization) Person
Total amount of Amount of reserve-duty manpower mobilization Person
reserve-duty manpower mobilization
Total amount of Amount of non-reserve-duty manpower Person
non-reserve-duty mobilization
manpower mobilization
Total amount of medical 0 + Increase in manpower mobilization Person
manpower mobilization (Applicable condition: Increase in manpower mobilization < Amount of uncompleted medical manpower mobilization) 0 + Amount of uncompleted medical manpower mobilization (Applicable condition: Increase in manpower mobilization > Amount of uncompleted medical manpower mobilization)
Total amount of medical 0 + Transformation of medical equipment RMB: yuan
asset mobilization mobilization (Applicable condition: Transformation of medical equipment mobilization < Amount of uncompleted asset mobilization) 0 + Amount of uncompleted asset mobilization (Applicable condition: Transformation of medical equipment mobilization > Amount of uncompleted asset mobilization)
Total amount of fund 0 + Amount of asset mobilization RMB: yuan
mobilization
Total cost of manpower 0 + Increase in the cost of manpower RMB: yuan
mobilization coordination mobilization coordination
Manpower mobilization 0 + Increase in the manpower mobilization cost RMB: yuan
cost
Rate
Increase in the medical Total amount of civil medical manpower x Person
manpower Increase rate in manpower
Amount of medical Rate of manpower resignation x Total Amount Person
manpower resignation of civil medical manpower
Decrease in manpower Amount of non-reserve-duty manpower Person
Increase in mobilization + Amount of reserve-duty manpower mobilization Non-reserve-duty medical manpower x Increase Person
non-reserve-duty rate in manpower
manpower Amount of reserve-duty Transformation of reserve-duty manpower Person
manpower mobilization mobilization (Applicable condition:
Amount of transformation of reserve-duty manpower mobilization < Reserve-duty medical manpower) Reserve-duty medical manpower (Applicable condition: Transformation of reserve-duty manpower mobilization > Reserve-duty medical manpower) Transformation of non-reserve-duty manpower Person
non-reserve-duty mobilization (Applicable condition:
manpower mobilization Transformation of non-reserve-duty manpower
Increase in manpower mobilization < Non-reserve-duty medical manpower) Non-reserve-duty medical manpower (Applicable condition: Transformation of non-reserve-duty manpower mobilization > Non-reserve-duty medical manpower) Increase in non-reserve-duty manpower Person
mobilization mobilization + Increase in reserve-duty
Increase in reserve-duty manpower mobilization Reserve-duty medical manpower x Increase rate Person
manpower Increase in the medical assets Medical asset depreciation in manpower Total investment Rate of medical asset depreciation x Total amount of civil medical assets RMB: yuan RMB: yuan
Transformation of Initiator of medical asset mobilization x RMB: yuan
medical asset mobilization Implementation rate of mobilization x First-order delay function (Total amount of civil medical assets x (1 - Minimum demand rate of civil equipment) X Asset mobilization rate, time, 0) (Applicable condition: Completion rate of medical asset mobilization < 1) 0 (Applicable condition: Completion rate of medical asset mobilization >1)
Amount of medical asset Amount of uncompleted asset mobilization RMB: yuan
mobilization (Applicable condition: Amount of uncompleted asset mobilization < Transformation of medical asset mobilization) Transformation of medical asset mobilization (Applicable condition: Amount of uncompleted asset mobilization > Transformation of medical asset mobilization)
Total balance Total income - Total manpower expenditure RMB: yuan
Increase in the cost of Cost of non-reserve-duty manpower RMB: yuan
manpower mobilization mobilization coordination + Cost of —
coordination reserve-duty manpower mobilization coordination
Increase in manpower Total wage expenditure of medical manpower RMB: yuan
mobilization cost mobilization + Cost of reserve-duty manpower mobilization coordination + Cost of non-reserve-duty manpower mobilization coordination
Information collection Third-order delay function (information system
rate performance, time) (Applicable condition: Resource management < 1) 0 (Applicable condition: resource management >1)
Information processing Third-order delay function (resource
rate management, time, 0) (applicable condition: Third-order delay function (resource management, time, 0) < 1) 1 (Applicable condition: third-order delay function (resource management, time, 0) > 1)
Completion rate of plan Third-order delay function (mobilization plan, time, 0) (Applicable condition: third-order delay function (mobilization plan, time, 0) < 1, and (third-order delay function (mobilization plan, Time, 0) > 0) 1 (Applicable condition: third-order delay function (mobilization plan, time, 0) > 1, or (third-order delay function (mobilization plan, Time, 0)<0)
Decision implementation Third-order delay function (mobilization
rate decision, time, 0) (Applicable condition: (third-order delay function (mobilization decision, time, 0) <1; and (third-order delay function (mobilization decision, time, 0) > 0)) 1 (Applicable condition: (third-order delay function (mobilization decision, time, 0)>l; or (third-order delay function (mobilization decision, time, 0) < 0))
Auxiliary variable Initiation factor of 1 (Applicable condition: demand of medical
manpower mobilization manpower > 0) 0 (Applicable condition: demand of medical manpower 5/ 0)
Amount of uncompleted medical manpower mobilization Demand of medical manpower - Total amount of medical manpower mobilization
Ratio of uncompleted medical manpower mobilization Amount of uncompleted medical manpower mobilization/Demand of medical manpower
Completion rate of medical manpower mobilization 1 - Ratio of uncompleted medical manpower mobilization
Ratio of mobilizable Medical manpower mobilization potential/Total
manpower Population Increase rate of amount of civil medical manpower Initial population x e(increase rate ofP°Pulatio“x time) Person Table of Increase Rate in Manpower
population Increase rate in (supply-demand ratio) First-order smooth function (increase rate of
manpower population x increase rate in basic manpower, time step) (Applicable condition: total amount of funds > 0) 0.05/365 (Applicable condition: total amount of funds = 0)
Average manpower expenditure Hospitalization Initial value of manpower wage x elchang'ng rate of RMB: wage income x time) yuan/PerSOU First-order smooth function (Per capita
manpower parameter hospitalization output/Per capita medical output/Supply-demand ratio of the hospitalization sendee, time step x Smooth cycle of manpower distribution)
Amount of Total amount of civil medical manpower x Person
hospitalization manpower First-order delay function (1 - Ratio of outpatient manpower parameter, time step, 1 Initial value of the ratio of outpatient manpower)
Per capita hospitalization Income of hospitalization sendee/Amount of RMB:
output hospitalization manpower yuan/Person
Income of hospitalization Actual hospitalization amount x Average price RMB: yuan
service ofhospitalization
Supply-demand ratio of Hospitalization service
the hospitalization service capability/Hospitalization demand
Hospitalization service Amount ofhospitalization manpower x Number Person
capability of days of hospitalized bed per medical manpower per day
Hospitalization demand Population x per capita number of patients for admission to hospital per year/365 Person
Supply-demand ratio Supply-demand ratio of the hospitalization sendee x 0.8 + SUPPLY-demand ratio of the outpatient service X 0.2
Average mobilization Initial value of mobilization manpower wage x RMB:
manpower expenditure ^increase rate of wage income x time) yuan/Person
Mobilization preparation time Timex 2 Day
Mobilization attraction First-order smooth function (average
factor mobilization manpower expenditure/Average manpower expenditure, time step x5)
Manpower mobilization 1 (Applicable condition: Medical manpower
implemented or not mobilization potential > 0; and the completion rate of medical manpower mobilization < 1) 0 (Applicable condition: medical manpower mobilization potential=0; or, the completion rate of medical manpower mobilization=l)
Mobilization rescue Output capability parameter of mobilization Person
capability system x Total amount of medical manpower mobilization e'ast’c coefficient of manpower output χ Total amount of medical asset mobilization(1 _ elastic coefficient of manpower output)
Mobilization time Mobilization preparation time + Training time Day
Medical manpower 0.01 x First-order smooth function (Table of
mobilization rate Medical Manpower Mobilization Rate (ratio of
IS
uncompleted medical manpower mobilization), time step x2) (Applicable condition: amount of uncompleted medical manpower mobilization > 0) 0 (Applicable condition: amount of uncompleted medical manpower mobilization = 0)
Medical manpower Total amount of civil medical manpower - Person
mobilization potential Minimum civil manpower demand
Per capita medical output Total income/Total amount of civil medical RMB:
manpower yuan/Person
Per capita mobilization Increase in manpower mobilization cost/Total RMB: yuan
cost amount of medical manpower mobilization (Applicable condition: total amount of medical manpower mobilization > 0) 0 (Applicable condition: total amount of medical manpower mobilization ~ 0)
Expense of medical Total amount of medical asset mobilization x RMB: yuan
equipment mobilization Expense for use of medical equipment
Potential of the medical Total amount of civil medical assets x (1 - RMB: yuan
assets mobilization Minimum demand rate of civil equipment)
Condition difference in Ideal condition of decision - Mobilization
decision decision
Actual hospitalization Minimum function (hospitalization demand, Person
amount hospitalization service capability)
Actual outpatient amount Minimum function (outpatient service capability, outpatient demand) Person
Total manpower Total amount of civil medical manpower x RMB: yuan
expenditure Average manpower expenditure
Total wage expenditure Total amount of medical manpower RMB: yuan
of medical manpower mobilization x Average mobilization manpower
mobilization expenditure
Total medical income Income of outpatient service + Income of hospitalization sendee RMB: yuan
Total income Total medical income + Government investment RMB: yuan
Investment Rate Table of Investment Rate (supply-demand ratio)
Government investment Initial value of government investment x e (increase rate of government investment * time ) RMB: yuan
Minimum demand of Minimum hospitalization demand/Number of Person
hospitalization manpower days of hospitalized bed per medical manpower per day
Minimum hospitalization Hospitalization demand x Ratio of critical Person
demand illnesses in hospital
Minimum civil Minimum demand of hospitalization manpower Person
manpower demand + Minimum demand of outpatient manpower
Minimum demand of Minimum outpatient demand/Number of Person
outpatient manpower diagnosed and treated patients per medical manpower per day
Minimum outpatient Outpatient demand x Ratio of critical illnesses Person
demand in outpatient
Condition difference in Ideal condition of resource management -
resource management Resource management
Implementation rate of First-order smooth function (condition of
mobilization mobilization implementation, time)
Condition difference in Ideal condition of implementation -
implementation Mobilization implementation
Condition difference in Ideal condition of mobilization plan -
mobilization plan Mobilization plan
Training time Timex 3 RMB: yuan
Initiator of medical asset 1 (Applicable condition: demand of medical
mobilization assets > 0) 0 (Applicable condition: demand of medical assets =10)
Completion rate of Total amount of medical asset
medical asset mobilization mobilization/Demand of medical assets
Asset mobilization rate 0.05 (Applicable condition: amount of uncompleted asset mobilization>0)
0 (Applicable condition: amount of uncompleted asset mobilization 0)
Amount of uncompleted Demand of medical assets - Total amount of RMB: yuan
asset mobilization medical asset mobilization
Fund mobilization rate 0.01 (Applicable condition: amount of uncompleted asset mobilization > 0) 0 (Applicable condition: amount of uncompleted asset mobilization 5s 0)
Initiator of fund 1 (Applicable condition: funds demand > 0)
mobilization 0 (Applicable condition: funds demand 0)
Transformation of fund Initiator of fund mobilization x Total amount of RMB: yuan
mobilization funds x Fund mobilization rate x Implementation rate of mobilization (Applicable condition: amount of uncompleted asset mobilization > 0) 0 (Applicable condition: amount of uncompleted asset mobilization 0)
Amount of asset Transformation of fund mobilization RMB: yuan
mobilization (Applicable condition: transformation of fund mobilization < amount of uncompleted asset mobilization) Amount of uncompleted asset mobilization (Applicable condition: transformation of fund mobilization > amount of uncompleted asset mobilization)
Amount of uncompleted Funds demand - Total amount of fund RMB: yuan
asset mobilization mobilization
Completion rate of fund Total amount of fund mobilization/funds RMB: yuan
mobilization demand
Outpatient manpower First-order smooth function (Per capita output
parameter of outpatient service/Per capita medical output/Supply-demand ratio of the outpatient service, time step * Smooth cycle of manpower
distribution)
Ratio of outpatient manpower parameter Outpatient manpower parameter/(Outpatient manpower parameter + Hospitalization manpower parameter)
Amount of outpatient manpower Total amount of civil medical manpower x First-order delay function (ratio of outpatient manpower parameter, time step, initial value of the ratio of outpatient manpower) Person
Per capita output of Income of outpatient service/Amount of RMB:
outpatient service outpatient manpower yuan/Person
Income of outpatient service Supply-demand ratio of the outpatient service Actual outpatient amount x Average price of outpatient treatment Outpatient service capability/Outpatient demand RMB: yuan
Outpatient service capability Amount of outpatient manpower xNumber of diagnosed and treated patients per medical manpower per day Person
Outpatient demand Population x Per capita number of times for annual diagnosis and treatment/365 Person
Increase in non-reserve-duty manpower mobilization Non-reserve-duty manpower mobilized or not Amount of non-reserve-duty manpower mobilization 1 (Applicable condition: initial value of reserve-duty medical manpower < demand of medical manpower) 0 (Applicable condition: initial value of reserve-duty medical manpower > demand of medical manpower) Person
Increase in reserve-duty manpower mobilization Amount of reserve-duty manpower mobilization Person
Transformation of reserve-duty manpower mobilization Transformation of reserve-duty manpower (Applicable condition: transformation of reserve-duty manpower amount of uncompleted medical manpower mobilization) Person
Amount of uncompleted medical manpower mobilization (Applicable condition: transformation of reserve-duty manpower > amount of uncompleted medical manpower mobilization)
Cost of reserve-duty manpower mobilization coordination Amount of reserve-duty manpower mobilization RMB: yuan x (Average income of manpower/3)/Implementation rate of mobilization
Cost of non-reserve-duty manpower mobilization coordination Amount of non-reserve-duty manpower RMB: yuan mobilization x Average income of manpower X 2/Implementation rate of mobilization
Transformation of Transformation of non-reserve-duty manpower Person
non-reserve-duty mobilization (Applicable condition: transformation of non-reserve-duty manpower amount of uncompleted medical manpower mobilization) Amount of uncompleted medical manpower mobilization (Applicable condition: transformation of non-reserve-duty manpower > amount of uncompleted medical manpower mobilization)
Transformation of Implementation rate of mobilization x Person
non-reserve-duty Manpower mobilization implemented or not x
manpower Non-reserve-duty manpower mobilized or not x Initiation factor of manpower mobilization X First-order delay function (non-reserve-duty medical manpower x Medical manpower mobilization rate x Mobilization attraction factor, mobilization time)
Transformation of Implementation rate of mobilization x Person
reserve-duty manpower Manpower mobilization implemented or not x Initiation factor of manpower mobilization X First-order delay function (Reserve-duty
Constant medical manpower x Mobilization attraction factor, Mobilization preparation time)
Smooth cycle of 15
manpower distribution
Initial value of 100
manpower wage
Per capita number of 1.36
times for annual diagnosis
and treatment
Ratio of critical illnesses 0.3
in hospital
Average price of 3174.2
hospitalization
Information system 0.9
performance
Initial population 4.33913exl0
Initial value of 200
mobilization manpower
wage
Initial value of 9300
reserve-duty medical
manpower
Demand of medical 12000
manpower
Expense for use of 0.01
medical equipment
Minimum demand rate of 0.3
civil equipment
Ideal condition of 1
decision
Ideal condition of 1
resource management
Ideal condition of 1
Day
RMB: yuan
Time
RMB: yuan
Person
RMB: yuan
Person
Person
organization
Ideal condition of mobilization plan 1
Initial value of the ratio of outpatient manpower 0.2
Ratio of critical illnesses in outpatient 0.2
Average price of outpatient treatment 97.5 RMB: yuan
Per capita number of patients for admission to hospital per year 73.03/1000 Person
Number of days of hospitalized bed per medical manpower per day 1.5 Time
Number of diagnosed and treated patients per medical manpower per day 4.6 Time
Table 2 Main Table Functions and Variables of Civil Hospital Mobilization System
Function Name Assignment of Function
Table of Increase Rate ([(0,0)-(4,2)],(0,2),(0.0122324,1.98246),(0.103976,1.79825),
in Manpower (0.2263,1.63158).(0.391437,1.47368),(0.544343,1.31579),(0. 740061,1.17544),(1,1 ),(2,1),(4,1))
Table of Medical ([(0,0)-(1,1)],(0,0),(0.186544,0.0175439),(0.321101,0.03947
Manpower 37),(0.486239,0.100877),(0.623853,0.197368),(0.743119,0.3
Mobilization Rate 07018),(0.831804,0.407895),(0.902141,0.548246),(0.944954 ,0.697368),(0.972477,0.837719),(1,1))
Table of Investment ([(0,0)-(5,1)],(0.0152905,0.982456),(0.688073,0.929825),(1.
Rate 34557,0.77193),(1.78899,0.640351),(2.49235,0.403509),(3.7 6147,0.289474),(4.96942,0.20614)
[0056] In a step SI03, the civil hospital mobilization model is debugged.
[0057] In this embodiment, Vensim DSS software can be used to nm the civil hospital mobilization model. On Vensim DSS emulation platform, the variables can be set, the variable equation can be defined, and the variables can be linked to form a feedback loop, to debug the civil hospital mobilization model.
[0058] In the embodiment, the civil hospital mobilization model is constructed based on system dynamics, to expresses the causes and feedback structures of the model change, and a deeper behavior relationship diagram can be constructed by introducing level variable, rate variable, information flow and other factors into the model, so as to more completely and specifically describe a full picture of interactions between constructions, behaviors and elements of the model. A system flow diagram can be designed according to a relationship between internal factors of the civil hospital mobilization system, so as to reflect the characteristics and features of different variables that are not reflected in each cause-effect relation of the system, thereby making the internal operation mechanism of the system clearer. As a result, the purpose of emulating the policy of the civil hospital mobilization system can be realized by further quantifying of the relationship in the flow diagram.
[0059] Particularly, as shown in FIG. 5 and FIG. 6, this embodiment can also construct functions of a cause tree and a result tree to analyze a relationship between factors impacting the variables. The cause tree analysis can list the variable impacting a given variable, and trace back to the variable of the last-level impact factor of the given variable, so that the cause tree of the given variable can construct a subsystem, and the external effects of these listed variables can determine variance of the given variable. The result tree analysis can list the variable impacted by the given variable, and then list another variable impacted by the listed variables, and so on, thereby forwardly tracing level by level until the first level variables of the given variable appears. As a result, the result tree of the given variable can construct a subsystem which represents the final effect of the given variable for the entire system.
[0060] Furthermore, the civil hospital mobilization model can be used to perform simulation and intervention research, so as to form a more effective mobilization policy, and decrease the mobilization cost.
[0061] As shown in FIG. 7, the built civil hospital mobilization model can be used to simulate the time and total cost of manpower mobilization coordination for completing manpower, fund and asset mobilization. In a first experiment, an initial value of the medical reserve-duty manpower is set as 0. In a second experiment, the initial value of the medical reserve-duty manpower is set as the value of current medical reserve-duty manpower. In a third experiment, the initial value of the medical reserve-duty manpower is set as 2 times of the value of the current medical reserve-duty manpower. The experimental results show that, with the extension of mobilization time, the total cost of manpower mobilization coordination of the first experiment exceeds that of the second experiment and the third experiment. The manpower mobilization cost of the third experiment is always lower than that of the first experiment, and this is because the total cost of mobilization and coordination is related to per capita mobilization cost and the number of mobilized manpower. In the first experiment, the number of manpower mobilized at the beginning of mobilization is small subject to the weak response ability, although per capita mobilization cost is the highest, the lower number of mobilization manpower also cause the total cost of mobilization and coordination to be relatively low. As the mobilization task progresses and the number of mobilized manpower is fixed, the mobilization cost is mainly impacted by the per capita mobilization cost, so as to reflect a stable trend of the mobilization cost, that is, the mobilization cost of the first experiment is higher than that of the second experiment, and the mobilization cost of the second experiment is higher than that of the third experiment. The result can explain that the arrangement of the medical reserve-duty manpower is beneficial to control the manpower mobilization cost in implementation of the civil hospital mobilization.
[0062] As shown in FIG. 8 to FIG. 10, in a fourth experiment, the initial values of resource management, mobilization plan, mobilization decision and mobilization implementation are set as 0.0001, and those values are set as 0.2 and 1 in a fifth Experiment and a sixth experiment, respectively. The experimental results show that increasing completeness level of the resource management, the mobilization plan, the mobilization decision and the mobilization implementation can significantly improve the mobilization speed of medical assets, funds, and manpower.
[0063] The system-dynamics-based civil hospital mobilization system model can be used to emulate the civil hospital mobilization system, to analyze a relationship between the internal structure and dynamic behavior of the civil hospital mobilization system, and find a strategy for solving problem, and such emulation operation is equivalent to the “policy laboratory”. The model can be used to perform policy experiments and a user can observe the trend in system output result by changing the setting value of the variable, so as to test an experimental result of current actions, decisions or policies. The civil hospital mobilization system of the present invention has advantages of being able to simulate a multi-input-and-output complex system, and perform long-term simulation, thereby solving the problem that the social system is not suitable for direct experiment.
[0064] It should be noted that the steps of the method of mobilizing the civil hospital provided by the present invention can be implemented by using corresponding modules, devices, or units of the civil hospital mobilization system, and those skilled in the art can refer to the technical solution of the system to implement the step flow of the method; in other words, the embodiment in the above-mentioned system can be understood as a preferred example of implementing the method, so the detailed description of the method is not repeated herein.
[0065] Those skilled in the art should understand that, besides computer readable program code, the system and the device provided by the present invention can be fully implemented by logically programming the method steps to realize the same function in the form of logic gates, switches, ASIC, programmable logic controllers, and embedded microcontrollers. Therefore, the system and various devices thereof provided by the present invention can be considered as a hardware component, and the devices included therein for implementing various functions can also be regarded as structures in the hardware components; alternatively, the devices for implementing various functions can also be regarded as a software module for realizing the method, or as a structure within the hardware component.
[0066] The present invention disclosed herein has been described by means of specific embodiments. However, numerous modifications or variations can be made thereto by those skilled in the art without affecting the substantial contents of the present invention. Under the non-conflicting condition, the embodiments in this application and the features in the embodiments can be randomly combined with each other.

Claims (14)

CONCLUSIESCONCLUSIONS 1. Een mobilisatiesysteem voor een civiel ziekenhuis, gekenmerkt door:1. A mobilization system for a civil hospital, characterized by: - een mobilisatiemodel voor het civiel ziekenhuis, geconfigureerd om de mobilisatieorganisatie en het beheer van een hulpbron van het civiele ziekenhuis te simuleren, om een mobilisatieresultaat te verkrijgen;- a mobilization model for the civil hospital, configured to simulate the mobilization organization and management of a resource of the civil hospital, to obtain a mobilization result; - waarbij het mobilisatiemodel voor het civiele ziekenhuis omvat:- where the mobilization model for the civilian hospital comprises: o een organisatiebeheermodule, geconfigureerd om een mobilisatiebeleid te genereren voor de hulpbron van het civiele ziekenhuis; en o een module voor mobilisatie-uitvoering, geconfigureerd om de hulpbron van het civiele ziekenhuis te mobiliseren volgens het mobilisatiebeleid en het mobilisatieresultaat uit te voeren.o an organization management module configured to generate a mobilization policy for the resource of the civilian hospital; and o a mobilization execution module, configured to mobilize the resource of the civilian hospital according to the mobilization policy and to implement the mobilization result. 2. Het mobilisatiesysteem voor een civiel ziekenhuis volgens conclusie 1, waarbij het mobilisatiebeleid omvat • het mobiliseren van civiel ziekenhuismankracht, • het mobiliseren van civiele ziekenhuisfondsen, • het mobiliseren van civiele ziekenhuisactiva, waarbij het civiele ziekenhuismankracht reserve dienstmankracht en niet reserve dienstmankracht omvat.The civil hospital mobilization system according to claim 1, wherein the mobilization policy comprises • mobilizing civilian hospital manpower, • mobilizing civilian hospital funds, • mobilizing civilian hospital assets, wherein civilian civilian manpower comprises reserve service manpower and non-reserve service manpower. 3. Het mobilisatiesysteem voor een civiel ziekenhuis volgens conclusie 1, met het kenmerk, dat het mobilisatiemodel voor het civiele ziekenhuis een wiskundige vergelijking omvat die een inter-impactrelatie tussen verschillende parameters kenmerkt, en de parameters een voorraad, een snelheid, een hulpvariabele, een constante omvatten;The mobilization system for a civil hospital according to claim 1, characterized in that the mobilization model for the civil hospital comprises a mathematical equation that characterizes an inter-impact relationship between different parameters, and the parameters a stock, a speed, an auxiliary variable, a constant; - waarbij de voorraad bestaat uit • een totaal hoeveelheid aan civiel medisch mankracht, • een totaal hoeveelheid aan civiel medische activa, • een totaal hoeveelheid aan fondsen, • een hoeveelheid aan medisch reservedienst mankracht, • een hoeveelheid aan medisch niet-reservedienst mankracht, • een totaal hoeveelheid aan medische mankrachtmobilisatie, • een totale hoeveelheid mobilisatie van medische activa, • een totale hoeveelheid mobilisatie van fondsen, • een totale kost van coördinatie van mankrachtmobilisatie, • een totale kost van de mankrachtmobilisatie, • een hulpbronbeheer, • een mobilisatieplan, • een mobilisatiebesluit, • een mobilisatie-implementatie, of • een mobilisatiekost;- where the stock consists of • a total amount of civilian medical personnel, • a total quantity of civilian medical assets, • a total quantity of funds, • a quantity of medical reserve personnel, • a quantity of non-reserve medical personnel, • a total amount of medical manpower mobilization, • a total amount of mobilization of medical assets, • a total amount of mobilization of funds, • a total cost of coordination of manpower mobilization, • a total cost of manpower mobilization, • a resource management, • a mobilization plan, • a mobilization decision, • a mobilization implementation, or • a mobilization cost; - waarbij de snelheid omvat • een toename van het medisch mankracht, • een hoeveelheid verloop van medisch mankracht, • een afname van mankracht, • een toename van niet-reservedienst mankracht, • een hoeveelheid aan mobilisatie van reservedienst mankracht, • een hoeveelheid aan mobilisatie van niet-reservedienst mankracht, • een toename van reservedienst mankracht, • een toename van de medische activa, • een waardevermindering van medische activa, • een hoeveelheid voor de mobilisatie van medische activa, • een totaalbalans of • een toename van de mankrachtmobilisatie kost;- where the speed includes • an increase in medical manpower, • an amount of progress in medical manpower, • a decrease in manpower, • an increase in non-reserve service manpower, • an amount of mobilization of reserve manpower, • an amount of mobilization of non-reserve service manpower, • an increase in reserve service manpower, • an increase in medical assets, • a depreciation of medical assets, • an amount for the mobilization of medical assets, • a total balance sheet or • an increase in manpower mobilization costs; - waarbij de hulpvariabele omvat • een voltooiingssnelheid van de medische mankrachtmobilisatie, • een toenameverhouding in mankracht, • een toenamesnelheid in mankracht, • een gemiddelde mankrachtuitgaven, • een ziekenhuisopname mankrachtparameter, • een hoeveelheid voor ziekenhuisopname-mankracht, • een per capita ziekenhuisopnameoutput, • een inkomen van de ziekenhuisopnamedienst, • een aanbod/vraag-verhouding van de ziekenhuisopnamedienst, • een ziekenhuisopnamedienstcapaciteit, • een mobilisatiesnelheid voor medische mankracht, • een potentieel van de medische mankrachtmobilisatie, • een per capita medische output, of • een uitgave van mobilisatie van medische apparatuur;- wherein the auxiliary variable comprises • a completion speed of the medical manpower mobilization, • an increase in manpower, • an increase in manpower, • an average manpower expenditure, • a hospital admission manpower parameter, • an amount for hospital admission manpower, • a per capita hospitalization output, • an income from the hospital admission service, • a supply / demand ratio of the hospital admission service, • a hospital admission service capacity, • a mobilization speed for medical manpower, • a potential of medical manpower mobilization, • a per capita medical output, or • an expenditure of mobilization of medical equipment; - waarbij de constante omvat • het aantal jaarlijkse medische behandelingen, • een verhouding van kritieke ziekten in het ziekenhuis, • een gemiddelde prijs van ziekenhuisopname, • een prestatiewaarde van een informatiesysteem of • een initiële populatie.- where the constant comprises • the number of annual medical treatments, • a ratio of critical illnesses in the hospital, • an average price of hospitalization, • a performance value of an information system or • an initial population. 4. Een werkwijze voor het mobiliseren van een civiel hospitaal, met het kenmerk, dat de werkwijze wordt toegepast in het mobilisatiesysteem van het civiel ziekenhuis volgens één van de conclusies 1 tot 3, en omvat:A method of mobilizing a civil hospital, characterized in that the method is applied in the mobilization system of the civil hospital according to any of claims 1 to 3, and comprising: - het construeren van een civiel ziekenhuis mobilisatiemodel;- constructing a civilian hospital mobilization model; - het simuleren van een mobilisatieorganisatie en beheer van een civiele ziekenhuishulpbron, via het civiele ziekenhuismobilisatiemodel, om een mobilisatieresultaat te verkrijgen.- simulating a mobilization organization and management of a civilian hospital resource, through the civilian hospital mobilization model, to obtain a mobilization result. 5. Werkwijze volgens conclusie 4, met het kenmerk, dat de stap van het construeren van het civiele ziekenhuis mobilisatiemodel omvat:Method according to claim 4, characterized in that the step of constructing the civilian hospital mobilization model comprises: - het bepalen van een doelparameter voor het karakteriseren van het mobilisatieresultaat in een civiel ziekenhuismobilisatieproces; en- determining a target parameter for characterizing the mobilization result in a civilian hospital mobilization process; and - het construeren van een wiskundige vergelijking met betrekking tot een voorraad, een hulpvariabele, een constante, een snelheid en de doelparameter.- constructing a mathematical equation with regard to a stock, an auxiliary variable, a constant, a speed and the target parameter. 6. Werkwijze volgens conclusie 5, met het kenmerk, dat de doelparameter omvat • een totale hoeveelheid reserve dienstmankrachtmobilisatie, • een totale hoeveelheid niet reserve dienstmankracht, • een totale hoeveelheid medische mankrachtmobilisatie, • een totale hoeveelheid mobilisering van medische activa, • een totale hoeveelheid mobilisatie van fondsen, • een mobilisatietijd, • een totale kosten van de mankrachtmobilisatie, • een totale kost van coördinatie van mankrachtmobilisatie;A method according to claim 5, characterized in that the target parameter comprises • a total amount of reserve personnel mobilization, • a total amount of non-reserve personnel deployment, • a total amount of medical personnel mobilization, • a total amount of mobilization of medical assets, • a total amount mobilization of funds, • a mobilization time, • a total cost of manpower mobilization, • a total cost of coordination of manpower mobilization; - waarbij de voorraad bestaat uit • een totaal hoeveelheid aan civiel medisch mankracht, • een totaal hoeveelheid aan civiel medische activa, • een totaal hoeveelheid aan fondsen, • feen hoeveelheid aanl medisch reservedienst mankracht, • feen hoeveelheid aanl medisch niet-reservedienst mankracht, • een totaal hoeveelheid aan medische mankrachtmobilisatie, • een totale hoeveelheid mobilisatie van medische activa, • een totale hoeveelheid mobilisatie van fondsen, • een totale kost van coördinatie van mankrachtmobilisatie, • een totale kost van de mankrachtmobilisatie, • een hulpbronbeheer, • een mobilisatieplan, • een mobilisatiebesluit, • een mobilisatie-implementatie, of • een mobilisatiekost;- where the stock consists of • a total amount of civil medical manpower, • a total amount of civilian medical assets, • a total amount of funds, • a quantity of medical surplus service manpower, • a quantity of medical non-surplus service manpower, • a total amount of medical manpower mobilization, • a total amount of mobilization of medical assets, • a total amount of mobilization of funds, • a total cost of coordination of manpower mobilization, • a total cost of manpower mobilization, • a resource management, • a mobilization plan, • a mobilization decision, • a mobilization implementation, or • a mobilization cost; - waarbij de snelheid omvat • een toename van het medisch mankracht, • een aantal ontslagen van medisch mankracht, • een afname van mankracht, • een toename van niet reserve dienstmankracht, • een hoeveelheid aan mobilisatie van reservedienst mankracht, • een hoeveelheid aan mobilisatie van niet-reservedienst mankracht, • een toename van reservedienst mankracht, • een toename van de medische activa, • een waardevermindering van medische activa, • een hoeveelheid voor de mobilisatie van medische activa, • een totaalbalans of • een toename van de mankrachtmobilisatie kost;- where the speed includes • an increase in medical manpower, • a number of layoffs of medical manpower, • a decrease in manpower, • an increase in non-reserve service manpower, • a quantity of mobilization of reserve service manpower, • a quantity of mobilization of non-reserve service manpower, • an increase in reserve service manpower, • an increase in medical assets, • a depreciation of medical assets, • a quantity for the mobilization of medical assets, • a total balance sheet or • an increase in manpower mobilization costs; - waarbij de hulpvariabele omvat • een voltooiingssnelheid van de medische mankrachtmobilisatie, • een toenameverhouding in mankracht, • een toenamesnelheid in mankracht, • een gemiddelde mankrachtuitgaven, • een ziekenhuisopname mankrachtparameter, • een hoeveelheid voor ziekenhuisopname-mankracht, • een per capita ziekenhuisopnameoutput, • een inkomen van de ziekenhuisopnamedienst, • een aanbod/vraag-verhouding van de ziekenhuisopnamedienst, • een ziekenhuisopnamedienstcapaciteit, • een mobilisatiesnelheid voor medische mankracht, • een potentieel van de medische mankrachtmobilisatie, • een per capita medische output, of • een uitgave van mobilisatie van medische apparatuur;- wherein the auxiliary variable comprises • a completion speed of the medical manpower mobilization, • an increase in manpower, • an increase in manpower, • an average manpower expenditure, • a hospital admission manpower parameter, • an amount for hospital admission manpower, • a per capita hospitalization output, • an income from the hospital admission service, • a supply / demand ratio of the hospital admission service, • a hospital admission service capacity, • a mobilization speed for medical manpower, • a potential of medical manpower mobilization, • a per capita medical output, or • an expenditure of mobilization of medical equipment; - waarbij de constante omvat • het aantal jaarlijkse medische behandelingen, • een verhouding van kritieke ziekten in het ziekenhuis, • een gemiddelde prijs van ziekenhuisopname, • een prestatiewaarde van een informatiesysteem of • een initiële populatie.- where the constant comprises • the number of annual medical treatments, • a ratio of critical illnesses in the hospital, • an average price of hospitalization, • a performance value of an information system or • an initial population. 7. Werkwijze volgens conclusie 5, met het kenmerk, dat na de stap van het construeren van de wiskundige vergelijking met betrekking tot de voorraad, de hulpvariabele, de constante, de snelheid en de doelparameter, de werkwijze omvat:Method according to claim 5, characterized in that after the step of constructing the mathematical equation with respect to the stock, the auxiliary variable, the constant, the speed and the target parameter, the method comprises: - het toepassen van historische gegevens om de wiskundige vergelijking met- applying historical data to the mathematical comparison with 5 betrekking tot de doelparameter te verifiëren.5 to verify the target parameter. 8. Werkwijze volgens conclusie 7, met het kenmerk, dat de stap van het toepassen van de historische gegevens voor het verifiëren van de wiskundige vergelijking met betrekking tot de doelparameter, omvat:A method according to claim 7, characterized in that the step of applying the historical data for verifying the mathematical equation with respect to the target parameter comprises: - volgens de historische gegevens, het invoeren in het civiele- according to the historical data, entering in civil 10 ziekenhuismobilisatiemodel van bekende voorraad, bekende hulpvariabele, bekende constante, en bekende snelheid, om een simulatiewaarde te verkrijgen die overeenkomt met de doelparameter;Hospital mobilization model of known stock, known auxiliary variable, known constant, and known speed, to obtain a simulation value corresponding to the target parameter; - het vergelijken van de simulatiewaarde met actuele historische gegevens om een gevoeligheidsresultaat te verkrijgen van het civiele ziekenhuismobilisatiemodel.- comparing the simulation value with current historical data to obtain a sensitivity result from the civil hospital mobilization model. 1/161/16 2/162/16 3/163/16 4/164/16 5/165/16 oO Amount of fund demandAmount of fund demand 6/166/16 7/167/16 Expense medical I equipment mobilization IExpense medical I equipment mobilization I 8/168/16 __________.______________ mobilization Increase in the cost of coordination manpower mobilization coordination__________.______________ mobilization Increase in the cost of coordination manpower mobilization coordination 9/169/16 10/1610/16 O O r-4 O r-4 O en O and O tH tH υΠ υΠ σ’) σ ’)
toto ΦΦ 4-»4- » ΦΦ CS £X v?CS £ X v? Cf £XCf £ X ΪΛΪΛ XIXI O ίΛO ίΛ U'SU'S JÖt to toJÖt to to Ö toÖ to N xs fQN xs fQ V? »»** Q? »» ** T3 O T3 O c u c u c c o O 4^> 4 ^> to to X3 X3 O E O E »»»*» to »» »*» To |..> | ..> Q. v> Q. v> O O xs xs wwv Φ Φ > > «38 "38 o O ^5 ^ 5 Φ Φ XI XI X X Φ Φ 8.·— 8. · - Ό Ό
11/16 to to j TO j *<511/16 to to TO j * <5 Λ~· | P toΛ ~ · | P to TO SMTO SM PP E isE is TOTO TOTO TO .nTO .n EE 4» TO4 »TO TOTO ÊE Increase In non-reserve -duty manpowerIncrease In non-reserve-duty manpower 12/1612/16 mobilization costmobilization cost 13/1613/16 Total cost of manpower mobilization coordinationTotal cost of manpower mobilization coordination kx.kx. ¢0¢ 0 14/1614/16 Φ £XΦ £ X Completion rate of medical asset mobilization Sixth experiment Fifth experimentCompletion rate of medical asset mobilization Sixth experiment Fifth experiment m mm m CMCM NN LOLO LOLO
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