| Sumario: | This contribution conveys a holistic approach describing how anticipative processes in medical institutions--from the view of a strategy-oriented management--will be more easily controllable in the future. The approach demonstrates, how the health-economical practice's diverse restrictions (working time-models, lack of resources, usage of clinical pathways, etc.) can be merged into a complex model with a multi-criterial objective function (reduction of resting times, improvement of the resources' occupany rate, cost reduction, etc.), in order to ensure both the consistency of medical actions and an efficient workflow-management.This article points out the basic requirements especially for the future development and the introduction of informational systems. It results in the model of a genetic algorithm which maps the varied demands of a hospital on the basis of permutation chromosomes, and optimizes iteratively existent solutions of operation scheduling according to the principles of genetics. This abstract was translated into English by the publisher or author.
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