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Int J Med Inform ; 91: e16-31, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27004942

RESUMO

OBJECTIVES: Facing population ageing in Hong Kong, the demand of long-term elderly health care services is increasing. The challenge is to support a good quality service under the constraints faced by recent shortage of nursing and care services professionals without redesigning the work flow operated in the existing elderly health care industries. the existing elderly health care industries. RESULTS: The Total QoS measure based on Finite Capacity Queuing Model is a reliable method and an effective measurement for Quality of services. The value is good for measuring the staffing level and offers a measurement for efficiency enhancement when incorporate new technologies like ICT. The implemented system has improved the Quality of Service by more than 14% and the extra released manpower resource will allow clinical care provider to offer further value added services without actually increasing head count. CONCLUSIONS: We have developed a novel Quality of Service measurement for Clinical Care services based on multi-queue using finite capacity queue model M/M/c/K/n and the measurement is useful for estimating the shortage of staff resource in a caring institution. It is essential for future integration with the existing widely used assessment model to develop reliable measuring limits which allow an effective measurement of public fund used in health care industries.


Assuntos
Atenção à Saúde/normas , Necessidades e Demandas de Serviços de Saúde , Serviços de Saúde para Idosos/provisão & distribuição , Serviços de Saúde para Idosos/normas , Aplicações da Informática Médica , Telemedicina , Idoso , Simulação por Computador , Hong Kong , Humanos , Assistência de Longa Duração/normas , Modelos Teóricos , Garantia da Qualidade dos Cuidados de Saúde/normas
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