Modelo de simulación sistémica para el dimensionamiento de camas hospitalarias en una institución de salud de alta complejidad utilizando la metodología de dinámica de sistemas
Publicado
mar 31, 2020
Almetrics
Dimensions
Google Scholar
##plugins.themes.bootstrap3.article.details##
Resumen
Las clínicas, hospitales y centros de salud se encuentran diariamente en la necesidad de optimizar sus recursos profesionales, farmacéuticos, hospitalarios o de infraestructura mobiliaria, sin embargo, debido a múltiples factores aleatorios y complejos, la labor se torna demandante, por la falta de metodologías que ayuden a los gestores de salud a controlar las necesidades del proceso. A partir de todo esto, el objetivo es desarrollar una metodología sistémica y un modelo de planificación para el dimensionamiento de la cama hospitalaria, con el fin de mejorar la planeación y administración en una institución de salud. Inicialmente, se realizó una búsqueda de factores claves que afectan la planeación, las relaciones y componentes en la medición de las camas. Con esto se planteó un modelo causal y uno de simulación mediante dinámica de sistemas, que integre dichos factores. Finalmente, los resultados de la simulación indican que la necesidad de camas adicionales para la institución es del 9% o 16 camas hospitalarias en promedio. Se espera que el concepto presentado brinde una idea clara, holística y consecuente en la planeación de recursos hospitalarios.
Keywords
hospital, administration, planning, system, dynamicshospital, administração, planejamento, sistema, dinâmicahospital, administración, planeación, sistema, dinámica
References
1. Grida M, Zeid M. A system dynamics-based model to implement the Theory of Constraints in a healthcare system. Simulation [Internet]. 2019;95(7)1-13. Disponible en: https://journals.sagepub.com/doi/full/10.1177/0037549718788953
2. Oliveira S, Portela F, Santos M, Machado J, Abelha A. Predictive models for hospital bed management using data mining techniques [Internet]. En: Rocha Á, Correia A, Tan F, Stroetmann K, editores. New Perspectives in Information Systems and Technologies, Volumen 2. Advances in Intelligent Systems and Computing. Berlín: Springer; 2014. p. 407-416.
3. Lowery J. Introduction to simulation in health care. En: Charnes J, editor. Actas de la Winter Simulation Conference; 1996 dic. 8-11; Coronado (California). Nueva York: Association for Computing Machinery; 1996. p. 78-84.
4. de Souza MC, Souza TA, Vaccaro GLR. Hospital bed management: An analysis from the perspective of the theory of constraints. Espacios [Internet]. 2016;37(30):3. Disponible en: https://www.revistaespacios.com/a16v37n30/16373003.html
5. Ben-Bachouch R, Guinet A, Hajri-Gabouj S. An integer linear model for hospital bed planning. Int J Prod Econ. 2012;140(2):833-843. Disponible en: http://www.doi.org/10.1016/j.ijpe.2012.07.023
6. Abedian S, Kazemi H, Riazi H, Bitaraf E. Cross Hospital Bed Management System. Stud Health Technol Inform. 2014;205(agosto):126-130.
7. Pinto L, Cardoso F, Oliva I, Neves Y. Analysis of hospital bed capacity via queuing theory and simulation. En: Tolk A, Diallo SY, Ryzhov IO, Yilmaz L, Buckley S, Miller JA, editores. Actas de la Winter Simulation Conference; 2014 dic. 7-10; Savannah (Georgia). Piscataway (Nueva Jersey): IEEE Press. p. 2919-2930.
8. German JD, Mina JKP, Alfonso CMN, Yang K-H. A Study on Shortage of Hospital Beds in the Philippines Using System Dynamics. En: Chan F, editor. Actas de la International Conference on Industrial Engineering and Applications (Iciea); 2018 abr. 26-28; Singapur (Singapur). Piscataway (Nueva Jersey): IEEE Press. p. 72-78.
9. Rashwan W, Abo-Hamad W, Arisha A. A system dynamics view of the acute bed blockage problem in the Irish healthcare system. Eur J Oper Res. 2015;247(1):276-293. http://www.doi.org/10.1016/j.ejor.2015.05.043
10. Banu N, Ashok L, Malarout N, Chouhan Z. Study of Bed Allocation and Utilisation in a Tertiary Care Teaching Hospital in South India. Indian J public Heal Res Dev. 2018;9(agosto):143-148.
11. Shaikh ZM. A comparative study on the number of Hospitals and Hospital Beds in the Kingdom of Saudi Arabia A comparative study on the number of Hospitals and Hospital Beds in the Kingdom of Saudi Arabia. Res Rev Journals. 2018;3(7):29-32.
12. Indexmundi. Colombia: Camas de hospital por habitante [Internet]. 2017 [revisión 2018 oct. 16]. Disponible en: https://www.indexmundi.com/es/colombia/camas_de_hospital_por_habitante.html
13. Gobierno de Colombia. Camas Hospitalarias en Colombia [Internet]. 2017 [revisión 2018 oct. 16]. Disponible en: https://www.datos.gov.co/Salud-y-Protecci-n-Social/Camas-Hospitalarias-en-Colombia-2017/a5mf-3v9a
14. Banco Mundial. Camas hospitalarias (por cada 1000 personas) [Internet]. 2018 [revisión 2018 oct. 16]. Disponible en: https://datos.bancomundial.org/indicador/SH.MED.BEDS.ZS?view=chart
15. Department of Health and Children Government of Ireland. Acute Hospital Bed Capacity: A National Review [Internet]. 2002. Disponible en: http://www.dohc.ie/publications/acute_hospital_bed_capacity.html
16. Kokangul A. A combination of deterministic and stochastic approaches to optimize bed capacity in a hospital unit. Comput Methods Programs Biomed. 2008;90(1):56-65.
17. Pereira P, Matos J. Modeling decisions for hospital bed management, A Review. Proc Int Conf Heal Informatics [Internet]. 2011;1:504-507. Disponible en: http://www.scitepress.org/DigitalLibrary/Link.aspx?doi=10.5220/0003135005040507
18. Nguyen JM, Six P, Antonioli D, Glemain P, Potel G, Lombrail P, et al. A simple method to optimize hospital beds capacity. Int J Med Inform. 2005;74(1):39-49.
19. Page K, Barnett AG, Graves N. What is a hospital bed day worth? A contingent valuation study of hospital Chief Executive Officers. BMC Health Serv Res. 2017;17(1):1-8.
20. Gossart D, Meskens N, Guinet A. Strategic and tactical hospital bed management in Belgium and in France. Adv Inf Commun Tecnol [Internet]. 2010;336(octubre):243-250. Disponible en: http://link.springer.com/10.1007/978-3-642-15961-9
21. Oueida S, Char PA, Kadry S, Ionescu S. Simulation Models for Enhancing the Health Care Systems. Faima Bus Manag J. 2016;4(4):5-20. Disponible en: http://search.ebscohost.com/login.aspx?direct=true&db=bsu&AN=121321531&site=ehost-live
22. Borshchev A, Filippov A. From System Dynamics and discrete event to practical Agent Based Modelling: reasons, techniques, tools. En: Actas de La 22nd International Conference of the System Dynamics Society; 2004 jul. 25-29; Oxford (Inglaterra). Oxford (Inglaterra): System Dynamics Society; 2004. p. 23.
23. Viveros L, Chew M. Entrenamiento para toma de decisiones por medio de simulación y casos de estudio. Rev Int la Educ en Ing. 2013;6(1):1-7.
24. Uribe JA, Quintero S. Aplicación de los modelos de simulación en entronos productivos bajo la metodología de teoría de las restricciones. Rev CEA. 2017;3(6):22.
25. Holm LB, Lurås H, Dahl FA. Improving hospital bed utilisation through simulation and optimisation. With application to a 40% increase in patient volume in a Norwegian general hospital. Int J Med Inform [Internet]. 2013;82(2):80-89. http://dx.doi.org/10.1016/j.ijmedinf.2012.05.006
26. Sterman JD. Business Dynamics: Systems Thinking and Modeling for a Complex World. Nueva York: McGraw-Hill; 2000. 1008 p.
27. Fernández J. Fundamentos básicos de simulación industrial. Medellín: UPB; 2012. 172 p.
28. Trellevik LK. Planning for an elderly boom; A System Dynamics Approach to strategic healthcare planning in Bergen, Norway. Bergen: Universdad de Bergen; 2008.
29. Homer JB, Hirsch GB. System dynamics modeling for public health: Background and opportunities. Am J Public Health. 2006;96(3):452-458.
30. Pendergast JF, Vogel WB. A multistage model of hospital bed requirements. Health Serv Res [Internet]. 1988;23(3):381-399. Disponible en: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1065511&tool=pmcentrez&rendertype=abstract
31. Pandey AN, Singh BR, Talwar CY, Srinivasan DK. Figuring And Forecasting Of Hospital Beds For Patient Population Arriving At Health Care Institute : Illustrating Roemer’s Law. En: 19th International Conference on Health Informatics and Health Information Management; 2017 sept. 7-8; Tokio (Japón). Tokio: Ifhima; 2017. p. 5.
32. Farmer RDT, Emami J. Models for forecasting hospital bed requirements in the acute sector. J Epidemiol Community Health. 1990;44(4):307-312.
2. Oliveira S, Portela F, Santos M, Machado J, Abelha A. Predictive models for hospital bed management using data mining techniques [Internet]. En: Rocha Á, Correia A, Tan F, Stroetmann K, editores. New Perspectives in Information Systems and Technologies, Volumen 2. Advances in Intelligent Systems and Computing. Berlín: Springer; 2014. p. 407-416.
3. Lowery J. Introduction to simulation in health care. En: Charnes J, editor. Actas de la Winter Simulation Conference; 1996 dic. 8-11; Coronado (California). Nueva York: Association for Computing Machinery; 1996. p. 78-84.
4. de Souza MC, Souza TA, Vaccaro GLR. Hospital bed management: An analysis from the perspective of the theory of constraints. Espacios [Internet]. 2016;37(30):3. Disponible en: https://www.revistaespacios.com/a16v37n30/16373003.html
5. Ben-Bachouch R, Guinet A, Hajri-Gabouj S. An integer linear model for hospital bed planning. Int J Prod Econ. 2012;140(2):833-843. Disponible en: http://www.doi.org/10.1016/j.ijpe.2012.07.023
6. Abedian S, Kazemi H, Riazi H, Bitaraf E. Cross Hospital Bed Management System. Stud Health Technol Inform. 2014;205(agosto):126-130.
7. Pinto L, Cardoso F, Oliva I, Neves Y. Analysis of hospital bed capacity via queuing theory and simulation. En: Tolk A, Diallo SY, Ryzhov IO, Yilmaz L, Buckley S, Miller JA, editores. Actas de la Winter Simulation Conference; 2014 dic. 7-10; Savannah (Georgia). Piscataway (Nueva Jersey): IEEE Press. p. 2919-2930.
8. German JD, Mina JKP, Alfonso CMN, Yang K-H. A Study on Shortage of Hospital Beds in the Philippines Using System Dynamics. En: Chan F, editor. Actas de la International Conference on Industrial Engineering and Applications (Iciea); 2018 abr. 26-28; Singapur (Singapur). Piscataway (Nueva Jersey): IEEE Press. p. 72-78.
9. Rashwan W, Abo-Hamad W, Arisha A. A system dynamics view of the acute bed blockage problem in the Irish healthcare system. Eur J Oper Res. 2015;247(1):276-293. http://www.doi.org/10.1016/j.ejor.2015.05.043
10. Banu N, Ashok L, Malarout N, Chouhan Z. Study of Bed Allocation and Utilisation in a Tertiary Care Teaching Hospital in South India. Indian J public Heal Res Dev. 2018;9(agosto):143-148.
11. Shaikh ZM. A comparative study on the number of Hospitals and Hospital Beds in the Kingdom of Saudi Arabia A comparative study on the number of Hospitals and Hospital Beds in the Kingdom of Saudi Arabia. Res Rev Journals. 2018;3(7):29-32.
12. Indexmundi. Colombia: Camas de hospital por habitante [Internet]. 2017 [revisión 2018 oct. 16]. Disponible en: https://www.indexmundi.com/es/colombia/camas_de_hospital_por_habitante.html
13. Gobierno de Colombia. Camas Hospitalarias en Colombia [Internet]. 2017 [revisión 2018 oct. 16]. Disponible en: https://www.datos.gov.co/Salud-y-Protecci-n-Social/Camas-Hospitalarias-en-Colombia-2017/a5mf-3v9a
14. Banco Mundial. Camas hospitalarias (por cada 1000 personas) [Internet]. 2018 [revisión 2018 oct. 16]. Disponible en: https://datos.bancomundial.org/indicador/SH.MED.BEDS.ZS?view=chart
15. Department of Health and Children Government of Ireland. Acute Hospital Bed Capacity: A National Review [Internet]. 2002. Disponible en: http://www.dohc.ie/publications/acute_hospital_bed_capacity.html
16. Kokangul A. A combination of deterministic and stochastic approaches to optimize bed capacity in a hospital unit. Comput Methods Programs Biomed. 2008;90(1):56-65.
17. Pereira P, Matos J. Modeling decisions for hospital bed management, A Review. Proc Int Conf Heal Informatics [Internet]. 2011;1:504-507. Disponible en: http://www.scitepress.org/DigitalLibrary/Link.aspx?doi=10.5220/0003135005040507
18. Nguyen JM, Six P, Antonioli D, Glemain P, Potel G, Lombrail P, et al. A simple method to optimize hospital beds capacity. Int J Med Inform. 2005;74(1):39-49.
19. Page K, Barnett AG, Graves N. What is a hospital bed day worth? A contingent valuation study of hospital Chief Executive Officers. BMC Health Serv Res. 2017;17(1):1-8.
20. Gossart D, Meskens N, Guinet A. Strategic and tactical hospital bed management in Belgium and in France. Adv Inf Commun Tecnol [Internet]. 2010;336(octubre):243-250. Disponible en: http://link.springer.com/10.1007/978-3-642-15961-9
21. Oueida S, Char PA, Kadry S, Ionescu S. Simulation Models for Enhancing the Health Care Systems. Faima Bus Manag J. 2016;4(4):5-20. Disponible en: http://search.ebscohost.com/login.aspx?direct=true&db=bsu&AN=121321531&site=ehost-live
22. Borshchev A, Filippov A. From System Dynamics and discrete event to practical Agent Based Modelling: reasons, techniques, tools. En: Actas de La 22nd International Conference of the System Dynamics Society; 2004 jul. 25-29; Oxford (Inglaterra). Oxford (Inglaterra): System Dynamics Society; 2004. p. 23.
23. Viveros L, Chew M. Entrenamiento para toma de decisiones por medio de simulación y casos de estudio. Rev Int la Educ en Ing. 2013;6(1):1-7.
24. Uribe JA, Quintero S. Aplicación de los modelos de simulación en entronos productivos bajo la metodología de teoría de las restricciones. Rev CEA. 2017;3(6):22.
25. Holm LB, Lurås H, Dahl FA. Improving hospital bed utilisation through simulation and optimisation. With application to a 40% increase in patient volume in a Norwegian general hospital. Int J Med Inform [Internet]. 2013;82(2):80-89. http://dx.doi.org/10.1016/j.ijmedinf.2012.05.006
26. Sterman JD. Business Dynamics: Systems Thinking and Modeling for a Complex World. Nueva York: McGraw-Hill; 2000. 1008 p.
27. Fernández J. Fundamentos básicos de simulación industrial. Medellín: UPB; 2012. 172 p.
28. Trellevik LK. Planning for an elderly boom; A System Dynamics Approach to strategic healthcare planning in Bergen, Norway. Bergen: Universdad de Bergen; 2008.
29. Homer JB, Hirsch GB. System dynamics modeling for public health: Background and opportunities. Am J Public Health. 2006;96(3):452-458.
30. Pendergast JF, Vogel WB. A multistage model of hospital bed requirements. Health Serv Res [Internet]. 1988;23(3):381-399. Disponible en: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1065511&tool=pmcentrez&rendertype=abstract
31. Pandey AN, Singh BR, Talwar CY, Srinivasan DK. Figuring And Forecasting Of Hospital Beds For Patient Population Arriving At Health Care Institute : Illustrating Roemer’s Law. En: 19th International Conference on Health Informatics and Health Information Management; 2017 sept. 7-8; Tokio (Japón). Tokio: Ifhima; 2017. p. 5.
32. Farmer RDT, Emami J. Models for forecasting hospital bed requirements in the acute sector. J Epidemiol Community Health. 1990;44(4):307-312.
Cómo citar
Uribe Gómez, J. A., & Barrientos Gómez, J. G. (2020). Modelo de simulación sistémica para el dimensionamiento de camas hospitalarias en una institución de salud de alta complejidad utilizando la metodología de dinámica de sistemas. Gerencia Y Políticas De Salud, 19, 1–20. https://doi.org/10.11144/Javeriana.rgps19.mssd
Sección
Artículos