Outpatient Waiting Time in Health Services and Teaching Hospitals: A Case Study in Iran

Background: One of the most important indexes of the health care quality is patient’s satisfaction and it takes place only when there is a process based on management. One of these processes in the health care organizations is the appropriate management of the waiting time process. The aim of this study is the systematic analyzing of the outpatient waiting time. Methods: This descriptive cross sectional study conducted in 2011 is an applicable study performed in the educational and health care hospitals of one of the medical universities located in the north west of Iran. Since the distributions of outpatients in all the months were equal, sampling stage was used. 160 outpatients were studied and the data was analyzed by using SPSS software. Results: Results of the study showed that the waiting time for the outpatients of ophthalmology clinic with an average of 245 minutes for each patient allocated the maximum time among the other clinics for itself. Orthopedic clinic had the minimal waiting time including an average of 77 minutes per patient. The total average waiting time for each patient in the educational hospitals under this study was about 161 minutes. Conclusion: by applying some models, we can reduce the waiting time especially in the realm of time and space before the admission to the examination room. Utilizing the models including the one before admission, electronic visit systems via internet, a process model, six sigma model, queuing theory model and FIFO model, are the components of the intervention that reduces the outpatient waiting time.

[1]  T. Eldabi,et al.  A proposed approach for modelling health-care systems for understanding , 2006, IEEE Engineering Management Review.

[2]  Marie-Laure Espinouse,et al.  MINIMIZING THE SUM OF JOB COMPLETION TIMES FOR WASHING OPERATIONS IN HOSPITAL STERILIZATION SERVICES , 2010 .

[3]  D. Kaldenberg,et al.  Timeliness in ambulatory care treatment. An examination of patient satisfaction and wait times in medical practices and outpatient test and treatment facilities. , 2003, The Journal of ambulatory care management.

[4]  Edwin D Boudreaux,et al.  Predictors of emergency department patient satisfaction: stability over 17 months. , 2004, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[5]  K. Dansky,et al.  Patient satisfaction with ambulatory healthcare services: waiting time and filling time. , 1997, Hospital & health services administration.

[6]  Herbert Moskowitz,et al.  Improving patient flow at an outpatient clinic: study of sources of variability and improvement factors , 2009, Health care management science.

[7]  Jack V Tu,et al.  Measuring and reducing waiting times: a cross-national comparison of strategies. , 2007, Health affairs.

[8]  R Jones,et al.  Outpatient appointments. Feeling a bit peaky. , 2000, The Health service journal.

[9]  A. Levin,et al.  The British Columbia Nephrologists’ Access Study (BCNAS) – a prospective, health services interventional study to develop waiting time benchmarks and reduce wait times for out-patient nephrology consultations , 2013, BMC Nephrology.

[10]  M B Arianezhad,et al.  ESTIMATING OUTPATIENT WAITING TIME: A SIMULATION APPROACH , 2009 .

[11]  Jiju Antony,et al.  Reducing patient waiting time in a pathology department using the Six Sigma methodology , 2013 .

[12]  Christoph Urban,et al.  Agent-Based Modeling and Simulation for Hospital Management , 2001 .

[13]  Shinji Naganawa,et al.  Impact of adjustment measures on reducing outpatient waiting time in a community hospital: application of a computer simulation. , 2010, Chinese medical journal.

[14]  C. Probert,et al.  Are we wasting time in out-patients departments? , 1991, Public health.

[15]  Mursyid Hasan Basri,et al.  The Analysis of Appointment System to Reduce Outpatient Waiting Time at Indonesia's Public Hospital , 2013 .

[16]  E. Bamgboye,et al.  Long-waiting outpatients: target audience for health education. , 1994, Patient education and counseling.

[17]  J M Vissers,et al.  Health care management modelling: a process perspective , 1998, Health care management science.

[18]  Bernd Schmidt,et al.  Cooperative Agents: Applications in the Social Sciences , 2002 .

[19]  W. Gstöttner,et al.  Qualitätsmanagement : Verkürzung von Wartezeiten und Effizienzsteigerung bei der Versorgung ambulanter Patienten an einer HNO -Universitätsklinik , 2007 .