门诊环境中患者的等待时间和医生的空闲时间。
Patients' waiting time and doctors' idle time in the outpatient setting.
作者信息
Fetter R B, Thompson J D
出版信息
Health Serv Res. 1966 Summer;1(1):66-90.
If outpatient care is to be made acceptable to the patient and still remain efficient, some balance between the patients' waiting time and the doctors' idle time must be achieved. Examination of the literature on the subject and of three specific waiting-time studies revealed that there are at least seven variables affecting this relationship: appointment interval, service time, patients' arrival pattern, number of no-shows, number of walk-ins, physicians' arrival pattern, and interruptions in patient services. An outpatient department simulator was constructed so that each of these variables could be manipulated and its effect on the doctors' idle time—patients' waiting time relation assessed. Specific experiments were conducted to determine the effect of patient loads, patients' early and late arrival times, physicians' promptness, and a combination of these variables on the operation of the clinic. Results of the simulation runs are presented.
若要使门诊服务既能让患者接受又能保持高效，就必须在患者等待时间和医生空闲时间之间达成某种平衡。对该主题的文献以及三项特定等待时间研究进行审视后发现，至少有七个变量会影响这种关系：预约间隔、服务时间、患者到达模式、爽约人数、未经预约而来的患者人数、医生到达模式以及患者服务过程中的中断情况。构建了一个门诊部模拟器，以便对这些变量中的每一个进行操控，并评估其对医生空闲时间与患者等待时间关系的影响。进行了具体实验，以确定患者负荷、患者早到和迟到时间、医生的准时程度以及这些变量的组合对诊所运营的影响。呈现了模拟运行的结果。
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