Reduced outpatient waiting times with improved appointment scheduling: a simulation modelling approach

Reduced outpatient waiting times with improved appointment scheduling: a simulation modelling approach
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DOI:
10.1007/s00291-003-0122-x
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发表时间:
2003-05-01
期刊:
影响因子:
2.7
通讯作者:
Gamlin, HM
Gamlin, HM
中科院分区:
管理学4区
文献类型:
--
作者:
Harper, PR;Gamlin, HM

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门诊部是一个复杂的系统,每天都有许多具有不同需求的患者经过该系统。有效的预约系统是控制门诊患者等待时间的关键组成部分。目前的等待时间往往令人无法接受,给诊所工作人员带来巨大压力。本文介绍了耳鼻喉 (ENT) 门诊部详细仿真模型的开发和使用。通过模拟可以检查各种预约时间表并评估它们对诊所的影响。该模型已用于识别影响患者等待时间和诊所排队情况的许多关键因素。事实证明,替代预约时间表可以大大减少患者的等待时间,而无需额外的资源,并使该部门能够满足英国政府的患者宪章。
An outpatient department represents a complex system through which many patients with varying needs pass each day. An effective appointment system is a critical component in controlling patient waiting times within clinic sessions. Current waiting times are often unacceptable and place great stress on clinic staff. This paper describes the development and use of a detailed simulation model of an Ear, Nose and Throat (ENT) outpatient department. The simulation allows various appointment schedules to be examined and their effects on the clinic evaluated. The model has been used to identify a number of critical factors that influence patient waiting times and the build up of queues in the clinic. Alternative appointment schedules have been shown to drastically reduce patient waiting times, without the need for extra resources, and enable the department to move towards meeting the UK Government's Patient's Charter.