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Managing Appointment Scheduling under Patient Choices

机译:在患者选择下管理预约安排

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摘要

Motivated by the use of appointment templates in healthcare schedulingpractice, we study how to offer appointment slots to patients in order tomaximize the utilization of provider time. We develop two models, {\emnon-sequential} scheduling and {\em sequential} scheduling, to capturedifferent types of interactions between patients and the scheduling system. Thescheduler offers either a single set of appointment slots for the arrivingpatient to choose from, or multiple sets in sequence, respectively. This isdone without knowledge of patient preference information. For thenon-sequential scheduling model, we identify certain problem instances wherethe greedy policy (i.e., offering all available slots throughout) issuboptimal, but show through analytical and numerical results that for mostmoderate and large instances greedy performs remarkably well. For thesequential model we derive the optimal offering policy for a large class ofinstances, and develop an effective and simple-to-use heuristic inspired byfluid models. We present a case study based on real patient preference data,and demonstrate a potential improvement of up to 17% in provider capacityutilization by adopting our proposed scheduling policies. This improvement maytranslate into \$45k-\$120k increase in annual revenues for a single primarycare provider.
机译:基于在医疗调度实践中使用约会模板的动机,我们研究了如何为患者提供约会时段,以最大程度地利用提供者的时间。我们开发了两个模型,{\ emnon-sequential}调度和{\ em顺序}调度,以捕获患者和调度系统之间不同类型的交互。调度器可以为到达的患者提供一组单独的约会空档,也可以按顺序提供多组空档。在不了解患者偏好信息的情况下完成此操作。对于非顺序调度模型,我们确定了某些贪婪策略(即在整个范围内提供所有可用时隙)都不理想的问题实例,但通过分析和数值结果表明,贪婪在大多数中型和大型实例中表现出色。对于这些惯常模型,我们推导了适用于大量实例的最佳提供策略,并开发了一种受流体模型启发的有效且易于使用的启发式方法。我们基于实际的患者偏好数据提出了一个案例研究,并通过采用我们建议的调度策略,证明了在提供者容量利用率方面的潜在提高高达17%。这种改善可能会转化为单个初级保健提供者的年收入增加$ 45k-\ $ 120k。

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