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Health Care Analysis

, Volume 2, Issue 2, pp 164–169 | Cite as

Pragmatics

Operations research survey and computer simulation of waiting times in two medical outpatient clinic structures
  • Richard H. T. Edwards
  • John E. Clague
  • Judith Barlow
  • Margaret Clarke
  • Patrick G. Reed
  • Roy Rada
Feature

Abstract

Outpatient services are increasingly recognised as an important component of health care provision and may be improved through the application of modern management techniques. We have performed a time and role audit of consultation and waiting times in two medical clinics using different queuing systems: namely, a serial processing clinic where patients wait in a single queue and a quasi-parallel processing clinic where patients are directed to the shortest queue to maintain clinic flow. Data collected were used to construct a computer simulation of patient flows in clinic. Assessment of patient satisfaction in the clinic process was determined using a self-administered questionnaire. Mean waiting time was shorter in the quasi-parallel processing clinic: 26 (SD 17) minutes compared with 36(24) minutes in the serial processing clinic. In the serial processing clinic 61% of patients waited more than 30 minutes compared with 41% in the quasi-parallel processing clinic. In the serial processing clinic 8% of 142 patients surveyed complained of the time spent waiting. The computer simulation we produced was able to determine waiting times with different clinic structures. The simulation showed that reductions in waiting time up to 30% might be achieved by changing our serial processing clinic to a quasi-parallel processing one. Performance of medical outpatient clinics can be improved by examining and changing clinic management. Computer simulation of outpatient clinics offers a means of assessing the impact of such changes on waiting time in clinic and on waiting lists.

Keywords

Computer Simulation Patient Satisfaction Outpatient Clinic Wait Time Management Technique 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© John Wiley & Sons, Ltd 1994

Authors and Affiliations

  • Richard H. T. Edwards
    • 1
  • John E. Clague
    • 1
  • Judith Barlow
    • 1
    • 2
  • Margaret Clarke
    • 1
  • Patrick G. Reed
    • 1
    • 2
  • Roy Rada
    • 1
    • 2
  1. 1.Department of MedicineUniversity ofLiverpoolUK
  2. 2.Department of Computer SciencesUniversity ofLiverpoolUK

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