請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/57165
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 黃奎隆 | |
dc.contributor.author | Wei-Ting Chang | en |
dc.contributor.author | 張瑋庭 | zh_TW |
dc.date.accessioned | 2021-06-16T06:36:40Z | - |
dc.date.available | 2017-08-01 | |
dc.date.copyright | 2014-08-01 | |
dc.date.issued | 2014 | |
dc.date.submitted | 2014-07-31 | |
dc.identifier.citation | 【1】 張秀如、陳光和 (1999). 「以滿意度調查探討門診病患對服務品質的主觀感受」,醫院32(1): 33-35.
【2】 嚴振榮 (2010).「門診預約病患約診時間與實際看診時間之分析」,長庚大學醫務管理研究所碩士論文。 【3】 Babes, M. and G. V. Sarma (1991). 'Out-Patient Queues at the Ibn-Rochd Health Centre.' The Journal of the Operational Research Society 42(10): 845-855. 【4】 Baggri, H. and D. Jenkins (2007). 'A survey to assess the preferences of patients with diabetes for the time and location of their outpatient appointments.' Practical Diabetes International 24(7): 366-370. 【5】 Bailey, N. T. J. (1952). 'Improvements in the Interpretation of Recapture Data.' Journal of Animal Ecology 21(1): 120-127. 【6】 Bailey, N. T. J. (1954). 'On Queueing Processes with Bulk Service.' Journal of the Royal Statistical Society. Series B (Methodological) 16(1): 80-87. 【7】 Cayirli, T. and E. Veral (2003). 'OUTPATIENT SCHEDULING IN HEALTH CARE: A REVIEW OF LITERATURE.' Production and Operations Management 12(4): 519-549. 【8】 Cayirli, T., E. Veral and H. Rosen (2006). 'Designing appointment scheduling systems for ambulatory care services.' Health Care Management Science 9(1): 47-58. 【9】 Centeno, M. A., C. Albacete, D. O. Terzano, M. Carrillo and T. Ogazon (2002). 'A Simulation Study of the Radiology Department at JMH.' Simulation Conference Proceedings. 【10】 Cox, T. F., J. P. Birchall and H. Wong (1985). 'Optimising the queuing system for an ear, nose and throat outpatient clinic.' Journal of Applied Statistics 12(2): 113-126. 【11】 Denton, B. and D. Gupta (2003). 'A Sequential Bounding Approach for Optimal Appointment Scheduling.' IIE Transactions 35(11): 1003-1016. 【12】 Douglas, K., T. Potter, G. Treharne, K. Obrenovic, E. Hale, A. Pace, D. Mitton, N. Erb, A. Whallett and J. Delamere (2005). 'Rheumatology patient preferences for timing and location of out-patient clinics.' Rheumatology 44(1): 80-82. 【13】 England, W. and S. D. Roberts (1978). Applications of computer simulation in health care. Proceedings of the 10th conference on Winter simulation - Volume 2. Miami Beach, FL, IEEE Computer Society Press: 665-677. 【14】 Erdogan, S. A., B. T. Denton, J. J. Cochran, L. A. Cox, P. Keskinocak, J. P. Kharoufeh and J. C. Smith (2010). Surgery Planning and Scheduling. Wiley Encyclopedia of Operations Research and Management Science, John Wiley & Sons, Inc. 【15】 Fries, B. E. and V. P. Marathe (1981). 'Determination of Optimal Variable-Sized Multiple-Block Appointment Systems.' Operations Research 29(2): 324-345. 【16】 Green, L. V., S. Savin and B. Wang (2006). 'Managing Patient Service in a Diagnostic Medical Facility.' Operations Research 54(1): 11-25. 【17】 Gunal, M. M. and M. Pidd (2010). 'Discrete event simulation for performance modelling in health care: a review of the literature.' Journal of Simulation 4(1): 42-51. 【18】 Gupta, D. and B. Denton (2008). 'Appointment scheduling in health care: Challenges and opportunities.' IIE Transactions 40(9): 800-819. 【19】 Harper, P. and H. Gamlin (2003). 'Reduced outpatient waiting times with improved appointment scheduling: a simulation modelling approach.' Or Spectrum 25(2): 207-222. 【20】 Heaney, D. J., J. G. Howie and A. M. Porter (1991). 'Factors influencing waiting times and consultation times in general practice.' British Journal of General Practice 41(349): 315-319. 【21】 Ho, C.-J. and H.-S. Lau (1992). 'Minimizing Total Cost in Scheduling Outpatient Appointments.' Management Science 38(12): 1750-1764. 【22】 Huang, X.-M. (1994). 'Patient Attitude towards Waiting in an Outpatient Clinic and its Applications.' Health Services Management Research 7(1): 2-8. 【23】 Jerbi, B. and H. Kamoun (2011). 'Multiobjective study to implement outpatient appointment system at Hedi Chaker Hospital.' Simulation Modelling Practice and Theory 19(5): 1363-1370. 【24】 Kaandorp, G. and G. Koole (2007). 'Optimal outpatient appointment scheduling.' Health Care Management Science 10(3): 217-229. 【25】 Klassen, K. J. and T. R. Rohleder (1996). 'Scheduling outpatient appointments in a dynamic environment.' Journal of Operations Management 14(2): 83-101. 【26】 Kurata, J., A. Nogawa, D. Phillips, S. Hoffman and M. Werblun (1992). 'Patient and provider satisfaction with medical care.' The Journal of family practice 35(2): 176-179. 【27】 Lau, H.-S. and A.-L. Lau (2000). 'A fast procedure for computing the total system cost of an appointment schedule for medical and kindred facilities.' IIE Transactions 32(9): 833-839. 【28】 Lehaney, B., S. A. Clarke and R. J. Paul (1999). 'A Case of an Intervention in an Outpatients Department.' The Journal of the Operational Research Society 50(9): 877-891. 【29】 Lin, C.K.Y (2000). 'Analysis of quota assignment and time block duration in multi-block appointment systems. ' IMA Journal of Mathematics 11: 85-99. 【30】 Luo, J., V. G. Kulkarni and S. Ziya (2012). 'Appointment Scheduling Under Patient No-Shows and Service Interruptions.' Manufacturing & Service Operations Management 14(4): 670-684. 【31】 Mercer, A. (1960). 'A Queueing Problem in which the Arrival Times of the Customers are Scheduled.' Journal of the Royal Statistical Society. Series B (Methodological) 22(1): 108-113. 【32】 Meza, J. P. (1998). 'Patient waiting times in a physician's office.' The American journal of managed care 4(5): 703-712. 【33】 Nuffield Provincial Hospitals Trust (1965). 'Waiting in Outpatient Departments: A Survey of Outpatient Appointment Systems.' Oxford University Press, London. 【34】 Partridge, J. W. (1992). 'Consultation time, workload, and problems for audit in outpatient clinics.' Archives of disease in childhood 67(2): 206-210. 【35】 Pegden, C. D. and M. Rosenshine (1990). 'Scheduling arrivals to queues.' Computers & Operations Research 17(4): 343-348. 【36】 Perez, E., L. Ntaimo, W. E. Wilhelm, C. Bailey and P. McCormack (2011). 'Patient and resource scheduling of multi-step medical procedures in nuclear medicine.' IIE Transactions on Healthcare Systems Engineering 1(3): 168-184. 【37】 Podgorelec, V. and P. Kokol (1997). 'Genetic algorithm based system for patient scheduling in highly constrained situations.' Journal of medical systems 21(6): 417-427. 【38】 Rising, E. J., R. Baron and B. Averill (1973). 'A Systems Analysis of a University-Health-Service Outpatient Clinic.' Operations Research 21(5): 1030-1047. 【39】 Robinson, L. W. and R. R. Chen (2003). 'Scheduling doctors' appointments: optimal and empirically-based heuristic policies.' IIE Transactions 35(3): 295-307. 【40】 Rohleder, T. and K. Klassen (2002). 'Rolling Horizon Appointment Scheduling: A Simulation Study.' Health Care Management Science 5(3): 201-209. 【41】 Rohleder, T. R. and K. J. Klassen (2000). 'Using client-variance information to improve dynamic appointment scheduling performance.' Omega 28(3): 293-302. 【42】 Soriano, A. (1966). 'Comparison of Two Scheduling Systems.' Operations Research 14(3): 388-397. 【43】 Swisher, J. R., S. H. Jacobson, J. B. Jun and O. Balci (2001). 'Modeling and analyzing a physician clinic environment using discrete-event (visual) simulation.' Computers & Operations Research 28(2): 105-125. 【44】 Vanden Bosch, P. and D. Dietz (2000). 'Minimizing expected waiting in a medical appointment system.' IIE Transactions 32(9): 841-848. 【45】 Vanden Bosch, P. M., D. C. Dietz and J. R. Simeoni (1999). 'Scheduling customer arrivals to a stochastic service system.' Naval Research Logistics (NRL) 46(5): 549-559. 【46】 Vermeulen, I. B., S. M. Bohte, P. A. N. Bosman, S. G. Elkhuizen, P. J. M. Bakker and J. A. Poutre (2009). Optimization of Online Patient Scheduling with Urgencies and Preferences. Artificial Intelligence in Medicine. C. Combi, Y. Shahar and A. Abu-Hanna, Springer Berlin Heidelberg. 5651: 71-80. 【47】 Vissers, J. and J. Wijngaard (1979). 'The outpatient appointment system: Design of a simulation study.' European Journal of Operational Research 3(6): 459-463. 【48】 Wang, P. P. (1993). 'Static and dynamic scheduling of customer arrivals to a single-server system.' Naval Research Logistics (NRL) 40(3): 345-360. 【49】 Wang, P. P. (1997). 'Optimally scheduling N customer arrival times for a single-server system.' Computers & Operations Research 24(8): 703-716. 【50】 Westman, G., S.-O. Andersson, S. Ferry and P. Fredriksson (1987). 'Waiting Room Time in the Assessment of an Appointment System in Primary Care.' Scandinavian Journal of Primary Health Care 5(1): 35-40. 【51】 Yang, K. K., M. L. Lau and S. A. Quek (1998). 'A new appointment rule for a single-server, multiple-customer service system.' Naval Research Logistics (NRL) 45(3): 313-326. 【52】 Zhang, Y., M. L. Puterman, M. Nelson and D. Atkins (2012). 'A Simulation Optimization Approach to Long-Term Care Capacity Planning.' Operations Research 60(2): 249-261. 【53】 台北市政府衛生局統計年報。http://www.health.gov.tw/Default.aspx?tabid=710 | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/57165 | - |
dc.description.abstract | 為了有效的管理醫療門診,規劃病患預約時間為很重要的課題,在降低病患等候時間、提升病患對於看診滿意度的同時,可節省門診空間成本。本研究針對病患等候時間問題設計病患預約系統,目的為減少病患等候看診時間,系統中考量兩種平均服務時間不同的病患:追蹤型與首次門診病患,且將病患等候時間分為兩類:(1)等候天數:病患有看診需求至實際看診當天間的等候時間,以天為單位,(2)在院等候時間:為病患抵達門診至實際看診的時間。為有效減少這兩種病患等候時間,本研究提出一兩階段病患預約系統模型,利用兩階段分別針對不同類型的等候時間進行探討。本研究假設病患會準時抵達門診、病患服務時間服從指數分配。
第一階段的病患名額指派系統,概念為將一天的開放時間切割等距小時段,利用動態規劃方法,計算如何將兩種病患當日開放名額分配至各個小時段,以求得最低的「病患等候時間超過可容忍時間機率(POTT)」,以及最佳的病患配置,降低病患在院等候時間。第二階段為逐日預約排程系統,利用階段一之結果做為每日門診的開放名額,使用模擬方法比較三種不同預約排程規則之考量病患預約即時性的績效表現,本研究使用的預約規則為臺大醫院腹部超音波門診目前使用的FCFS規則、學者Vermeulen(2009)提出之FCFSBU規則,以及本研究改善FCFSBU規則所提出的IFB規則、IFBP規則,第二階段目的為希望降低病患等候天數。 本研究結果比較兩種不同的情境,第一種為在等距小時段設定下,比較FCFS規則、FCFSBU規則和IFB規則的績效結果,第二種為IFB規則使用在醫院目前時段設定也就是將一天只分為上、下午兩個大時段,和30分鐘小時段的情況下,各績效指標的表現。發現在等距小時段模型設定下,IFB規則皆優於其餘兩種規則,且較不易受到進入系統病患人數影響,績效表現較其餘規則穩定;在IFB規則使用至醫院本身時段設定與切割30分鐘等距小時段的結果比較上,結果顯示小時段可明顯的改善病患在院等候時間,而雖然小時段之病患等候天數略高,但整體而言,小時段對於病患等候情況還是較大時段改善。 | zh_TW |
dc.description.abstract | In this study, we consider appointment scheduling for a medical service with scarce resource while patients are required to make a reservation ahead. Two kinds of patients are observed with different average service times: the follow-up patient and outpatient. In addition, two types of patient waiting time are considered: waiting time of days and waiting time in the clinic. Waiting time of days is the difference between the time a patient requests an appointment and the time of that appointment. Waiting time in the clinic is the difference between a patient's waiting time and the time he/she actually served. To effectively reduce the waiting time for patients, we propose a two-stage appointment scheduling system.
The first stage of the system deals with the waiting time in the clinic and is about quota assignment. We divided the opening hours into the same length of time slots and determine the best quota for each time slot, in order to achieve the lowest probability of patients waiting time exceeding a given tolerable time (POTT). Dynamic programming is used in this stage. The second stage is daily appointment system which addresses the waiting time of days. We consider system workload of each time slot, patient priorities and FCFS principle in IFB rule when scheduling appointments. In this stage, we use a simulation model to compare the proposed appointment policy with other two policies with four performance measures: patient delay proportion, average delay days, maximum delay days and standard deviation of delay days. The simulation data are collected from historical data of National Taiwan University Hospital. Furthermore, we examine the proposed appointment rules under two different scenarios. The first scenario is we compare the performance of rules when we divided open hours into time slots. In the second scenario, we investigate that whether the open hours are divided into time slots with shorter time length or not will affect the performance of IFB policy. In conclusion, IFB rules performance is better than other two rules, and less likely to be affected by the number of patients entering the system. In the second scenario, the results show that schedule patients by time slots can significantly improve patients’ waiting time before treatment although the waiting time of days are slightly higher. | en |
dc.description.provenance | Made available in DSpace on 2021-06-16T06:36:40Z (GMT). No. of bitstreams: 1 ntu-103-R01546026-1.pdf: 1998564 bytes, checksum: 39a41548bc316b1dd8e9f1701c92ecc7 (MD5) Previous issue date: 2014 | en |
dc.description.tableofcontents | 摘要 I
ABSTRACT II 圖目錄 V 表目錄 VI 第一章 緒論 1 1.1 研究背景 1 1.2 研究目的 2 1.3 研究範圍與限制 5 1.4 論文架構 5 第二章 文獻探討 7 2.1 預約系統 7 2.2 預約模型 8 2.2.1 預約規則 8 2.2.2 等候時間 12 2.2.3 順序規則 12 2.2.4 病患到達過程與服務過程 14 2.3 模擬方法 15 2.4 系統表現評估指標 16 第三章 問題描述與假設 19 3.1 病患名額指派 20 3.2 逐日預約排程 33 3.2.1 FCFS規則 35 3.2.2 FCFSBU規則 36 3.2.3 IFB規則 37 3.2.4 IFBP規則 39 3.3 績效評估指標 40 第四章 數值分析與討論 42 4.1 病患名額指派系統參數設定與結果 42 4.2 逐日預約排程模型參數 45 4.2.1 模擬模型 45 4.2.2 規則參數設定 49 4.3 預約系統結果與分析 52 4.3.1 不同方法在小時段的績效結果 52 4.3.2 時段切割的影響分析 58 4.3.3 考量病患喜好規則之績效結果 62 第五章 結論與建議 67 5.1 總論 67 5.2 未來研究 70 REFERENCE 71 | |
dc.language.iso | zh-TW | |
dc.title | 多時段預約系統之看診名額與約診時間規劃 | zh_TW |
dc.title | Designing Quota Size and Patient Arrival Time in Multiple Block Systems | en |
dc.type | Thesis | |
dc.date.schoolyear | 102-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 吳政鴻,余峻瑜,馬惠明 | |
dc.subject.keyword | 預約系統,配額預約,動態規劃,系統模擬,病患延遲, | zh_TW |
dc.subject.keyword | appointment system,quota assignment,dynamic planning,simulation,delay, | en |
dc.relation.page | 74 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2014-08-01 | |
dc.contributor.author-college | 工學院 | zh_TW |
dc.contributor.author-dept | 工業工程學研究所 | zh_TW |
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-103-1.pdf 目前未授權公開取用 | 1.95 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。