請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/53908
標題: | 醫療機構門診患者建議到診時間與就診次序規則之研究 Study of Suggested Arrival Time and Late Arrival Policy in Healthcare Institution |
作者: | Yi Hou 侯逸 |
指導教授: | 洪一薰 |
關鍵字: | 建議到診時間,過號重入法則,適應性預期, Appointment scheduling pattern,Late arrival policy,Adaptive expectations, |
出版年 : | 2015 |
學位: | 碩士 |
摘要: | The rapid population aging problem and the comprehensive medical insurance system in each country exacerbate the burden on healthcare institutions. Cutting down patients’ waiting time and seeking reasonable distribution of doctor’s idle time during clinic operations are two issues of concerns. This study investigates two appointment scheduling patterns, which are used to compute patients’ suggested arrival time, and three late arrival policies, which are used to determine the service order for patients who miss their assigned numbers, in order to find a best combination of them for each particular clinic department.
This study assumes that patients’ decision of arrival time is not a fixed parameter. Instead, it is a variable changing with patients’ number of visits. Patients would adjust their preferred arrival time continuously using incomplete information and previous clinic experiences according to the adaptive expectation theory. We apply a two-stage decision model in which clinic choses one appointment system in the first stage, and then patients decide their arrival times accordingly. The results reveal that the “plateau-dome” scheduling pattern and three-queue late arrival policy reduce patients’ waiting time more effectively than other strategies. Moreover, distribution of doctor’s idle time is more reasonable when applying “plateau-dome” scheduling pattern than that when using the other appointment scheduling pattern. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/53908 |
全文授權: | 有償授權 |
顯示於系所單位: | 工業工程學研究所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-104-1.pdf 目前未授權公開取用 | 1.98 MB | 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。