nach oben

Journal of Medical Systems

Erschienen in:

01.04.2012 | Original Paper

Analysis of Factors Causing Long Patient Waiting Time and Clinic Overtime in Outpatient Clinics

verfasst von: Zhecheng Zhu, Bee Hoon Heng, Kiok Liang Teow

Erschienen in: Journal of Medical Systems | Ausgabe 2/2012

Einloggen, um Zugang zu erhalten

Abstract

This paper is focused on the factors causing long patient waiting time/clinic overtime in outpatient clinics and how to mitigate them using discrete event simulation. A two-week period of data collection is conducted in an outpatient clinic of a Singapore government hospital. Detailed time study from patient arrival to patient departure is conducted, and the possible factors causing long patient waiting time/clinic overtime are discussed. A discrete simulation model is constructed to illustrate how to improve the clinic performance by mitigating the detected factors. Simulation and implementation results show that significant improvement is achieved if the factors are well addressed.

http://medical-dictionary.thefreedictionary.com [24 March 2010].

http://www.wikipedia.org [24 March 2010].

http://www.moh.gov.sg/mohcorp/pressreleases.aspx?id=964 [24 March 2010].

Bailey, N., A study of queues and appointment systems in hospital outpatient departments, with special reference to waiting-times. J R Stat Soc Ser 14:185–189, 1952.

Welch, J. D., and Bailey, N., Appointment systems in hospital outpatient departments. The Lancet 259:1105–1108, 1952.CrossRef

Welch, J. D., Appointment systems in hospital outpatient departments. Oper Res Quart 15(3):224–237, 1964.CrossRef

Soriano, A., Comparison of two scheduling systems. Oper Res 14:388–397, 1966.MathSciNetCrossRef

Liu, L., and Liu, X., Block appointment systems for outpatient clinics with multiple doctors. J Oper Res Soc 49(12):1254–1259, 1998.MATH

Vanden Bosch, P. M., Dietz, C. D., and Sumeoni, J. R., Scheduling customer arrivals to a stochastic service system. Nav Res Logist 46:549–559, 1999.MATHCrossRef

10.

Lau, H., and Lau, A. H., A fast procedure for computing the total system cost of an appointment schedule for medical and kindred facilities. IIE Trans 32(9):833–839, 2000.

11.

Ho, C., and Lau, H., Minimizing total cost in scheduling outpatient appointments. Manage. Sci. 38(12):1750–1764, 1992.MATHCrossRef

12.

Wang, P. P., Static and dynamic scheduling of customer arrivals to a single-server system. Nav. Res. Logist. 40:345–360, 1993.MATHCrossRef

13.

Cayirli, T., and Veral, E., Outpatient scheduling in health care: a review of literature. Prod. Oper. Manage. Soc. 12(4):519–549, 2003.CrossRef

14.

Ho, C., and Lau, H., Evaluating the impact of operating conditions on the performance of appointment scheduling rules in service systems. Eur. J. Oper. Res. 112:542–553, 1999.MATHCrossRef

15.

Aharonson-Daniel, L., Paul, R. J., and Hedley, A. J., Management of queues in out-patient departments: the use of computer simulation. J. Manage. Med. 10(6):50–58, 1996.CrossRef

16.

Clague, J. E., Reed, P. G., Barlow, J., Rada, R., Clarke, M., and Edwards, R. H. T., Improving outpatient clinic efficiency using computer simulation. Int J Health Care Qual Assur 10(5):197–201, 1997.CrossRef

17.

Harper, P. R., and Gamlin, H. M., Reduced outpatient waiting times with improved appointment scheduling: a simulation modelling approach. OR Spectrum 25(2):207–222, 2003.MATHCrossRef

18.

Fetter, R., and Thompson, J., Patients’ waiting time and doctors’ idle time in the outpatient setting. Health Services Res. 1:66–90, 1966.

19.

Klassen, K. J., and Rohleder, T. R., Scheduling outpatient appointments in a dynamic environment. J. Oper. Manag. 14(2):83–101, 1996.CrossRef

20.

http://www.simul8.com/ [24 March 2010].

Titel: Analysis of Factors Causing Long Patient Waiting Time and Clinic Overtime in Outpatient Clinics
verfasst von: Zhecheng Zhu
Bee Hoon Heng
Kiok Liang Teow
Publikationsdatum: 01.04.2012
Verlag: Springer US
Erschienen in: Journal of Medical Systems / Ausgabe 2/2012
Print ISSN: 0148-5598
Elektronische ISSN: 1573-689X
DOI: https://doi.org/10.1007/s10916-010-9538-4

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Analysis of Factors Causing Long Patient Waiting Time and Clinic Overtime in Outpatient Clinics

Abstract

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2012

Usability Evaluation of Paper-based “Hajji” Health Record Format

1st ACM International Health Informatics Symposium (IHI)

A Password-Based User Authentication Scheme for the Integrated EPR Information System

Automated Diagnosis of Alzheimer Disease using the Scale-Invariant Feature Transforms in Magnetic Resonance Images

An Intelligent Healthcare Management System: A New Approach in Work-order Prioritization for Medical Equipment Maintenance Requests

Control of Sevoflurane Anesthetic Agent Via Neural Network Using Electroencephalogram Signals During Anesthesia