SELECTING A SUITABLE APPOINTMENT SYSTEM IN AN OUTPATIENT SETTING
SELECTING A SUITABLE APPOINTMENT SYSTEM IN AN OUTPATIENT SETTING
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DOI：
10.1097/00005650-197912000-00004
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发表时间：
1979-01-01
期刊：
影响因子：
3
通讯作者：
VISSERS, J
中科院分区：
文献类型：
--
作者：
VISSERS, J
门诊等候时间长的主要原因之一是缺乏设计良好的预约系统。给出了一个概念框架来处理现有的任命系统并解释其工作原理。讨论了在任命制度方面发挥作用的变量。所有不同的预约系统都可以根据它们对患者等待时间和医生空闲时间的影响进行比较，这些系统用称为“准时性”的新变量来表示。准时性是指患者到达诊所的时间与预期治疗时间之间的差异，由患者自身提前、医生迟到以及所选预约系统引起的提前引起。通过计算机模拟模型研究了准时率与等待时间和空闲时间之间的关系。通过这种方式，使用不同预约系统的后果已经明确，以患者的平均等待时间和医生的总空闲时间表示。给定一定的等待和空闲时间标准，计算结果可用于针对最常见的诊所情况确定合适的预约系统以及相应的等待和空闲时间。举例说明如何使用这些结果。
One of the principal causes of waiting time in outpatient departments is the lack of well-designed appointment systems. A conceptual framework is given for dealing with existing appointment systems and to explain their working. The variables that play a role with respect to the appointment system are discussed. All different appointment systems can be compared according to their effect on the patients' waiting time and the physician's idle time, when the systems are expressed in terms of a new variable called "prepunctuality." Prepunctuality means the difference between the time of a patient's arrival at the clinic and the expected time of treatment, and is caused by the patient's own earliness, physician's lateness and the earliness induced by the appointment system chosen. The relationship between prepunctuality and both waiting and idle time was investigated by means of a computer simulation model. In this way, the consequences of using different appointment systems have been clarified, expressed in mean waiting time for the patient and total idle time for the physician. Given certain standards for waiting and idle time, the calculated results can be used to determine an appropriate appointment system and the corresponding waiting and idle time for the range of most common clinic situations. Examples are given to illustrate how these results can be used.