應用系統模擬方法於住宿式長期照顧機構照護服務流程之人員績效分析

Personnel Performance Analysis of Care Service Process in Residential Long-term Care Institution by Using System Simulation Method

吳杉堯、吳宜芩
S. Y. Wu and Y. C. Wu

國立高雄科技大學 工業工程與管理系



摘要

臺灣自2018年3月正式邁入高齡社會,伴隨而來的問題是老年人常發生的慢性疾病與身體機能退化,照顧需求大增使得我國提出長期照顧服務法來因應此問題。住宿式長期照顧機構為長期照顧服務法提供人民重要的機構式照護服務,但維持機構運作需要花費大量的人力成本,其中照顧服務員和護理師佔非常大一部分,且照顧有立即性需求,要如何在維持住民獲得優質服務品質的情況下將人員利用率最大化將是目前長照的重要課題,因此如何針對既有各式人力進行調整及配置對機構經營者而言是非常迫切的議題。本研究將利用Arena系統模擬軟體以系統模擬方法建構一個通用的住宿式長期照顧機構之模擬模式,並且配合個案進行研究,透過各式人員排班設定進行人員績效模擬分析,將得到之數據以統計分析軟體進行分析與探討,最後利用分析結果提出數個方案建議的人員配置方案,以此提供機構經營者作為各式人力配置調整之參考依據。

關鍵字:長期照顧、護理之家、系統模擬、人員配置、績效分析。

ABSTRACT

Taiwan officially entered the old age society in March, 2018. The problem that comes with it is the chronic diseases and physical deterioration that often occur in the elderly. Therefore, the Taiwan government has proposed long-term care services act to solve an increase in the demand for elderly care. Residential long-term care institutions provide important institutional care services for Long-Term Care Services Act. However, maintaining institutional operations requires a lot of manpower costs. Among them, nursing assistants and nurses account for a large part of the care service, and the care services has immediate demand. How to maximize the utilization of personnel while maintaining the quality of service provided for residents will be an important issue for the long-term care, so how to adjust and configure the existing human resources is an urgent issue for institutional operators. This study will use the Arena system simulation software to construct a general simulation model of residential long-term care institutions by systematic simulation method, and conduct research with cases, and perform personnel performance simulation analysis through various staff scheduling settings. The data obtained will be analyzed and discussed by statistical analysis software. Finally, the staffing plan proposed by several schemes is proposed by using the analysis results, so as to provide the institutional operators as the reference basis for various manpower configuration adjustments.

Keywords: Long-term Care; Nursing Home; System Simulation; Human Configuration; Performance Analysis