Applying computer simulation modelling to minimizing appointment lead-time in elderly outpatient clinics: a case study

Appointment lead-time is a pivotal parameter in elderly outpatient clinics. In this regard, delayed medical care may represent complications in the elderly population and the development of more severe diseases. However, healthcare managers are not skilled in methods effectively reducing waiting tim...

Full description

Autores:
Ortiz Barrios, Miguel Angel
López Meza, Pedro
Jimenez Delgado, Genett Isabel
Tipo de recurso:
http://purl.org/coar/resource_type/c_f744
Fecha de publicación:
2017
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/2211
Acceso en línea:
https://hdl.handle.net/11323/2211
https://repositorio.cuc.edu.co/
Palabra clave:
Appointment lead-time
Discret event simulation (DES)
Elderly
Healthcare
Outpatient clinics
Rights
openAccess
License
Atribución – No comercial – Compartir igual
Description
Summary:Appointment lead-time is a pivotal parameter in elderly outpatient clinics. In this regard, delayed medical care may represent complications in the elderly population and the development of more severe diseases. However, healthcare managers are not skilled in methods effectively reducing waiting times. Therefore, this paper presents the computer simulation modelling to tackle this problem. In this regard, the real-world system was initially simulated and then, three improvement scenarios were designed and validated operationally and financially. The results evidenced that Scenario 2 was the best choice since it provided a low investment per reduced day and a significant reduction (47.1%) regarding the probability of waiting for more than 8 days per appointment. With this proposal, the quality of medical care in elderly population can be meaningfully increased and decisionmaking process can be effectively supported