請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/45968
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 陳靜枝(Ching-Chin Chern) | |
dc.contributor.author | Bang-Woei Hung | en |
dc.contributor.author | 洪邦瑋 | zh_TW |
dc.date.accessioned | 2021-06-15T04:50:05Z | - |
dc.date.available | 2010-08-04 | |
dc.date.copyright | 2010-08-04 | |
dc.date.issued | 2010 | |
dc.date.submitted | 2010-08-02 | |
dc.identifier.citation | 【1】 古慧仙、古慧嬋、張彩秀,「影響門診病患就醫忠誠度之相關因素探討」,澄清醫護管理雜誌,民國96年。
【2】 杜壯、曾育培、吳永宏,「倒傳遞網路於醫療業顧客失約模型之探討」,2000年科技與管理學術研討會論文集,頁527-536,民國89年。 【3】 陳榮邦、賴映蓉、陳震宇、張政彥、林明芳、李三剛、黃國茂,「臺灣醫學中心放射線科檢查流程之病人安全調查」, 中華放射醫誌,第三十二期,民國96年。 【4】 鄭榮郎、鄭婌婷、陳昌宗,「醫療服務品質、服務疏失、顧客滿意度之相關性研究」,2005第三屆管理思維與實務學術研討會論文集,民國94年。 【5】 魏文欽、扈克傑,「醫療服務品質、病患滿意度與病患忠誠度關連性之實證研究-以高高屏地區區域教學醫院為例」, International Journal of LISREL, Vol.1,民國97年。 【6】 楊基譽,「健康檢查作業排程之探討-以臺大醫院健康管理中心為例」,國立台灣大學資訊管理所研究所碩士論文,民國92年。 【7】 簡佩思,「健康檢查作業排程模型之研究」,國立台灣大學資訊管理所碩士論文,民國93年。 【8】 Babes, M. and G. V. Sarma,“Out-Patient Queues at the Ibn-Rochd Health Centre,”The Journal of the Operational Research Society, Vol.42, 1991, pp.845-855. 【9】 Baggri, H. S., D. Jenkins, “A Survey to Assess the Preferences of Patients with Diabetes for the Time and Location of their Outpatient Appointments,”Practical Diabetes International, Vol 24, 2007, pp366-370 【10】 Bailey, N.,“A Study of Queues and Appointment Systems in Hospital Out-Patient Departments, with Special Reference to Waiting-Times,”Journal of the Royal Statistical Society. Series, Vol.14, 1952, pp.185-199. 【11】 Brain, D. and D. Gupta,“A Sequential Bounding Approach for Optimal Appointment Scheduling,”Institute of Industrial Engineers Transactions , Vol.35, 2003, pp.1003-1016. 【12】 Brian, T. D., A. S. Rahman, H. Nelson and A. C. Bailey,“Simulation of a Multiple Operating Room Surgical Suite,”Proceedings of the 2006 Winter Simulation Conference, 2006. 【13】 Cayirli, T. and E. Veral,“Outpatient Scheduling in Health Care: A Review of Literature,”Production and Operations Management, Vol.12, 2003, pp.519-549. 【14】 Cayirli, T., E. Veral and H. Rosen,“Designing Appointment Scheduling Systems for Ambulatory Care Services,”Health Care Management Science, Vol.9, 2006, pp47-58. 【15】 Centeno, M. A., C. Albacete, D. O. Terzano, M. Carrillo and T. Ogazon,“A Simulation Study of the Radiology Department at JMH,”Simulation Conference Proceedings, 2002. 【16】 Conforti, D., F. Guerriero and R. Guido, “Optimization Models for Radiotherapy Patient Scheduling,” A Quarterly Journal of Operations Research , Vol.6, 2008, pp.263-278. 【17】 Cox, T. F., J. P. Birchall and H. Wong,“Optimising the Queuing System for An Ear, Nose and Throat Outpatient Clinic,”Journal of Applied Statistics, Vol.12, 1985, pp.113-126. 【18】 Douglas, K. M. J., T. Potter,G. J. Treharne, K. Obrenovic, E. D. Hale, A. Pace, D. Mitton, N. Erb, A. Whallett, J. P. Delamere, G. D. Kitas“Rheumatology Patient Preferences for Timing and Location of Out-patient Clinics,”Rheumatology, Vol. 44, 2005, pp80-82 【19】 Eduardo P., L. Ntaimo, W. E. Wilhelm, C. R. Bailey and P. McCormack,“Patient and Resource Scheduling of Multi-Step Medical Procedures in Nuclear Medicine,”2009. 【20】 Green, L. V., S. Savin and B. Wang,“Managing Patient Service in a Diagnostic Medical Facility,”Operations Research, Vol.54, 2006, pp.11-25. 【21】 Heaney, D. G., J. G. Howie and A.M. Porter,“Factors Influencing Waiting Times and Consultation Times in General Practice,”The British Journal of General Practice, Vol.41, 1991, pp.315-319. 【22】 Heaney, L. R.,“A Synopsis of Climatic and Vegetational Change in Southeast Asia,” Climatic Change, Vol.19, 1991, pp.53-61. 【23】 Ho, C. J. and H.S Lau ,“Minimizing Total Cost in Scheduling Outpatient Appointments,”Management Science, Vol.38, 1992, pp.1750-1764. 【24】 Ho, C. J. and H.S Lau ,“Evaluating the Impact of Operating Conditions on the Performance of Appointment Scheduling Rules in Service Systems,” European Journal of Operational Research , Vol.112, 1999, pp.542-553. 【25】 Klassen, K. J. and T. R. Rohleder ,“Scheduling Outpatient Appointments in a Dynamic Environment,” Journal of Operations Management, Vol.14, 1996, pp.83-101. 【26】 Lehaney, B., S. A. Clarke and R. J. Paul,“A Case of an Intervention in an Outpatients Department,”Journal of the Operational Research Society, Vol. 50, 1999, pp.877-891. 【27】 Meza, J.P.,“Patient Waiting Times in a Physician's Office,”The America Journal of Managed Care. Vol. 4, 1998. 【28】 Naomi, L. L., A. Paulman, M. D. Reuter and B. Lovejoy,“Why We Don't Come: Patient Perceptions on No-Shows,”Annals of Family Medicine, Vol. 2, 2004, pp.541-545. 【29】 Patrick J and Puterman M. L., “Improving Resource Utilization for Diagnostic Services Through Flexible Inpatient Scheduling: a method for improving resource utilization”Journal of the Operational Research Society, Vol 58, 2007, pp235-245 【30】 Podgorelec, V. and P. Kokol,“Genetic Algorithm Based System for Patient Scheduling in Highly Constrained Situations,” Journal of Medical Systems, Vol.21, 1997, pp.417-427. 【31】 Richard A. and Thomas S. I., “Dropouts and Broken Appointments: A Literature Review and Agenda for Future Research,”Medical Care , Vol.18, 1980, pp.1146-157. 【32】 Rising, E. J., R. Baron and B. Averill,“A Systems Analysis of a University-Health-Service Outpatient Clinic,” Operations Research, Vol.21, 1973, pp.1030-1047. 【33】 Rohleder, T. R. and K. J. Klassen,“Using Client-variance Information to Improve Dynamic Appointment Scheduling Performance,” Omega, Vol.28, 2000, pp.293-302. 【34】 Rohleder, T. R. and K. J. Klassen ,“Rolling Horizon Appointment Scheduling: A Simulation Study,” Health Care Management Science, Vol.5, 2002, pp.201-209. 【35】 Robert, B.F. and J.D. Thompson,“Patients' Waiting Time and Doctors' Idle Time in the Outpatient Setting,”Health Services Research, Vol.1, 1966, pp.66-90. 【36】 Shonick, W. and B. W. Klein,“An Approach to Reducing the Adverse Effects of Broken Appointments in Primary Care Systems: Development of a Decision Rule Based on Estimated Conditional Probabilities,” Medical Care , Vol.15, 1977, pp.419-429. 【37】 Swartzman, G.,“The Patient Arrival Process in Hospitals,” Health Service Research, Vol.5, 1970, pp.320-329. 【38】 Swisher, J. R., S. H. Jacobson, J. . Jun and O. Balci ,“Modeling and Analyzing a Physician Clinic Environment Using Discrete-event (visual) Simulation,”Computers & Operations Research, Vol.28, 2001, pp.105-125. 【39】 Vanden Bosch, P. M. and D. C. Dietz,“Minimizing Expected Waiting in a Medical Appointment System,”Insititute of Industrial Engineers Transactions , Vol.32, 2000, pp.841-848. 【40】 Vermeulen, I. B., S. M. Bohte, P. Bosman, S. Elkhuizen, P. Bakker and J. La Poutre ,“Optimization of Online Patient Scheduling with Urgencies and Preferences,”Vol.5651, 2009, pp.71-80. 【41】 Vermeulen, I., S. Bohte, S. Elkhuizen, P. Bakker, H. L. Poutre,“Decentralized Online Scheduling of Combination-appointments in Hospitals,”Proceedings of Eighteenth International Conference on Automated Planning and Scheduling, 2008. 【42】 Vermeulen, I.B., S. M. Bohte, S. G. Elkhuizen, J. S. Lameris, P. J. M. Bakker and J. A. La Poutre,“Adaptive Resource Allocation for Efficient Patient Scheduling,”Artificial Intelligence in Medicine, Vol.46, 2009, pp.67-80. 【43】 Vissers, J.,“Selecting a Suitable Appointment System in an Outpatient Setting,”Medical Care , Vol.17, 1979, pp.1207-1220. 【44】 Walter, S. D.,“A Comparison of Appointment Schedules in a Hospital Radiology Departmen,”British Journal of Preventive and Social Medicine, Vol.27, 1973. 【45】 Wang, P. P.,“Optimally Scheduling N Customer Arrival Times for a Single-server System,”Computers & Operations Research, Vol.24, 1997, pp.703-716. 【46】 Welch, J. D.,“Appointment Systems in Hospital Outpatient Departments,”Operational Research Quarterly, Vol.15, 1964, pp.224-232. 【47】 Wijewickrama, A. and S. Takakuwa ,“Simulation Analysis of Appointment Scheduling in an Outpatient Department of Internal Medicine,”Proceedings of the 37th conference on Winter simulation. Orlando, Florida, Winter Simulation Conference, 2005. 【48】 Yang, K. K., M. L. Lau and S. A. Quek,“A New Appointment Rule for a Single-server, Multiple-customer Service System,”Naval Research Logistics, Vol.45, 1998, pp.313-326. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/45968 | - |
dc.description.abstract | 本研究為稀缺醫療服務資源之逐日預約排程問題,稀缺醫療服務由於醫療設備昂貴,且醫院人力資源有限,因此這類型服務每個時段只能提供固定數量的服務名額供病患預約就診。病患根據看診需要對於預約時間有不同的需求,而病患對於就診時段也有不同的偏好,預約系統根據預約排程規則安排病患預約就診
本研究提出兩種預約排程規則IFB(Improved FCFSBU)以及IFBP(Improved FCFSBU with Patient Preference)。IFB混和先到先服務與平衡負載兩種政策,並根據預約系統內剩餘名額動態調整兩種政策權重,當病患進入預約系統時,預約系統計算各時段的FCFSBU分數並挑選最適的時段給病患預約就診。另外,IFBP在原有先到先服務與平衡負載兩種概念外增加考量病患時段偏好,使預約系統在滿足病患預約需求時,同時兼顧病患時段偏好。 本研究根據醫院實際歷史資料模擬病患進入預約系統情形,比較本研究所提之預約排程規則與醫院現有預約排程規則。結果顯示IFB與醫院現有預約排程規則相比可滿足更多病患的預約需求,而IFBP可讓預約系統在大部分病患都能滿足預約需求的前提下,讓多數的病患能在其偏好的時段預約就診。 | zh_TW |
dc.description.abstract | This study considers an appointment scheduling problem for medical services with limited resources. In this type of medical service, the medical resource or equipment can only offer a limited number of services for patients each day and its capacity is costly to expand. In addition, patients have different required ranges of time to access the service based on their diagnostic urgencies and they may have their own preferred appointment timeslots. Based on an appointment rule, the appointment system assigns a timeslot to each patient.
In this research, we propose two appointment scheduling rules: IFB (Improved FCFSBU) and IFBP (Improved FCFSBU with Patient Preference). IFB combines two appointment policies: “First Come First Serve (FCFS)” and “Balance Utilization (BU)”. When a patient accesses the appointment system, the system will calculate a score for every timeslot within his/her required ranges of time based on FCFS and BU and assign the best timeslot to the patient. Moreover, according to the system’s status, the appointment system will dynamically adjust the weights of these two policies when calculating scores. Furthermore, IFBP considers a patient’s preference for services timeslots. IFBP attempts to make the patients receive the medical service not only within their required ranges of time but also in their preferred timeslots. In order to evaluate the performance of the proposed appointment rules, a simulation is conducted. We use a practical case as the simulation model and compare the proposed rules with others. The result shows that a higher proportion of patients can receive the medical service in their required timespan when using IFB. In addition, patients have more chances to make appointments in their preferred timeslots when adopting IFBP. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T04:50:05Z (GMT). No. of bitstreams: 1 ntu-99-R97725007-1.pdf: 753928 bytes, checksum: 2bb1d3d2628c564cf33e0d4ba9434cb4 (MD5) Previous issue date: 2010 | en |
dc.description.tableofcontents | 謝詞 一
論文摘要 二 THESIS ABSTRACT 三 目錄 四 圖目錄 六 表目錄 七 第一章 緒論 1 第一節 研究動機 1 第二節 研究目的 3 第三節 研究範圍 4 第四節 研究架構 5 第二章 文獻探討 7 第一節 稀缺醫療服務資源 7 第二節 逐日預約排程問題 8 第三節 醫療門診預約排程 11 2-3-1 服務數量 12 2-3-2 預約時距病患數量 13 2-3-3 到達過程 14 第四節 系統表現評估方法 16 2-4-1 成本導向方法 16 2-4-2 公平性導向方法 17 2-4-3 病患滿意度導向方法 17 第三章 問題描述與假設 19 第一節 問題描述 19 3-1-1 開放時段 19 3-1-2 預約病患 20 3-1-3 預約流程 23 第二節 假設條件 23 第三節 預約系統評估指標 24 3-3-1 考量病患預約及時性之評估指標 24 3-3-2 考量病患時段偏好之評估指標 26 第四章 預約排程規則 27 第一節 考量病患預約及時性之預約排程規則 28 4-1-1 FCFS 28 4-1-2 FCFSBU 29 4-1-3 IFB(Improved FCFSBU) 31 第二節 考量病患時段偏好之預約排程規則 36 第三節 時間複雜度分析 39 第五章 系統模擬與結果分析 40 第一節 模擬實驗 40 第二節 模擬實驗輸入分析 41 第三節 模擬實驗模擬過程 47 第四節 模擬實驗輸出分析 48 5-4-1預約排程規則比較-考量病患預約及時性 48 5-4-2 預約排程規則-考量病患預約及時性與時段偏好 58 第六章 結論 68 第一節 總論 68 第二節 未來研究方向 71 參考文獻 72 | |
dc.language.iso | zh-TW | |
dc.title | 稀缺醫療服務資源之
逐日預約排程問題研究 | zh_TW |
dc.title | A Day-based Appointment Scheduling for the Medical Service with Limited Resources | en |
dc.type | Thesis | |
dc.date.schoolyear | 98-2 | |
dc.description.degree | 碩士 | |
dc.contributor.coadvisor | 黃奎隆(Kwei-Long Huang) | |
dc.contributor.oralexamcommittee | 洪一薰(I-Hsuan Hong),郭佳瑋(Chia-Wei Kuo) | |
dc.subject.keyword | 醫療服務,預約排程,系統模擬,就診偏好, | zh_TW |
dc.subject.keyword | appointment schduling,medical service,simulation,patient preference, | en |
dc.relation.page | 76 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2010-08-03 | |
dc.contributor.author-college | 管理學院 | zh_TW |
dc.contributor.author-dept | 資訊管理學研究所 | zh_TW |
顯示於系所單位: | 資訊管理學系 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-99-1.pdf 目前未授權公開取用 | 736.26 kB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。