Journal of the Korea Society for Simulation (한국시뮬레이션학회논문지)

The Korea Society for Simulation (한국시뮬레이션학회)
권호 표지
DOI QR코드

DOI QR Code

Simulation Analysis for Appointment Scheduling Patterns in a Private Plastic Surgery Clinic

시뮬레이션을 이용한 성형외과 예약패턴 분석

  • Received : 2017.11.06
  • Accepted : 2018.03.06
  • Published : 2018.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Generally, solutions that can increase patients' satisfaction are in conflict with the solutions that can increase the satisfaction and profitability of the medical personnels. In this paper, we compare appointment patterns using multiple performance measures that take into account both hospital's position and customers' position, and propose the best appointment pattern especially for an efficient scheduling in a plastic surgery clinic. A simulation model using ARENA is designed based on real hospital data. Based on this model, we compare 5 appointment patterns. To check the robustness of the appointment patterns, we have experimented on various appointment situations by considering peak, extreme peak seasons, and peak, off-peak days. We found that Triangle-like pattern turned out to be most efficient regardless of appointment situations.

일반적으로 고객의 만족도를 높이는 방안은 병원의 이익 및 병원 의료진들의 만족도를 높이는 방안과는 상충된다. 이에 본 논문은 병원과 고객을 함께 고려한 평가지표를 사용하여 여러 가지 예약 패턴들을 비교해보고 병원의 효율적인 운영을 위해 성형외과에 적절한 예약 패턴을 제안하고자 한다. 본 논문에서는 도심에 위치한 실제 성형외과의 고객 및 진료 데이터를 이용해 시뮬레이션 모델을 설계하고, 이 모델을 대상으로 5가지 예약 패턴을 비교하였다. 예약 패턴의 강건성을 체크하기 위하여 성수기와 극성수기, 피크 요일과 한적한 요일 등 다양한 상황 하에서 실험을 진행하였다. 실험 결과, 본 연구에서 새롭게 제안하는 Triangle-like Pattern이 예약 수와 관계없이 가장 좋은 결과를 보여주었다.

Keywords

References

  1. Bailey, N. T. (1952) "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 B (Methodological), 185-199.
  2. Cayirli, T., and Veral, E. (2003) "Outpatient scheduling in health care: A review of literature," Production and Operations Management, 12(4), 519-549. https://doi.org/10.1111/j.1937-5956.2003.tb00218.x
  3. Cayirli, T., Veral, E., & Rosen, H. (2006) "Designing appointment scheduling systems for ambulatory care services," Health Care Management Science, 9(1), 47-58. https://doi.org/10.1007/s10729-006-6279-5
  4. Cayirli, T., Veral, E., & Rosen, H. (2008) "Assessment of patient classification in appointment system design," Production and Operations Management, 17(3), 338-353. https://doi.org/10.3401/poms.1080.0031
  5. Fries, B. E., & Marathe, V. P. (1981) "Determination of optimal variable-sized multiple-block appointment systems," Operations Research, 29(2), 324-345. https://doi.org/10.1287/opre.29.2.324
  6. Ho, C., & Lau, H. (1992) "Minimizing total cost in scheduling outpatient appointments," Management Science, 38(12), 1750-1764. https://doi.org/10.1287/mnsc.38.12.1750
  7. Korea Health Industry Development Institute (2017) "Result of attracting foreign patients in 2016," Available at https://www.khidi.or.kr/board/view?linkId=217289&menuId=MENU00100 (Accessed October 26. 2017)
  8. Klassen, K. J., & Rohleder, T. R. (1996) "Scheduling outpatient appointments in a dynamic environment," Journal of Operations Management, 14(2), 83-101. https://doi.org/10.1016/0272-6963(95)00044-5
  9. Klassen, K. J., & Rohleder, T. R. (2004) "Outpatient appointment scheduling with urgent clients in a dynamic, multi-period environment," International Journal of Service Industry Management, 15(2), 167-186. https://doi.org/10.1108/09564230410532493
  10. La S.Y., B.H. Jeong and T.W. You (2012) "Simulation analysis for a partial appointment system of outpatients in a private clinic," Journal of the Korea Society for Simulation, 21(4), 57-64. (라순영, 정병호, 유태우 (2012) "개인 병원의 부분 예약제 도입을 위한 시뮬레이션 분석 사례", 한국시뮬레이션학회 논문지, 21(4), 57-64). https://doi.org/10.9709/JKSS.2012.21.4.057
  11. Lee J.K., M.K. Kim and B.H. Ha (2011) "Evaluation of appointment policy and scheduling rule for a dental clinic based on computer simulation," Korean Journal of Hospital Management, 16(4), 161-182. (이종기, 김명기, 하병현 (2011) "시뮬레이션을 이용한 치과의원의 예약정책과 스케줄링 규칙 평가", 한국병원경영학회지, 16(4), 161-182).
  12. Li, J., Zhou, Y., & Ishino, F. (2008) "Using simulation to improve outpatient appointment system with minimum change," Paper presented at the Proceedings of the 2008 Spring Simulation Multiconference, pp. 507-512.
  13. Lindley, D. V. (1952) "The theory of queues with a single server," Paper presented at the Mathematical Proceedings of the Cambridge Philosophical Society, 48. (2) pp. 277-289. https://doi.org/10.1017/S0305004100027638
  14. Maister, D. H. (1984) The psychology of waiting lines, Harvard Business School Boston, MA.
  15. Mercer, A. (1973) "Queues with scheduled arrivals: A correction, simplification and extension," Journal of the Royal Statistical Society. Series B (Methodological), 104-116.
  16. Mo C.W., S.H. Choi (2009) "A simulation study for improving operations of an emergency medical center," Journal of the Korea Society for Simulation, 18(3), 35-45. (모창우, 최성훈 (2009) "응급진료센터 운영 개선을 위한 시뮬레이션", 한국시뮬레이션학회논문지, 18(3), 35-45).
  17. Na S.H., and D.H. Moon (2016) "Simulation modeling method using ARENATM considering alternative machines in the manufacturing systme for aircraft parts," Journal of the Korea Society for Simulation, 25(4), 1-12. (나상현, 문덕희 (2016) "대체장비를 고려한 항공기 부품 생산라인의 ARENATM 시뮬레이션 모델링 방법론", 한국시뮬레이션학회논문지, 25(4), 1-12). https://doi.org/10.9709/JKSS.2016.25.4.001
  18. National Statistical Office (2016) "Current state of the number of hospitals by departments," Available at http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=TX_35001_A016 (Accessed October 26. 2017)
  19. National Statistical Office (2016) "Women labor force participation rate," Available at http://www.hani.co.kr/arti/economy/finance/636265.html (Accessed October 26. 2017)
  20. National Statistical Office (2016) "Result of social surbey on 2016," Available at http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=357457 (Accessed October 26. 2017)
  21. Nordgren, B. (1999) "The problem with waiting times", IIE Solutions, May, pp. 44-8.
  22. Swisher, J. R., Jacobson, S. H., Jun, J. B., & Balci, O. (2001) "Modeling and analyzing a physician clinic environment using discrete-event (visual) simulation," Computers & Operations Research, 28(2), 105-125. https://doi.org/10.1016/S0305-0548(99)00093-3