Analysis of Factors Causing Long Patient Waiting Time and Clinic Overtime in Outpatient Clinics

This paper is focused on the factors causing long patient waiting time/clinic overtime in outpatient clinics and how to mitigate them using discrete event simulation. A two-week period of data collection is conducted in an outpatient clinic of a Singapore government hospital. Detailed time study from patient arrival to patient departure is conducted, and the possible factors causing long patient waiting time/clinic overtime are discussed. A discrete simulation model is constructed to illustrate how to improve the clinic performance by mitigating the detected factors. Simulation and implementation results show that significant improvement is achieved if the factors are well addressed.

[1]  J. D. Welcht Appointments Systems in Hospitals and General Practice: Appointment Systems in Hospital Outpatient Departments , 1964 .

[2]  Thomas R. Rohleder,et al.  Scheduling outpatient appointments in a dynamic environment , 1996 .

[3]  John R. Simeoni,et al.  Scheduling customer arrivals to a stochastic service system , 1999 .

[4]  N. Bailey A Study of Queues and Appointment Systems in Hospital Out‐Patient Departments, with Special Reference to Waiting‐Times , 1952 .

[5]  Xiaoming Liu,et al.  Block appointment systems for outpatient clinics with multiple doctors , 1998, J. Oper. Res. Soc..

[6]  Amy Hing-Ling Lau,et al.  A fast procedure for computing the total system cost of an appointment schedule for medical and kindred facilities , 2000 .

[7]  J E Clague,et al.  Improving outpatient clinic efficiency using computer simulation. , 1997, International journal of health care quality assurance incorporating Leadership in health services.

[8]  Hon-Shiang Lau,et al.  Evaluating the impact of operating conditions on the performance of appointment scheduling rules in service systems , 1999, Eur. J. Oper. Res..

[9]  Paul R. Harper,et al.  Reduced outpatient waiting times with improved appointment scheduling: a simulation modelling approach , 2003, OR Spectr..

[10]  R. Fetter,et al.  Patients' waiting time and doctors' idle time in the outpatient setting. , 1966, Health services research.

[11]  P. Patrick Wang,et al.  Static and dynamic scheduling of customer arrivals to a single‐server system , 1993 .

[12]  Hon-Shiang Lau,et al.  Minimizing total cost in scheduling outpatient appointments , 1992 .

[13]  J. D. Welch,et al.  Appointment systems in hospital outpatient departments. , 1952, Lancet.

[14]  A. Soriano,et al.  Comparison of Two Scheduling Systems , 1966, Oper. Res..

[15]  Norman T. J. Baii A STUDY OF QUEUES AND APPOINTMENT SYSTEMS IN HOSPITAL OUT-PATIENT DEPARTMENTS, WITH SPECIAL REFERENCE TO WAITING-TIMES , 1952 .

[16]  Emre A. Veral,et al.  OUTPATIENT SCHEDULING IN HEALTH CARE: A REVIEW OF LITERATURE , 2003 .

[17]  A J Hedley,et al.  Management of queues in out-patient departments: the use of computer simulation. , 1996, Journal of management in medicine.