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Full-Text Articles in Operations Research, Systems Engineering and Industrial Engineering
Patient-Centered Appointment Scheduling Using Agent-Based Simulation, Tammy Toscos, Ayten Turkcan, Brad Doebbeling
Patient-Centered Appointment Scheduling Using Agent-Based Simulation, Tammy Toscos, Ayten Turkcan, Brad Doebbeling
Tammy R Toscos
Enhanced access and continuity are key components of patient-centered care. Existing studies show that several interventions such as providing same day appointments, walk-in services, after-hours care, and group appointments, have been used to redesign the healthcare systems for improved access to primary care. However, an intervention focusing on a single component of care delivery (i.e. improving access to acute care) might have a negative impact other components of the system (i.e. reduced continuity of care for chronic patients). Therefore, primary care clinics should consider implementing multiple interventions tailored for their patient population needs. We collected rapid ethnography and observations to …
Role Activity Diagram-Based Discrete Event Simulation Model For Healthcare Service Delivery Processes, Nagesh Shukla
Role Activity Diagram-Based Discrete Event Simulation Model For Healthcare Service Delivery Processes, Nagesh Shukla
Nagesh Shukla
In case of health care systems, discrete event simulations (DESs) are useful techniques to identify problematic process issues. However, currently available simulation models often use a simplified flow chart as an input which represents patient flow obtained from on-site observations and interviews complemented with historic patient data. This is insufficient in modelling important interactions between clinical staff, equipment and patients, causing the resultant models to be incomplete and unrealistic. This in turn leads to oversimplified outputs from any simulations. This paper presents a systematic methodology for the development of DES model from process mapping model based on the role activity …