Abstract
The problems of organizing medical care in the context of the COVID-19 pandemic, associated with the uncertainty and limitedness of various resources, led to the need to improve decision-making systems for hospitalization of patients. Situational management can improve the decision-making process to fit the current situation better. At the same time, it becomes important to take into account the influence of psychological factors on decisions made during hospitalization. The paper proposes the use of coalition games for situational management during hospitalization of patients. The players and members of the coalition are hospitals, ambulance teams, patients and computed tomography centers. The goal of the game is to form a coalition of participants that provides the maximum benefit in terms of time and cost of hospitalization at the time of decision making. The general scheme of hospitalization, the main sources of information about the situation, the formulation and formalization of the problem are considered. An experiment was carried out in which the formation of a coalition during hospitalization was tested based on data obtained from analyzing the dynamics of the COVID-19 pandemic. Due to the small amount of data and the lack of approved models of the situation development, when carrying out the calculation, some of the parameters were estimated using heuristic models of the development of the situation, based on the analysis of information from open sources of information. The experiment result contains a set of coalitions that provide the maximum benefit under the specified constraints. At the same time, the calculation time of the coalition game allows using the proposed model of decision-making support during hospitalization in the dispatch service of ambulance stations.
Highlights
It becomes important to take into account the influence of psychological factors on decisions made during hospitalization
The paper proposes the use of coalition games for situational management during hospitalization of patients
The goal of the game is to form a coalition of participants that provides the maximum benefit in terms of time and cost of hospitalization at the time of decision making
Summary
Проблемы организации медицинской помощи в условиях пандемии COVID-19, связанные с неопределенностью и ограниченностью различных ресурсов, привели к необходимости совершенствования систем принятия решений при госпитализации пациентов. Согласующихся с оперативной ситуацией предлагается учитывать влияние неопределенности на психологическое состояние человека, поскольку, согласно исследованиям, в условиях неопределенности и постоянного стресса могут допускаться ошибки при принятии решения о госпитализации [1]. В разделе 3 описана постановка проблемы госпитализации в условиях пандемии с учетом психологических факторов для пациентов, бригад машин скорой помощи, медицинского персонала и персонала центра компьютерной томографии и проведен анализ данных по госпитализации, предоставленных СПб МИАЦ. Формальные модели, предназначенные для решения задач распределения ресурсов, на практике часто неприменимы, поскольку не учитывают человеческий фактор, который во многом влияет на результаты работы системы поддержки принятия решений о госпитализации в условиях пандемии. На диаграмме показан не только протокол взаимодействия с пациентом и путь его обработки от постановки диагноза до госпитализации, но и взаимодействие с потенциально инфицированными людьми
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