An analytical comparison of the patient-to-doctor policy and the doctor-to-patient policy in the outpatient clinic

Share/Save/Bookmark

Hulshof, Peter J.H. and Vanberkel, Peter T. and Boucherie, Richard J. and Hans, Erwin W. and Houdenhoven van, Mark and Ommeren van, Jan-Kees C.W. (2011) An analytical comparison of the patient-to-doctor policy and the doctor-to-patient policy in the outpatient clinic. [Report]

[img]
Preview
PDF
456Kb
Abstract:Outpatient clinics traditionally organize processes such that the doctor remains in a consultation room, while patients visit for consultation, we call this the Patient-to-Doctor policy. A different approach is the Doctor-to-Patient policy, whereby the doctor travels between multiple consultation rooms, in which patients prepare for their consultation. In the latter approach, the doctor saves time by consulting fully prepared patients. We compare the two policies via a queueing theoretic and a discrete-event simulation approach. We analytically show that the Doctor-to-Patient policy is superior to the Patient-to-Doctor policy under the condition that the doctor’s travel time between rooms is lower than the patient’s preparation time. Simulation results indicate that the same applies when the average travel time is lower than the average preparation time. In addition, to calculate the required number of consultation rooms in the Doctor-to-Patient policy, we provide an expression for the fraction of consultations that are in immediate succession; or, in other words, the fraction of time the next patient is prepared and ready, immediately after a doctor finishes a consultation.We apply our methods for a range of distributions and parameters and to a case study in a medium-sized general hospital that inspired this research.
Item Type:Report
Faculty:
Management and Governance (SMG)
Electrical Engineering, Mathematics and Computer Science (EEMCS)
Research Chair:
Research Group:
Link to this item:http://purl.utwente.nl/publications/76017
Publisher URL:http://www.math.utwente.nl/publications
Export this item as:BibTeX
EndNote
HTML Citation
Reference Manager

 

Repository Staff Only: item control page