We consider the problem of appointment scheduling for outpatient departments in health care systems. The objective is to design an appointment system that minimizes the average waiting time per patient, while at the same time ensuring the effective use of resources, by maximizing doctor utilization and minimizing the average number of patients in the clinic. We model the appointment system problem as a multi-objective optimization problem with three objectives. Several new alternative appointment systems are considered, and the new systems are modelled and simulated using the software Arena. Subsequently, a new version of ranking and selection approaches is used to compare the alternative systems, by constructing a set of Pareto optimal solutions that consists of non-dominated systems with a predetermined level of confidence. Finally, we present the numerical results obtained by implementing the proposed procedure on an outpatient clinic, taking into account the no-show patients as well as the walk-in patients.
Accepté le :
DOI : 10.1051/ro/2014041
Mots-clés : Appointment system, ranking and selection, multi-objective optimization
@article{RO_2015__49_3_435_0,
author = {Alrefaei, Mahmoud H. and Diabat, Ali},
title = {Modelling and optimization of outpatient appointment scheduling},
journal = {RAIRO - Operations Research - Recherche Op\'erationnelle},
pages = {435--450},
publisher = {EDP-Sciences},
volume = {49},
number = {3},
year = {2015},
doi = {10.1051/ro/2014041},
mrnumber = {3349128},
zbl = {1322.90040},
language = {en},
url = {http://www.numdam.org/articles/10.1051/ro/2014041/}
}
TY - JOUR AU - Alrefaei, Mahmoud H. AU - Diabat, Ali TI - Modelling and optimization of outpatient appointment scheduling JO - RAIRO - Operations Research - Recherche Opérationnelle PY - 2015 SP - 435 EP - 450 VL - 49 IS - 3 PB - EDP-Sciences UR - http://www.numdam.org/articles/10.1051/ro/2014041/ DO - 10.1051/ro/2014041 LA - en ID - RO_2015__49_3_435_0 ER -
%0 Journal Article %A Alrefaei, Mahmoud H. %A Diabat, Ali %T Modelling and optimization of outpatient appointment scheduling %J RAIRO - Operations Research - Recherche Opérationnelle %D 2015 %P 435-450 %V 49 %N 3 %I EDP-Sciences %U http://www.numdam.org/articles/10.1051/ro/2014041/ %R 10.1051/ro/2014041 %G en %F RO_2015__49_3_435_0
Alrefaei, Mahmoud H.; Diabat, Ali. Modelling and optimization of outpatient appointment scheduling. RAIRO - Operations Research - Recherche Opérationnelle, Tome 49 (2015) no. 3, pp. 435-450. doi : 10.1051/ro/2014041. http://www.numdam.org/articles/10.1051/ro/2014041/
and , A simulated annealing technique for multi-objective simulation optimization. Appl. Math. Comput. 215 (2009) 3029–3035. | MR | Zbl
M.H. Alrefaei, A.B. Nahiah, A. Abu-lebda and K. Khayal, Simulating and optimizing scheduling system of outpatient department. Proc. of the International Conference on Operations Research and Statistics (ORS 2011) 2011.
and , Out-patient queues at the Ibn-Rochd health center. J. Oper. Res. Soc. 42 (1991) 845–855. | DOI | Zbl
, A study of queues and appointment systems in hospital outpatient departments with special reference to waiting Times. J. Roy. Statist. Soc. 14 (1952) 185–199.
and , Queuing models for out-patient appointment systems - a case study. J. Oper. Res. Soc. 5 (1991) 91–102. | Zbl
, and , Designing appointment scheduling systems for ambulatory care services. Health Care Manage. Sci. 9 (2006) 47–58. | DOI
, and , Assessment of patient classification in appointment system design. Prod. Oper. Manage. 17 (2008) 338–353. | DOI
and , Outpatient-scheduling in healthcare: A review of the literature. Prod. Oper. Manage. 12 (2003) 519–549. | DOI
, and , A multi-objective selection procedure of determining a Pareto set. Comput. Oper. Res. 36 (2009) 1872–1879. | DOI | MR | Zbl
and , Appointment scheduling in health care: Challenges and opportunities. IIE Trans. 40 (2008) 800–819. | DOI
and , Evaluating the impact of operating conditions on the performance of appointment scheduling rules in service systems. Eur. J. Oper. Res. 112 (1999) 542–553. | DOI | Zbl
and , Applications of Discrete Event Simulation in Health Care Clinics. J. Oper. Res. Soc. 50 (1999) 109–123. | DOI | Zbl
and , Multiobjective study to implement outpatient appointment system at Hedi Chaker Hospital. Simul. Modell. Practice Theory 19 (2011) 1363–1370. | DOI
and , Scheduling outpatient appointments in a dynamic environment. J. Oper. Manage. 14 (1996) 83–101. | DOI
A.M. Law and W.D. Kelton, Simul. Model. Anal., 3rd edition, Mc Graw Hill, New York (2000).
and , Block appointment systems for outpatient clinics with multiple doctors. J. Oper. Res. Soc. 49 (1998) 1254–1259. | DOI | Zbl
and , Using client-variance information to improve dynamic Appointment scheduling performance. Omega 28 (2000) 293–302. | DOI
, Comparison of two scheduling systems, Oper. Res. 14 (1966) 388–397. | DOI
A. Wijewickrama and S. Takakuwa, Outpatient Appointment Scheduling in a Multi Facility System, in the Proc. of the 2008 Winter Simulation Conference, edited by S.J. Mason, R.R. Hill, L. Mnch, O. Rose, T. Jefferson, J.W. Fowler (2008) 1563–1571.
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