基于智能体的卫生列车医护人力资源配置仿真建模研究

Multiagent⁃based simulation modeling of allocation of health care staff on board medical trains

目的对计算机仿真方法在卫生列车医疗后送医护人力资源配置中应用的可行性及优化方案进行研究。方法采用Anylogic仿真建模工具,模拟卫生列车批量后送伤员过程。伤员模拟救治流程包括伤员的产生、检伤分类、救治、手术等。在伤员不同到达速率基础上,计算医护人力资源配置。结果在轻中症车厢,配置医师24人、护士36人可满足伤员救治需求;在危重症车厢,当伤员到达速率为100~200人次/h时,医师4人、护士6人可满足救治需求,当伤员到达速率为300~476人次/h,医师4人、护士8人可满足救治需求。结论利用计算机仿真研究卫勤保障人力资源配置具有可行性,可为卫生列车批量后送伤员提供决策参考。

Objective To study the applicability and optimization of computer simulation methods during the allocation of health care providers for medical evacuation on board medical trains.Methods Using Anylogic as a simulation modeling tool,the process of mass evacuation of the injured by means of medical trains was simulated.The simulated process of rescue involved the generation,categorization,treatment and surgery of the injured individuals.The allocation of health care resources was assessed based on the different rates at which the injured arrived.Results In the carriage for mild to moderate patients,24 doctors and 36 nurses could meet the need of treatment.In the carriage for critically ill ones,4 doctors and 6 nurses could meet the need when the rate at which the injured arrived was 100-200 people/an hour.When the injured arrived at the rate of 300-476 people/an hour,4 doctors and 8 nurses were needed.Conclusion Computer simulation can be feasibly used to study the allocation of human resources for health care,which can facilitate decision⁃making about mass evacuation of injured personnel by means of medical trains.