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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 黃奎隆(Kwei-Long Huang) | |
| dc.contributor.author | Jui-Fen Tsai | en |
| dc.contributor.author | 蔡瑞芬 | zh_TW |
| dc.date.accessioned | 2021-05-17T09:16:58Z | - |
| dc.date.available | 2014-08-01 | |
| dc.date.available | 2021-05-17T09:16:58Z | - |
| dc.date.copyright | 2012-08-01 | |
| dc.date.issued | 2012 | |
| dc.date.submitted | 2012-07-27 | |
| 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】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。 【3】李婉怡、吳靜宜，「行動通訊與語音辨識技術應用於醫療產業預約制度之接受度及影響因素探討」，資訊科學應用期刊、第一卷 第二期第 35-64 頁，2005。 【4】張秀如、陳光和，「以滿意度調查探討門診病患對服務品質的主觀感受」，醫院，Vol. 32, No. 1, 1999, pp.33-35,. 【5】蘇喜、李敏禎、劉嘉玲，「某醫學中心家庭醫學科病人候診與看診時間之研究」，中華衛誌，Vol. 17，No. 6，1998。 【6】張彩秀、吳美雯、古慧仙，「醫學中心門診候診病患之衛生教育需求探討」，澄清醫護管理雜誌，Vol. 2，No. 2，2006。 【7】王秀姿、林季璉、黃怡文、陳秀如、熊淑菁，「門診病患對醫師滿意度及其相關因素探討」，彰化基督教醫院護理部，民國 92 年。 【8】林淑娟、張瓊文「探討某醫學中心當日手術病患縮短術前準備時間之成效」，奇美醫學中心。 【9】嚴振榮，「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，民國 92 年。 【10】洪邦瑋，「稀缺醫療服務資源之逐日預約排程問題研究」，國立台灣大學資訊管理學系碩士論文，民國 99 年。 【11】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. 【12】Cayirli, T. and E. Veral,“Outpatient Scheduling in Health Care: A Review of Literature,”Production and Operations Management, Vol.12, 2003, pp.519-549. 【13】 Kurata J.H., Nofawa A.N., Phillips D.M., Hoffman S., and Werblum M.N., “Patient and Provider. Satisfaction with Medical Care,” Journal of Family Practice, Vol. 35, , 1992, pp176-179. 【14】Huang, X., “Patient Attitude Towards Waiting in an Outpatient Clinic and Its Applications,” Health Services Management Research, Vol.7, 1994, pp.2-8. 【15】Lin, C.K.Y., “Analysis of quota assignment and time block duration in multi-block appointment systems,”IMA Journal of Mathematics, Vol.11, 2000 , pp.85-99. 【16】Yang, K.K.,and Lau, M.L.,and Quek, S.A., “A New Appointment Rule for a Single-Server, Multiple-Customer Service System,” Department of Decision Sciences,National University of Singapore, Kent Ridge, 1997. 【17】Robinson, L. W and Chen R.R, “Scheduling doctor’s appointments: optimal and empirically-based heuristic policies,” IIE Transactions, Vol. 35, 2003, pp295-307. 【18】Rohleder, T.R and Klassen, K.J, “Rolling Horizon Appointment Scheduling: A Simulation Study,” Health Care Management Science, Vol.5, 2002, pp201-209. 【19】Vermeulen, I.B. , Bohte, S.M. , Bosman, P.A.N. , Elkhuizen,S.G. , Bakker, P.J.M. and Poutre J.A. La, “Optimization of Online Patient Scheduling with Urgencies and Preferences,” Vol.5651, 2009, pp.71-80. 【20】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. 【21】Liu, N., Ziya, S., and Kulkarni V.G., “Dynamic Scheduling of Outpatient Appointments Under Patient No-Shows and Cancellations,” Manufacturing & Service Operations Management, Vol. 12, No. 2 , 2010, pp.347-364. 【22】 Ho, C.J., Lau, H.S., and Li, J., “Introducing variable-interval appointment scheduling rules in service systems,” International Journal of Operations & Production Management, Vol. 15, No. 6, 1995, pp 59-68. 【23】Wijewickrama, A. and Takakuwa S., “Outpatient Appointment Scheduling in a Multi Facility System,” Winter Simulation Conference , 2008, pp 1563-1571. 【24】Kaandorp, G.C., and Koole, G., “Optimal outpatient appointment scheduling,” Health Care Manage Sci, Vol. 10, 2007, pp 217-229. 【25】Vermeulen, I.B. , Bohte, S.M. and Somefun K., “Multi-agent Pareto appointment exchanging in hospital patient scheduling,” SOCA, 2007, pp185-196. 【26】Cayirli, T. ,Veral, E. and Rosen H., “Designing appointment scheduling system for ambulatory care service,” Health Care Manage Sci, Vol. 9, 2006, pp 47-58. 【27】Denton, B., and Gupta, D., “A Sequential Bounding Approach for Optimal Appointment Scheduling, ” Department of Mechanical Engineering, 2002. 【28】RISING, E., R. BARON, AND B. AVERILL (1973), 【29】FRIES, B. AND V. MARATHE (1981), “Determination of Optimal Variable-Sized Multiple-Block Appointment Systems,” Operations Research, 29, 2, 324 –345. 【30】SORIANO, A., “Comparison of Two Scheduling Systems,” Operations Research,Vol.14,1966, pp.388–397. 【31】NUFFIELD PROVINCIAL HOSPITALS TRUST, “Waiting in Outpatient Departments: A Survey of Outpatient”, 1965. 【32】Walter, S. D.,“A Comparison of Appointment Schedules in a Hospital Radiology Department,” British Journal of Preventive and Social Medicine, Vol.27, 1973, pp.160 –167. 【33】Rising, E., R. Baron, and B. Averill, “A System Analysis of a University Health Service Outpatient Clinic,” Operations Research, Vol. 21, No. 5, pp.1030 –1047. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/6726 | - |
| dc.description.abstract | 本研究聚焦於就診時段指派系統，利用配額預約的方式，安排合適的病患就
診時間，在已知開放名額的門診時間中，利用動態規劃模型，透過計算超出可容 忍機率POTT分數，在其遞迴特性之下，求得各時段最佳的病患配置。並選擇以時 間為主的評估方法，計算各時段病患的期望等待時間以及最後一個時段的超時時 間。研究在時段大小不同的情境下，其各時段的等待時間與最後一個時段的超時 時間變化。考量到病患對於就診時段的便利性，本研究測試兩種不同時段大小設 定─30分鐘與20分鐘，而其所對應到的時間，對病患而言也是較容易記病記憶與掌 握的。 在本研究之問題特性當中，醫生依序隨機服務病患，且病患的服務時間服從 指數分配。由於無法找到一個適用於本研究問題特性的封閉型解(close form)，因此 本研究提出一個近似法(Approximation Method)，將兩種類型病患服務時間為指數 分配的特性以兩個卜瓦松分配(Poisson Distribution)表示，且假設各類型病患進入門 診後可同時接受服務。 在本研究的問題中，假設有兩種類型的病患，分別為追蹤型病患與首次門診 病患，每個時塊(上/下午)的開放名額當中，有70%為追蹤型病患，30%為首次門診 病患。又假設首次門診病患的服務時間至少為追蹤型病患的1.5倍，在此情境下的 就診時段指派結果顯示，各時段的期望等待時間取決於該時段前方是否有首次門 診病患存在，超出可容忍時間機率(POTT)則較不受到病患類型的服務時間影響， 卻受到各時段預約人數的影響，預約人數越多POTT分數越大。期望超時大小的部 分則與時段切割的大小有關，當其時段大小越接近首次門診病患的服務時間，所 對應到的期望超時時間就越小。當時段大小比首次病患的服務時間短時，此時期 望超時時間開始拉長。因此本研究建議，時段大小應以服務時間較長的病患為主 進行設定。 | zh_TW |
| dc.description.abstract | In this study, we focus on how to design patient quota to each fixed slots. Given the
total opening quota in each time blocks, we divide the opening service hours into smaller time slots, and determine patient quotas for these time slots so that the probability of a patient’s waiting time over a tolerant time is minimized. We consider two types of patients with different service time in our problem. We estimate the expected waiting time of each slots and the expected over time at the end of the block. We assume that the patients will arrive the medical facility at the beginning of their appointed time slots and they will be served in a random order. The service time of a type of patients follows an exponential distribution. Under this model, a closed form solution is unlikely to be obtained. Therefore, we propose an Approximation Method to deal with this problem by assuming the two types of patients can be served simultaneously. A dynamic programming model is constructed to find optimal quotas for each time slot. A simulation model is used to verify the quality of solutions obtained by the approximation method. In addition, we apply our proposed method to a real case and discuss how the time length of time slots affects expected waiting time, probability of waiting time over a tolerant time, and the expected overtime of a time block. | en |
| dc.description.provenance | Made available in DSpace on 2021-05-17T09:16:58Z (GMT). No. of bitstreams: 1 ntu-101-R99546013-1.pdf: 1287069 bytes, checksum: 9e470ab6e8f2069a0fa2e761da91fdab (MD5) Previous issue date: 2012 | en |
| dc.description.tableofcontents | 誌謝 ................................i
中文摘要 ................................ii ABSTRACT ABSTRACTABSTRACT ABSTRACT ................iii CONTENTSCONTENTS CONTENTS CONTENTS ................iv 圖目錄 ................................vi 表目錄 ................................vii 第一章 緒論................1 1.1 研究背景.........1 1.2 研究動機.........2 1.3 研究目的.........3 1.4 研究範圍與限制....5 1.5 論文架構.........6 第二章 文獻探討............7 2.1 預約規則&順序規則.....7 2.1.1 預約規則.........8 2.1.2 順序規則.........10 2.2 預約系統評估方法.....13 2.3 就診時段指派.....14 2.4 本章小結........16 第三章 問題描述與假設 ......17 3.1 就診時段指派......17 3.2 績效評估方法......36 第四章 數值分析與討論 ...................37 4.1 多類型病患配額預約模型參數設定....37 4.2 數值分析......................40 4.3 模擬驗證結果...................48 4.3.1 小結..........................52 第五章 結論與建議........................54 5.1 研究結果與建議..................54 5.2 未來研究......................55 REFERENCE..............................58 | |
| dc.language.iso | zh-TW | |
| dc.title | 有限醫療服務資源之多重時段預約系統之病患配額
暨約診時間規劃 | zh_TW |
| dc.title | Designing Quota Size and Patient Arrival Time in
Multiple Block Systems with Limited Medical Resource | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 100-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 吳政鴻,郭佳瑋 | |
| dc.subject.keyword | 醫療服務,預約排程,配額預約,動態規劃, | zh_TW |
| dc.subject.keyword | Healthcare Service,Outpatient Appointment,Quota Assignment,Dynamic Programming, | en |
| dc.relation.page | 60 | |
| dc.rights.note | 同意授權(全球公開) | |
| dc.date.accepted | 2012-07-30 | |
| 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 | |
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|---|---|---|---|
| ntu-101-1.pdf | 1.26 MB | Adobe PDF | 檢視/開啟 |
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