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远海医疗后送系统动力学模型模拟分析
张凌1,陈国良2*
0
(1. 第二军医大学训练部教育技术中心, 上海 200433;
2. 第二军医大学海军医学系海军卫勤与装备教研室, 上海 200433
*通信作者)
摘要:
目的 通过对远海医疗后送系统进行模拟分析,探讨影响远海救治效率的相关因素。方法 采用系统动力学建模的主回路分析、因果关系分析等方法,构建远海医疗后送系统动力学模型。设定海外友好医院承载力为100人/d,选择伤病员单峰型流入系统,峰值分别为500、200、100人/d,对系统进行模拟。结果 模拟结果显示,伤病员数量超出海外友好医院承载力时,有较多的伤病员被延期治疗或无法得到救治;在承载力范围之内时,伤病员基本可以得到较好的救治,快速离开救治系统。结论 海外友好医院的承载能力是决定系统接纳伤病员数量的重要参数之一。
关键词:  远海  医疗后送  系统动力学  模拟
DOI:10.16781/j.0258-879x.2016.11.1410
投稿时间:2016-08-30修订日期:2016-11-02
基金项目:《总后卫生部军兵种转型卫勤研究》(11WQZ14)子课题
Simulation analysis of dynamics modeling of long-distance medical evacuation system on the high seas
ZHANG Ling1,CHEN Guo-liang2*
(1. Center of Educational Technology, Training Department, Second Military Medical University, Shanghai 200433, China;
2. Department of Naval Health Service and Medical Equipment, Faculty of Naval Medicine, Second Military Medical University, Shanghai 200433, China
*Corresponding author.)
Abstract:
Objective To explore the factors influencing the rescuing efficiency of the Navy by dynamics modeling and simulation analysis of long-distance medical evacuation system on the high seas. Methods We established a long-distance medical evacuation system dynamics model on the high seas using system dynamics modeling, including the main circuit analysis and causal analysis. Carrying capacity of the Overseas Friendship Hospital was set at 100 persons per day; the single peak type inflow system of the wounded was selected, with the system peaks being 500, 200, and 100 persons per day, and then the system was simulated. Results The simulating results showed that when the number of the wounded was beyond the carrying capacity of the Overseas Friendship Hospital, more wounded were unable to get medical treatment or the treatment tended to be delayed; when the number was in the range of carrying capacity, the wounded could obtain a comfortable treatment and leave the system quickly. Conclusion The carrying capacity of Overseas Friendship Hospital is a key factor of determining the number of the wounded in this system.
Key words:  long-distance overseas  medical evacuation  system dynamics  simulation