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Optimisation médico-économique et organisation des services d'urgences hospitalières : apport des systèmes multi-agents

Abstract : The activity-based payment, which is known in France as T2A requires hospital emergency departments, faced with a very strong growth in their activities since 1990, to develop strategies of an efficient allocation of resources. The optimization of medical treatment is central to this issue and should allow obtaining production costs covered by funding induced T2A. The main objective of the thesis was to identify the contribution of a System Decision Support (DSS) based on Multi-Agent Systems (MAS), using multi-agent modelling of care means production, using a three-phase scheduling algorithm, so called OR-3P. This modelling formalizes the organization of emergency departments around five types of agent. The scheduler Officer is responsible for assigning personnel to the medical team in an efficient framework for managing patient flow, plays the leading role in the search of optimized management. Results from the application of OR-3P, show an optimizing of the delays and the overall passage, an increase in productivity, a qualitative indication of proper functioning. These results lead to tests in French institutions.
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Submitted on : Thursday, February 9, 2012 - 9:02:46 AM
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Geoffroy Kokou Apete. Optimisation médico-économique et organisation des services d'urgences hospitalières : apport des systèmes multi-agents. Médecine humaine et pathologie. Université du Droit et de la Santé - Lille II, 2011. Français. ⟨NNT : 2011LIL2S029⟩. ⟨tel-00668083⟩

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