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Strategies for Appointment Policy Design with Patient Unpunctuality

机译：病人守时的预约政策设计策略

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摘要

Appointment policy design is complicated by patients who arrive earlier or later than their scheduled appointment time. This article considers the design of scheduling rules in the presence of patient unpunctuality and how they are impacted by various environmental factors. A simulation optimization framework is used to determine how to improve performance by adjusting the schedule of appointments. Prior studies (that did not include patient unpunctuality) have found that a scheduling policy with relatively consistent appointment interval lengths in the form of a dome or plateau dome rule to perform well in a variety of clinic environments. These rules still perform reasonably well here, but it is shown that a combination of variable-length intervals and block scheduling are better at mitigating the effects of patient unpunctuality. In addition, performance improves if the use of this policy increases toward the end of the scheduling session. Survey and observational data collected at multiple outpatient clinics are used to add realism to the input parameters and develop practical guidelines for appointment policy decision making.
机译：预约政策的设计使患者比预定的预约时间早或晚到达。本文考虑了存在患者守时的调度规则的设计以及它们如何受到各种环境因素的影响。仿真优化框架用于确定如何通过调整约会计划来提高性能。先前的研究（不包括患者不守时）发现，调度策略具有相对一致的约会间隔长度（以穹顶或高原穹顶形式存在），可以在各种临床环境中发挥良好的作用。这些规则在这里仍然可以很好地执行，但是事实证明，可变长度间隔和块调度的组合可以更好地减轻患者守时的影响。此外，如果在调度会话结束时增加此策略的使用，则性能会提高。在多个门诊诊所收集的调查和观察数据被用来增加输入参数的真实性，并为任命政策决策制定实用指南。

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