نویسنده
Çayırlı, Tuğba, Yang, K. K., Quek, S. A.
تاریخ انتشار
2012-07
محل انتشار
-
Wiley
موضوع
Healthcare, Appointment scheduling, Simulation, Nonlinear regression
نوع
دوره ای
زبان
انگلیسی
دیجیتال
بله
نسخه خطی
خیر
کتابخانه
دانشگاه اوزیغین
شناسه دارایی کتابخانه
1937-5956
شماره ثبت
cb59dbd9-494a-4ba9-9548-de22477a4235
محل کتابخانه
Business Administration
تاریخ
2012-07
یادداشتها
Due to copyright restrictions, the access to the full text of this article is only available via subscription.
متن نمونه
This study introduces a universal “Dome” appointment rule that can be parameterized through a planning constant for different clinics characterized by the environmental factors—no-shows, walk-ins, number of appointments per session, variability of service times, and cost of doctor's time to patients’ time. Simulation and nonlinear regression are used to derive an equation to predict the planning constant as a function of the environmental factors. We also introduce an adjustment procedure for appointment systems to explicitly minimize the disruptive effects of no-shows and walk-ins. The procedure adjusts the mean and standard deviation of service times based on the expected probabilities of no-shows and walk-ins for a given target number of patients to be served, and it is thus relevant for any appointment rule that uses the mean and standard deviation of service times to construct an appointment schedule. The results show that our Dome rule with the adjustment procedure performs better than the traditional rules in the literature, with a lower total system cost calculated as a weighted sum of patients’ waiting time, doctor's idle time, and doctor's overtime. An open-source decision-support tool is also provided so that healthcare managers can easily develop appointment schedules for their clinical environment.
DOI
10.1111/j.1937-5956.2011.01297.x
Cilt
21
