Patient flow and resource utilization in an outpatient clinic

Socio-Economic Planning Sciences

Volumn 33, Issue 3, 1999, Pages 231-245

  Côté, Murray J ^a  

^a TRINITY UNIVERSITY   (United States)

Author keywords

Capacity; Health care systems; Patient flow; Simulation

Indexed keywords

PRIMARY HEALTH CARE;

UNITED STATES;

EID: 0344211107     PISSN: 00380121     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0038-0121(99)00007-5     Document Type: Article

References (48)

1. Anderson H.J. Ambulatory care growth changes CEO priorities. Hospitals. 65:1991;44.
2. American Hospital Association Hospital Statistics: 1996-97 Edition. 1996;American Hospital Association, Chicago.
3. Anderson H.J. Are hospitals ready for more growth in ambulatory care? Hospitals. 65:1991;32-37.
4. Arbitman D.B. A primer on patient classification systems and their relevance to ambulatory care. Journal of Ambulatory Care Management. 9:1986;58-81.
5. Palmer R.H. Ambulatory health care evaluation: principles and practice. 1983;American Hospital Association, Chicago.
6. Vaughan R.W., Aluise J.J., McLaughlin C.P. Ambulatory surgery and the hospital. Health Care Management Review. 16:1991;15-26.
7. Flory J. Ambulatory care: a management briefing. 1990;American Hospital Publishing, Chicago.
8. Anderson H.J. Ambulatory care directors help hospitals gear up for growth. Hospitals. 66:1992;52-56.
9. Lagoe R.J., Milliren J.H. Changes in ambulatory surgery utilization 1983-88: a community-based analysis. American Journal of Public Health. 80:1990;869-871.
10. Ancona-Berk V.A., Chalmers T.C. An analysis of the costs of ambulatory and inpatient care. American Journal of Public Health. 76:1986;1102-1104.
11. O'Mahaney VanZyl G., Coby G. Improving outpatient care with clinical practice guidelines. Spath P.L. . Beyond Clinical Paths. 1997;35-51 American Hospital Publishing, Chicago.
12. Mahachek A.R. An introduction to patient flow simulation for health-care managers. Journal of the Society for Health Systems. 3:1992;73-81.
13. Fandel G., Hegemann H. Capacity planning of diagnosis systems in hospitals. Engineering Costs and Production Economics. 17:1989;205-221.
14. Graves S.C., Leff H.S., Natkins J., Senger M. A simple stochastic model for facility planning in a mental health care system. Interfaces. 13:1983;101-110.
15. Hershey J.C., Weiss E.N., Cohen M.A. A stochastic service network model with application to hospital facilities. Operations Research. 29:1981;1-22.
16. Shonick W. A stochastic model for occupancy-related random variables in general-acute hospitals. Journal of the American Statistical Association. 65:1970;1474-1500.
17. Brahimi M., Worthington D.J. Queueing models for out-patient appointment systems - a case study. Journal of the Operational Research Society. 42:1991;733-746.
18. Fetter R.B., Thompson J.D. Patients' waiting time and doctors' idle time in the outpatient setting. Health Services Research. 1:1966;66-90.
19. Keller T.F., Laughhunn D.J. An application of queuing theory to a congestion problem in an outpatient clinic. Decision Sciences. 4:1973;379-394.
20. Stafford E.F. Jr., Aggarwal S.C. Managerial analysis and decision-making in outpatient health clinics. Journal of the Operational Research Society. 30:1979;905-915.
21. Rising E.J. Ambulatory care systems: design for improved patient flow. vol. 1:1977;Lexington, Lexington.
22. Rising E.J., Baron R., Averill B. A systems analysis of a university-health-service outpatient clinic. Operations Research. 21:1973;1030-1047.
23. Kalton A.G., Singh M.R., August D.A., Parin C.M., Othman E.J. Using simulation to improve the operational efficiency of a multi-disciplinary clinic. Journal of the Society for Health Systems. 5:1997;43-62.
24. Cox T.F., Birchall J.R., Wong H. Optimising the queuing system for an ear, nose, and throat outpatient clinic. Journal of Applied Statistics. 12:1985;113-126.
25. Carlson R.C., Hershey J.C., Kropp D.H. Use of optimization and simulation models to analyze outpatient health care settings. Decision Sciences. 10:1979;412-433.
26. Clague J.E., Reed P.G., Barlow J., Rada R., Clarke M., Edwards R.H.T. Improving outpatient clinic efficiency using computer simulation. International Journal of Health Care Quality Assurance. 10:1997;197-201.
27. Hashimoto F., Bell S. Improving outpatient clinic staffing and scheduling with computer simulation. Journal of General Internal Medicine. 11:1996;182-184.
28. Badri M.A., Hollingsworth J. A simulation model for scheduling in the emergency room. International Journal of Operations & Production Management. 13:1993;13-24.
29. Blake J.T., Carter M.W., Richardson S. An analysis of emergency room wait time issues via computer simulation. INFOR. 34:1996;263-273.
30. Cohen M.A., Hershey J.C., Weiss E.N. Analysis of capacity decisions for progressive patient care hospital facilities. Health Services Research. 15:1980;145-160.
31. Hancock W.M., Chan T.J. Productivity and staffing of hospital units with uncertainty in the demand for service. IIE Transactions. 20:1988;346-353.
32. Brennan J.E., Golden B.L., Rappoport H.K. Go with the flow: improving Red Cross bloodmobiles using simulation analysis. Interfaces. 22:1992;1-13.
33. Pratt M.L., Grindon A.J. Computer simulation analysis of blood donor queueing problems. Transfusion. 22:1982;234-237.
34. Sapountzis C. Improving the operation of an outpatient department. Journal of Information & Optimization Sciences. 12:1991;165-176.
35. Li L.X., Benton W.C. Performance measurement criteria in health care organizations: review and future research directions. European Journal of Operational Research. 93:1996;449-468.
36. Kropp D.H., Carlson R.C. Recursive modeling of outpatient health care. Journal of Medical Systems. 1:1977;123-135.
37. Glenn J.K., Roberts S.D. The relationship between resource and utilization factors in an outpatient care system. AIIE Transactions. 5:1973;24-32.
38. Christoffel T., Loewenthal M. Evaluating the quality of ambulatory health care: a review of emerging methods. Medical Care. 15:1977;877-897.
39. Mersha T. Output and performance measurement in outpatient care. OMEGA International Journal of Management Science. 17:1989;159-167.
40. Duchessi P. A methodology for determining a hospital's expected costs for changes in patient load and service mix. Management Science. 33:1987;73-85.
41. Moscovice I. A method for analyzing resource use in ambulatory care settings. Medical Care. 15:1977;1024-1044.
42. Anderson T.W., Goodman L.A. Statistical inference about Markov chains. Annals of Mathematics and Statistics. 28:1957;89-110.
43. Pegden C.D., Shannon R.E., Sandowski R.P. Introduction to simulation using SIMAN. 1990;McGraw-Hill, New York.
44. SAS/STAT User's Guide. Version 6 ed :1990;SAS Institute, Cary, North Carolina.
45. Montgomery D.C. Design and analysis of experiments. 2nd ed :1984;John Wiley, New York.
46. Larson J.A. Healthcare redesign tools and techniques. 1997;Quality Resources, New York.
47. Dansky K.H., Miles J. Patient satisfaction with ambulatory healthcare services: waiting time and filling time. Hospital & Health Services Administration. 42:1997;165-177.
48. Larson R.C. Perspectives on queues: social justice and the psychology of queuing. Operations Research. 35:1987;895-905.