Persuasive Technology for Reducing Waiting and Service Cost: A Case Study of Nigeria Federal Medical Centers

Long waiting time required before a patient sees a doctor and associated cost is one of the major problems faced by many hospitals especially those in the developing countries. According to a recent study, 97% of patients are frustrated by wait times at the doctor's office. Patients being kept on hold for so long before receiving medical services could result in waiting costs for them. Similarly, providing surplus doctors could result in excessive costs to the hospital. This paper discusses how persuasive technology can be used to reduce the overall cost often associated with long wait times to see a doctor by reducing patient's perceived wait times and determined an optimal number of doctors required to provide optimal service to patients (at reduce time and cost). To achieve this, we examined and modelled the queuing characteristics, the waiting and service costs and optimal server level for all the twenty-two (22) Federal Medical Centers (FMCs) in Nigeria. Next, we examined the potential of using persuasive messaging system to reduce waiting cost by reducing the perceived waiting time and persuading patients against leaving the hospital without seeing a doctor. The results of the study show that the average queue length, waiting cost of patients and the cost of service at the FMC could be reduced at an optimal server level for a minimum total cost.

[1]  Stephen S. Intille,et al.  Designing a Home of the Future , 2002, IEEE Pervasive Comput..

[2]  Maurits Kaptein,et al.  Combining multiple influence strategies to increase consumer compliance , 2013 .

[3]  Linda V. Green,et al.  Using Operations Research to Reduce Delays for Healthcare , 2008 .

[4]  Kembe,et al.  A Study of Waiting And Service Costs of A Multi-Server Queuing Model In A Specialist Hospital , 2012 .

[5]  C. Fernandes,et al.  Emergency department patients who leave without seeing a physician: the Toronto Hospital experience. , 1994, Annals of emergency medicine.

[6]  B. J. Fogg,et al.  Persuasive Technologies - Introduction. , 1999 .

[7]  R. Hall,et al.  Patient flow : reducing delay in healthcare delivery , 2006 .

[8]  K J Roghmann,et al.  An Analysis of Waiting Times in a Pediatric Emergency Department , 1985, Clinical pediatrics.

[9]  Daniel Berdichevsky,et al.  Toward an ethics of persuasive technology , 1999, CACM.

[10]  I. Ajzen,et al.  Predicting and Changing Behavior: The Reasoned Action Approach , 2009 .

[11]  F. Strack,et al.  Mood and Persuasion , 1990 .

[12]  Izak Benbasat,et al.  HCI Research: Future Challenges and Directions , 2010 .

[13]  Paul J. Taylor,et al.  A meta-analytic review of behavior modeling training. , 2005, The Journal of applied psychology.

[14]  Boris E. R. de Ruyter,et al.  Personalizing persuasive technologies: Explicit and implicit personalization using persuasion profiles , 2015, Int. J. Hum. Comput. Stud..

[15]  Q. B. Chung,et al.  Using the analytic hierarchy process as a clinical engineering tool to facilitate an iterative, multidisciplinary, microeconomic health technology assessment , 2003, Comput. Oper. Res..

[16]  Jahidul Alum,et al.  Construction productivity: Issues encountered by contractors in Singapore , 1995 .

[17]  Kai Kupferschmidt,et al.  The science of persuasion. , 2017, Science.

[18]  Boris E. R. de Ruyter,et al.  Can You Be Persuaded? Individual Differences in Susceptibility to Persuasion , 2009, INTERACT.

[19]  Michel Barbeau,et al.  Principles of ad hoc networking , 2007 .

[20]  L Mayhew,et al.  Using queuing theory to analyse the Government’s 4-h completion time target in Accident and Emergency departments , 2008, Health care management science.

[21]  Herbert W. Simons,et al.  Persuasion in Society , 2011 .

[22]  R. Nosek,et al.  Queuing Theory and Customer Satisfaction: A Review of Terminology, Trends, and Applications to Pharmacy Practice , 2001 .

[23]  Stephen S. Intille,et al.  A new research challenge: persuasive technology to motivate healthy aging , 2004, IEEE Transactions on Information Technology in Biomedicine.

[24]  B. J. Fogg,et al.  Persuasive technology: using computers to change what we think and do , 2002, UBIQ.

[25]  A Maitra,et al.  PATIENT SATISFACTION IN AN URBAN ACCIDENT AND EMERGENCY DEPARTMENT , 1992, The British journal of clinical practice.

[26]  Julita Vassileva,et al.  LunchTime: a slow-casual game for long-term dietary behavior change , 2013, Personal and Ubiquitous Computing.

[27]  Khoa Nguyen,et al.  Bursting at the Seams: Improving Patient Flow to Help America's Emergency Departments , 2004 .

[28]  C. Kandemir-Cavas,et al.  An Application of Queueing Theory to the Relationship Between Insulin Level and Number of Insulin Receptors , 2007 .

[29]  Julita Vassileva,et al.  Modeling Gender Differences in Healthy Eating Determinants for Persuasive Intervention Design , 2013, PERSUASIVE.

[30]  W. Crano,et al.  Attitudes and persuasion. , 2006, Annual review of psychology.

[31]  David W. McDonald,et al.  Theory-driven design strategies for technologies that support behavior change in everyday life , 2009, CHI.

[32]  B. J. Fogg,et al.  Persuasive technologie301398 , 1999, CACM.

[33]  A. Omran The epidemiologic transition theory. A preliminary update. , 1983, Journal of tropical pediatrics.

[34]  Emile H. L. Aarts,et al.  The New Everyday: Views on Ambient Intelligence , 2003 .

[35]  Rita Orji,et al.  Exploring the Persuasiveness of Behavior Change Support Strategies and Possible Gender Differences , 2014, BCSS@PERSUASIVE.

[36]  Kathleen R Stevens,et al.  Using technology to promote self-efficacy for healthy eating in adolescents. , 2004, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[37]  D. Berwick About the Institute for Healthcare Improvement , 1993 .

[38]  Myron Hlynka,et al.  Queueing Networks and Markov Chains (Modeling and Performance Evaluation With Computer Science Applications) , 2007, Technometrics.

[39]  R. Orji,et al.  DESIGN FOR BEHAVIOUR CHANGE: A MODEL-DRIVEN APPROACH FOR TAILORING PERSUASIVE TECHNOLOGIES , 2014 .

[40]  Julita Vassileva,et al.  Gender, Age, and Responsiveness to Cialdini's Persuasion Strategies , 2015, PERSUASIVE.