Intervention program to reduce waiting time of a dermatological visit: Managed overbooking and service centralization as effective management tools
Intervention program to reduce waiting time of a dermatological visit: Managed overbooking and service centralization as effective management tools
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DOI：
10.1111/j.1365-4632.2007.03078.x
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发表时间：
2007-08-01
影响因子：
3.6
通讯作者：
Vardy, Daniel A.
中科院分区：
文献类型：
--
作者：
Bibi, Yuval;Cohen, Arnon D.;Vardy, Daniel A.
目的减少皮肤科患者预约的等待时间。方法由皮肤科医生和管理人员组成的焦点小组回顾了皮肤科预约流程，指出了潜在的问题，并提出了综合的干预方案。通过管理超额预约和将皮肤科服务集中到皮肤科中心诊所来修改预约流程。结果干预后皮肤科预约的平均等待时间从29.3天减少到6.8天。每6个月的预约次数从17,007次增加到20,433次。缺席比例从33%降至28%。皮肤科医生的工作时间没有显著变化。结论通过管理超额预约病人和集中服务，皮肤科医生的等待名单大大缩短。
Background Long waiting times are an impediment of dermatological patient care world-wide, resulting in significant disruption of clinical care and frustration among carers and patients.Objective To reduce waiting times for dermatological appointments.Methods A focus group including dermatologists and management personnel reviewed the scheduling process, mapped potential problems and proposed a comprehensive intervention program. The two major approaches taken in the intervention program were revision of the scheduling process by managed overbooking of patient appointments and centralization of the dermatological service into a centralized dermatological clinic.Results Following the intervention program, the average waiting time for dermatological appointments decreased from 29.3 to 6.8 days. The number of scheduled appointments per 6 months rose from 17,007 to 20,433. Non-attendance proportion (no-show) decreased from 33% to 28%. Dermatologist work-hours were without significant change.Conclusions Waiting lists for dermatological consultations were substantially shortened by managed overbooking of patient appointments and centralization of the service.