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Towards Evaluating Proactive and Reactive Approaches on Reorganizing Human Resources in IoT-Based Smart Hospitals

机译:在基于IOT的智能医院重组人力资源的积极和无能性方法

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Hospitals play an important role on ensuring a proper treatment of human health. One of the problems to be faced is the increasingly overcrowded patients care queues, who end up waiting for longer times without proper treatment to their health problems. The allocation of health professionals in hospital environments is not able to adapt to the demands of patients. There are times when underused rooms have idle professionals, and overused rooms have fewer professionals than necessary. Previous works have not solved this problem since they focus on understanding the evolution of doctor supply and patient demand, as to better adjust one to the other. However, they have not proposed concrete solutions for that regarding techniques for better allocating available human resources. Moreover, elasticity is one of the most important features of cloud computing, referring to the ability to add or remove resources according to the needs of the application or service. Based on this background, we introduce Elastic allocation of human resources in Healthcare environments (ElHealth) an IoT-focused model able to monitor patient usage of hospital rooms and adapt these rooms for patients demand. Using reactive and proactive elasticity approaches, ElHealth identifies when a room will have a demand that exceeds the capacity of care, and proposes actions to move human resources to adapt to patient demand. Our main contribution is the definition of Human Resources IoT-based Elasticity (i.e., an extension of the concept of resource elasticity in Cloud Computing to manage the use of human resources in a healthcare environment, where health professionals are allocated and deallocated according to patient demand). Another contribution is a cost–benefit analysis for the use of reactive and predictive strategies on human resources reorganization. ElHealth was simulated on a hospital environment using data from a Brazilian polyclinic, and obtained promising results, decreasing the waiting time by up to 96.4% and 96.73% in reactive and proactive approaches, respectively.
机译:医院在确保对人类健康的适当治疗方面发挥着重要作用。要面临的问题之一是越来越过度拥挤的患者护理队列,最终等待更长的时间,而不适当地治疗他们的健康问题。医院环境中的卫生专业人士的配置无法适应患者的需求。未被发救的房间有空闲专业人士的时代,过度使用的房间有比必要的更少。以前的作品尚未解决这个问题,因为他们专注于理解医生供应和患者需求的演变,以便更好地调整另一个。但是,他们没有提出关于更好地分配可用人力资源的技术的具体解决方案。此外,弹性是云计算最重要的特征之一,参考根据应用程序或服务的需求添加或删除资源的能力。基于此背景,我们在医疗环境(ELHEALTE)中引入了人力资源的弹性分配,能够监控医院房间的患者使用的IOT集中式模型,并为患者的需求调整这些房间。使用反应性和主动弹性方法,ElHealth确定一个房间将有超过护理能力的需求,并提出措施移动人力资源以适应患者需求。我们的主要贡献是人力资源基于IOT的弹性的定义(即云计算中资源弹性概念的延伸,以管理医疗保健环境中的使用人力资源,根据患者需求分配和释放卫生专业人员)。另一个贡献是利用对人力资源重组的反应和预测策略的成本效益分析。使用来自巴西多夜的数据模拟了elhealth,并获得了有希望的结果,分别将等待时间降低了高达96.4%和96.73%的反应性和主动方法。

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