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研究生:羅牧民
研究生(外文):Mu-Min Lo
論文名稱:緊急救護服務反應時間之資源動態配置模擬分析─以新北市緊急救護服務為例
論文名稱(外文):Simulation Analysis of Dynamic Resources Allocation for Emergency Medical Service – A Case Study of New Taipei City
指導教授:黃奎隆
指導教授(外文):Kwei-Long huang
口試委員:馬惠明吳政鴻
口試日期:2014-06-23
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:工業工程學研究所
學門:工程學門
學類:工業工程學類
論文種類:學術論文
論文出版年:2014
畢業學年度:102
語文別:中文
論文頁數:86
中文關鍵詞:資源規劃救護車地理資訊系統
外文關鍵詞:resource planningambulanceGeographical Information System
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緊急救護服務 (Emergency Medical Service, EMS) 攸關民眾在緊急事故發生時的生命安全,負責前往事故現場的救護人員若能夠迅速抵達現場進行第一時間的初步處置並將傷病患後送至醫院,將有助於傷病患後續的治療及復原狀況。緊急事件發生後,現場人員報案完成直到救護人員抵達現場之間的時間間隔一般稱為反應時間 (response time)。
本研究的目的為提出一套定時定域動態巡航作業模式,透過新北市消防局所提供之緊急救護歷史資訊進行統計分析,找出具有高緊急救護服務需求量的時段與地區,並透過系統模擬與地理資訊系統的輔助,模擬救護車輛在所選定時段前往有高緊急救護需求的地區進行巡航路線的繞行或是定點的停駐,提高緊急事故發生的第一時間有救護車輛在鄰近區域巡航或待命的機率,如此一來可以降低救護車輛趕往事故現場的時間,也就是縮短反應時間。
同時,為了評估區域中各消防分隊派遣救護車進行巡航作業的可行性,本研究也將討論若某特定消防分隊派遣救護車進行巡航作業模式後,對該消防分隊鄰近區域造成的影響,藉此評估各地區最適合派遣巡航救護車的消防分隊。
本研究所之目的為在不大幅更動現有緊急救護資源下,以資源動態配置方式,探討定時定域動態巡航作業模式下的緊急救護服務系統運作效能。模擬結果顯示,部份消防分隊派遣救護車輛進行巡航作業後,不但不會造成鄰近區域的案件反應時間惡化,反而反應時間還有下降趨勢,且整體區域反應時間也能夠達到改善。

This study aims to propose a dynamic resources allocation for Emergency Medical Service System (EMSS) of New Taipei City. Response time is one of the important performance indicators in EMSS since rapid ambulance response provides patients better chances of recovering. Ambulances in New Taipei City used to park in separate fire stations and wait for the calls from emergency medical dispatchers. As an alternative, we propose a floating ambulance system which dispatches ambulance to patrol on the streets or stay at specific locations in the area with high emergency events demand. These areas are determined by statistical analysis of the historical emergency medical service data.
The main idea of the floating ambulance system is to provide higher possibilities that an ambulance will standby at the near area when emergency events occur. In addition, this system also aims to allocate EMS resource dynamically without increasing much resources.
The result of this study shows that floating ambulance system can improve the response time. Besides, those fire stations whom dispatch floating ambulances will not cause longer response time even the decrease of the available ambulances.

目錄
誌謝 ....................................................... I
摘要 ....................................................... II
Abstract ...................................................... III
目錄 ...................................................... IV
圖目錄 ..................................................... VII
表目錄 ...................................................... IX
第 1 章 緒論 ................................................... 1
1.1 研究背景 ...................................................... 1
1.2 研究動機 ...................................................... 3
1.3 研究目的 ........................................................ 5
1.4 研究架構 .................................................... 6
第 2 章 文獻探討 ..................................................... 8
2.1 管理科學方法應用於緊急救護服務歷史 .................................................. 8
2.2 各國反應時間規範 ........................................................ 10
2.3 緊急救護資源規劃與配置議題 ......................................................... 12
2.4 模擬緊急救護服務系統相關研究 ........................................................ 15
2.5 台北市、新北市緊急救護服務研究 ........................................................ 17
第 3 章 問題描述 ........................................................ 20
3.1 問題情境描述 ....................................................... 20
3.2 新北市消防局緊急救護服務 ........................................................ 24
3.2.1 新北市消防局緊急救護服務流程 ....................................................... 24
3.2.2 新北市消防局救護車資源 ....................................................... 26
3.2.3 緊急救護紀錄一般表 ....................................................... 27
3.3 地理資訊系統 ....................................................... 28
3.4 系統模擬 ....................................................... 29
第 4 章 緊急救護資料與模擬分析結果 ............................................ 34
4.1 緊急救護服務資料統計分析 ....................................................... 34
4.2 模擬模型建置與驗證 ....................................................... 36
4.2.1 救護車作業流程模擬 ....................................................... 36
4.2.2 模擬設定 ....................................................... 38
4.2.3 模擬案件發生地理位置分佈 ....................................................... 39
4.2.4 模擬模型驗證 ....................................................... 43
4.3 模擬方案描述 ....................................................... 44
4.4 模擬結果 ....................................................... 49
4.4.1 各分隊派遣車輛影響 ....................................................... 49
4.4.2 各模擬方案反應時間 ....................................................... 56
4.4.3 案件反應時間增益探討 ....................................................... 67
第 5 章 結論 ....................................................... 69
5.1 研究結論與建議 ....................................................... 69
5.1.1 研究主題 ....................................................... 69
5.1.2 研究結果與建議 ....................................................... 69
5.2 未來研究方向討論 ....................................................... 70
參考文獻 ....................................................... 72
中文文獻 ....................................................... 75
附錄 1 直轄市縣市消防機關救護車輛裝備人力配置標準.............. 76
附錄 2 緊急救護歷史資料回歸分析結果 ......................................... 78
附錄 3 模擬模型驗證結果 ...................................................... 81

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