Discovering the Impact of Preceding Units Characteristics on the Wait Time of Cardiac Surgery Unit from Statistic Data 英文参考文献.docVIP

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Discovering the Impact of Preceding Units Characteristics on the Wait Time of Cardiac Surgery Unit from Statistic Data 英文参考文献.doc

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Discovering the Impact of Preceding Units Characteristics on the Wait Time of Cardiac Surgery Unit from Statistic Data 英文参考文献

DiscoveringtheImpactofPrecedingUnits’ CharacteristicsontheWaitTimeofCardiacSurgeryUnit fromStatisticData JimingLiu*,LiTao,BoXiao ComputerScienceDepartment,HongKongBaptistUniversity,HongKong,SpecialAdministrativeRegion,People’sRepublicofChina Abstract Introduction: Prior research showsthat clinical demand andsupplier capacity significantly affectthe throughput andthe waittimewithinanisolatedunit.However,itisdoubtfulwhethercharacteristics(i.e.,demand,capacity,throughput,andwait time)ofoneunitwouldaffectthewaittimeofsubsequentunitsonthepatientflowprocess.Focusingoncardiaccare,this paperaimstoexaminetheimpactofcharacteristicsofthecatheterizationunit(CU)onthewaittimeofcardiacsurgeryunit (SU). Methods:ThisstudyintegratespublisheddatafromseveralsourcesoncharacteristicsoftheCUandSUunitsin11hospitals inOntario,Canadabetween2005and2008.Itproposesatwo-layerwaittimemodel(witheachlayerrepresentingoneunit) toexaminetheimpactofCU’scharacteristicsonthewaittimeofSUandtestthehypothesesusingthePartialLeastSquares- basedStructuralEquationModelinganalysistool. Results:Resultsshowthat:(i)waittimeofCUhasadirectpositiveimpactonwaittimeofSU(b~0:330,pv0:01);(ii)capacity of CU has a direct positive impact on demand of SU (b~0:644,pv0:01); (iii) within each unit, there exist significant relationshipsamongdifferentcharacteristics(exceptfortheeffectofthroughputonwaittimeinSU). Conclusion:CharacteristicsofCUhavedirectandindirectimpactsonwaittimeofSU.Specifically,demandandwaittimeof precedingunitaregoodpredictorsforwaittimeofsubsequentunits.Thissuggeststhatconsideringsuchcross-uniteffects isnecessarywhenalleviatingwaittimeinahealthcaresystem.Further,differentpatientriskprofilesmayaffectwaittimein differentways(e.g.,positiveornegativeeffects)withinSU.Thisimpliesthatthewaittimemanagementshouldcarefully considertherelationshipbetweenprioritytriageandriskstratification,especiallyforcardiacsurgery. Citation:LiuJ,TaoL,XiaoB(2011)DiscoveringtheImpactofPrecedingUnits’CharacteristicsontheWaitTimeofCardia