Planning decisions in healthcare - Cayirli
23 important questions on Planning decisions in healthcare - Cayirli
Considering the arrival process, what are [4] patient characteristics of patients arriving at a clinic, say something about them
- Unpunctuality of patients, patients arrive more early than late
- no shows (5% to 30%), affects performance AS heaviliy
- Presence walk-ins, (regular and emergency), differs throughout the day but cyclic from day to day
- Presence of companions
What is the definition of service times and the distribution?
- Exponential
- Erlang
Consider consultation times, what does a shorter mean consultation time result in?
- Higher grades + faster learning
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Say something about the sensitivity of service times
What are 'gap times'?
What does doctors unpunctuality result in?
The queuing discipline is mostly FCFS what can violate/change this rule?
- Patient unpunctuality
- Priority rules
What are [2] cost-based measures?
- Patients waiting time
- Doctor's idle time
Give the definition of true waiting time?
Give the defintion of idle time
What is a congestion measure?
Say something about the service for patients at the end of a clinic session?
- Long waiting times
- Truncated consultation times
How is an appointment rule of the appointment system build?
- block-size: # of patients scheduled to the ith block.
- Begin-block: # of patients given an identical appointment time at the start of session
- Appointment interval: interval between two successive appointment times ai
What is the main purpose of patient classification?
- Sequence patients at the time of booking
- Change appointment intervals based on service time characteristics.
Incorporating no-shows in an appointment schedule results in system improvement what are [2] ways to do this?
- Overbooking
- Shortening appointment intervals proportionally
Incorporating walk-in patients in the schedule smoothens patient flow what are [2] ways to do this?
- Leaving open slots
- Setting appointment interval relatively longer
Urgent slots can be done in [2] ways
- early in the session
- later in the session
What do they result in?
Average patient waiting time lower, fewer urgent patients are served
Later in the session
Lower idle time doctors, more urgent patients are served
What is the downside of analytical studies?
What do simulation studies do?
What are [2] important factors in an efficient operating of clinics?
- Doctor punctuality
- Realistic loading
What is meant with system earliness?
What is a good performing variable interval rule?
Grouping variability has a positive influence on utilization, what is a rule that performs reasonably well?
The question on the page originate from the summary of the following study material:
- A unique study and practice tool
- Never study anything twice again
- Get the grades you hope for
- 100% sure, 100% understanding
