Integrated optimization of appointment allocation and access prioritization in patient-centred outpatient scheduling
Integrated optimization of appointment allocation and access prioritization in patient-centred outpatient scheduling
复制标题
以患者为中心的门诊排班中预约分配和访问优先级的集成优化
DOI：
10.1016/j.cie.2021.107125
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发表时间：
2021-04
影响因子：
7.9
通讯作者：
Kong Nan
中科院分区：
文献类型：
--
作者：
Li Na;Li Xiaorui;Zhang Canrong;Kong Nan
在综合性医院，预约病人占门诊的很大一部分。在目前的常规做法中，每个时段都有偶数个预约，预约的患者被严格地优先于非预约患者。因此，预约病人通常要等更长的时间，并引起明显的不满。为了提高他们的满意度，我们提出了一种以患者为中心的门诊调度的综合优化方法。该方法旨在根据患者就诊的时间变化来分配预约，并进一步开发基于时不变阈值的优先排序方案，以实时平衡两类患者之间的服务优先级。为了证实这一方法，我们开发了一个基于前景理论的模型来量化每个患者的实时满意度。我们应用离散事件模拟为基础的优化，以最大限度地提高两类患者的平均满意度。为了验证我们的综合优化方法，我们在上海市第六人民医院内分泌科进行了试点。我们的研究结果表明，我们的方法大大减少了预约患者的等待时间，而不影响提前预约患者的满意度。
Walk-in patients can take a large portion of outpatient visits in comprehensive hospitals. In current common practice, an even number of appointments is assigned to each slot and patients with appointment are given a strictly higher priority than walk-in patients. As a result, walk-in patients usually wait longer and incur noticeable dissatisfaction. To improve their satisfaction, we propose an integrated optimization approach for patient-centred outpatient scheduling. This approach aims to allocate appointments in line with the temporal variation of patient walk-ins, and further develop a time-invariant threshold-based prioritization scheme to balance the service priorities between the two types of patients in real time. To substantiate this approach, we develop a prospect theory-based model to quantify each patient’s real-time satisfaction. We apply discrete-event simulation-based optimization to maximize the average patient satisfaction over the two types of patients. To verify our integrated optimization approach, we conduct a pilot in the endocrine department of Shanghai Sixth People’s Hospital. Our results suggest that our approach substantially decreases the waiting time of walk-in patients without much compromise on the satisfaction of patients who made advance appointment.
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影响因子：
3.6
作者：
E. Avineri
通讯作者：
E. Avineri
DOI：
10.1017/cbo9780511609220.014
发表时间：
1979-12
期刊：
--
影响因子：
--
作者：
D. Kahneman;A. Tversky
通讯作者：
D. Kahneman;A. Tversky
DOI：
10.1016/j.ejor.2014.05.027
发表时间：
2014-11
期刊：
Eur. J. Oper. Res.
影响因子：
--
作者：
B. Kemper;C. Klaassen;M. Mandjes
通讯作者：
B. Kemper;C. Klaassen;M. Mandjes
DOI：
10.1080/19488300.2012.665154
发表时间：
2012-01
期刊：
IIE Transactions on Healthcare Systems Engineering
影响因子：
--
作者：
P. Koeleman;G. Koole
通讯作者：
P. Koeleman;G. Koole
影响因子：
5
作者：
Zacharias, Christos;Pinedo, Michael
通讯作者：
Pinedo, Michael