TY - JOUR
T1 - Matching daily healthcare provider capacity to demand in advanced access scheduling systems
AU - Qu, Xiuli
AU - Rardin, Ronald L.
AU - Williams, Julie Ann S.
AU - Willis, Deanna R.
PY - 2007/12/1
Y1 - 2007/12/1
N2 - Advanced access scheduling, introduced in the early 1990s, is reported to significantly improve the performance of outpatient clinics. The successful implementation of advanced access scheduling requires the match of daily healthcare provider capacity with patient demand. In this paper, for the first time a closed-form approach is presented to determine the optimal percentage of open-access appointments to match daily provider capacity to demand. This paper introduces the conditions for the optimal percentage of open-access appointments and the procedure to find the optimal percentage. Furthermore, the sensitivity of the optimal percentage of open-access appointments to provider capacity, no-show rates, and demand distribution is investigated. Our results demonstrate that the optimal percentage of open-access appointments mainly depends on the ratio of the average demand for open-access appointments to provider capacity and the ratio of the show-up rates for prescheduled and open-access appointments. © 2006 Elsevier B.V. All rights reserved.
AB - Advanced access scheduling, introduced in the early 1990s, is reported to significantly improve the performance of outpatient clinics. The successful implementation of advanced access scheduling requires the match of daily healthcare provider capacity with patient demand. In this paper, for the first time a closed-form approach is presented to determine the optimal percentage of open-access appointments to match daily provider capacity to demand. This paper introduces the conditions for the optimal percentage of open-access appointments and the procedure to find the optimal percentage. Furthermore, the sensitivity of the optimal percentage of open-access appointments to provider capacity, no-show rates, and demand distribution is investigated. Our results demonstrate that the optimal percentage of open-access appointments mainly depends on the ratio of the average demand for open-access appointments to provider capacity and the ratio of the show-up rates for prescheduled and open-access appointments. © 2006 Elsevier B.V. All rights reserved.
KW - Advanced access
KW - Appointment scheduling
KW - No-show rate
KW - OR in health service
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=34250175834&origin=inward
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U2 - 10.1016/j.ejor.2006.10.003
DO - 10.1016/j.ejor.2006.10.003
M3 - Article
SN - 0377-2217
VL - 183
SP - 812
EP - 826
JO - European Journal of Operational Research
JF - European Journal of Operational Research
IS - 2
ER -