System Dynamic Modelling of Patient Flow and Transferral Problem in a Mixed Public-Private Healthcare System:A Case Study of Hong Kong SAR

作     者：C.K.M.LEE W.C.TAI Kam K.H.NG C.K.M.LEE;W.C.TAI;Kam K.H.NG

作者机构：Department of Industrial and Systems EngineeringThe Hon g Kong Polytechnic UniversityHung HornHong Kong SARChina School of Mechanical and Aerospace EngineeringNanyang Technological University50 Nanyang AvenueSingapore 639798Singapore 

出 版 物：《Journal of Systems Science and Systems Engineering》 (系统科学与系统工程学报（英文版）)

年 卷 期：2020年第29卷第5期

页      面：590-608页

核心收录：

学科分类：0711[理学-系统科学] 07[理学] 08[工学] 081101[工学-控制理论与控制工程] 0811[工学-控制科学与工程] 071102[理学-系统分析与集成] 081103[工学-系统工程] 

基　　金：Research Committee and the Department of Industrial and Systems Engineering of the Hong Kong Polytechnic University for supporting this project(G-UA7X) 

主　　题：System dynamic models scenario analysis inpatient transferral mixed public-private healthcare system 

摘      要：The current healthcare system in Hong Kong is experiencing pressure due to constrained resources,with dramatic increases in inpatient services queue lengths,dissatisfaction with the working environment,unacceptable workforce arrangements and high turnover rate of hospital *** maintain the robustness of the healthcare system and a sustainable inpatients flow,the Food and Health Bureau launched a public-private partnership programme to utilise the resources of the public and private *** research investigates the potential for extension of the programme and further enhancing the sustainability of the long-term inpatient services under a mixed public-private healthcare policy via system dynamic *** findings show that an increase of human resources in public hospitals does not substantially improve inpatient flow rate ***,the results from the system dynamic approach provide insights into the expansion of the service areas of the programme and suggest increasing the number of referrals to private hospitals.