Summary: Outpatient Scheduling In Health Care: A Review Of Literature
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Read the summary and the most important questions on Outpatient scheduling in health care: A review of Literature
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1 Introduction
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What is the major driver for patients dissatisfaction in hospitals?
Excessive waiting times are the major driver for patients dissatisfaction -
2 Problem definition and Formulation
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How can outpatient clinics be classified?
As queuing systems -
Why are systems with a single common queue undesirable in healthcare?
Since those systems do not provide a one-to-one relation with doctors. Mostly those systems are modeled as a multi queue system -
How can the presence of companions be negative for the model?
Companions do not need service, but claim some space in the waitingroom witch can make the waiting room too small -
How can service time be defined?
As the sum of all the times a patient is claiming the docters attention preventing the docter from seeing other other patients -
What is the relationship between number of appointments and waiting time?
Positive relationship -
3 Measures of Performance
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What is cost-based measure?
To evaluate a system based on costs. Or cost ratios such as cost of doctor/ cost of patient waiting time. Or overtime cost / waiting time cost -
What is time-based measures?
Men can also evaluate a system based on waiting times, idle times and/or overtime. Literature is less focesed on flow-time, because flow time measures also the time a patient spends in service, and patietens don't mind spending time in service -
What is the congestion measures?
The length of queues. Says something about how well the system works -
What is the fairness measure?
The fairness measures measures how much waiting time and service time each patient gets. Over the day when the schedule gets behind, patients wait longer and receive less service time because of the doctor trying to keep up. The fairness measure checks it the schedule is still fair.
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