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http://dx.doi.org/10.14400/JDC.2014.12.2.379

A Study on the Efficient Flow of Health Examinees  

Park, Il-Su (Dept. of Health, The Uiduk University)
Kim, Jin-Soo (The Korea Institute for Health and Social Affairs)
Kim, Sung-Soo (Dept. of Political Science and International Relations, The Inje University)
Kim, Eun-Ju (Dept. of Health Policy and Management, The Inje University)
Choi, Hyun-Sook (Dept. of Health Policy, The Dongnam Inst. of Radiological & Medical Sciences)
Kang, Sung-Hong (Dept. of Health Policy and Management, The Inje University)
Publication Information
Journal of Digital Convergence / v.12, no.2, 2014 , pp. 379-389 More about this Journal
Abstract
The purpose of this study is to optimize the patient(examinee) flow in a health examination center via a simulation model and to improve operational efficiency. Two experimentation scenarios were implemented into the simulation model to determine which proposed scenario provides better improvement in terms of the following performance measures: LOS(Length of Stay), staff utilization, and occupancy level. The simulation results demonstrated that there was no significant difference in response results of two scenarios. Although the original motivation of this study was suggest optimal policy for a patient(examinee) flow, the insight into applying simulation in efficiently managing hospital operations is of more value. Simulation approach is a powerful technique that supports efficient decision-making compared to traditional healthcare management approach based on past experience, feelings, and intuition. Therefore, the proposed experimentation model has wide applicability in healthcare systems.
Keywords
Patient Flow; Simulation; Operational Efficiency; Health Examination Center; Hospital Management;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 National Health Insurance Service, 2011 National health screening statistical yearbook. NHIS, 2012.
2 Ji-Young Yeo, Hyoung-Sun Jeong, Determinants of health screening and its effects on health behaviors. Korean Journal of Health Policy & Administration, Vol. 22, No. 1, pp. 49-64, 2012.   과학기술학회마을   DOI   ScienceOn
3 Youn-Soo Shin, Chong-Yon Park, Sang-Hyuk Jung, Hye-Young Jung, Hye-Young Kang, Comparison of customer satisfaction with health examination programs provided by the Korea National Health Insurance and private healthcare organizations in Korea. Korean Society for Quality in Health Care, Vol. 12, No. 1, pp. 40-51, 2006.   과학기술학회마을
4 Jong-Dae Kim, 2013 Guidelines for evaluation of public health centers. National Health Insurance Service, 2013.
5 M. J. Cote, Understanding patient flow. Decision Line, 2000.
6 M. Armony, S. Israelit, A. Mandelbaum, Y. Marmor, Y. Tseytlin, G. Yom-tov, Patient flow in hospitals: A data-based queueing-science perspective. Stochastic Systems, 2011.
7 E. Litvak, M.C. Long, B. Prenney, K.K. Fuda, O. Levtzion-Korach, P. McGlinchey, Improving patient flow and throughput in California Hospitals Operating Room Services. Boston University Program for Management of Variability in Health Care Delivery, Guidance document prepared for the California Healthcare Foundation(CHCF), 2006.
8 Averill M. Law, Simulation modeling and analysis, fourth edition. McGraw-Hill, 2007.
9 S. Ahmed, F. Amagoh, Modeling hospital resources with process oriented simulation. Central Asia Business, Vol. 1, No. 1, pp. 5-20, 2008.
10 C. Anderson, Emergency department patient flow simulation at HealthAlliance. Project proposal, Worcester Polytechnic Institute, 2010.
11 Anke K. Hutzschenreuter, Peter A. N. Bosman, Han La Poutre, A computational approach to patient flow logistics in hospitals. ERCIM News, 2010.
12 Z. Zeng, X. Ma, Y. Hu, J. Li, D. Bryant, A simulation study to improve quality of care in the emergency department of a community hospital. Journal of Emergency Nursing, Vol. 38, No. 4, pp. 322-328, 2012.   DOI   ScienceOn
13 Ji-Hye Lim, Sung-Hong Kang, Won-Joong Kim, Patient management through simulation modeling in the medical center. The journal of Digital Policy & Management, Vol. 10, No. 4, pp. 287-295, 2012.
14 Institute for Healthcare Improvement, Optimizing patient flow: Moving patients smoothly through acute care settings. IHI, 2003.
15 A. Kolker, P. Story, Management engineering for effective healthcare delivery: Principles and Applications. IGI Global, 2012.
16 R. Sibbel, C. Urban, Agent-based modeling and simulation for hospital management. Cooperative Agents, Vol. 32, pp. 183-202, 2001.
17 L. Moreno, R.M. Aguilar, C.A. Martin, J.D. Pineiro, J.I. Estevez, J.F. Sigut, J.L. Sanchez, Patient-centered simulation to aid decision-making in hospital management. Simulation, Vol. 74. No. 5, pp. 290-304, 2000.   DOI
18 Young-Woo Lee, Tae-Sik Lee, A comprehensive study on patient flow improvement solutions and their implementation strategies in an outpatient system. IE Interfaces, Vol. 23, No. 1, pp. 1-11, 2010.   과학기술학회마을
19 A. F. Najmuddin, I. M. Ibrahim, S. R. Ismail, A simulation approach: Improving patient waiting time for multiphase patient flow of obstetrics and gynecology department(O&G Department) in local specialist centre. WSEAS Transactions on Mathematics, Vol. 9, No. 10, pp. 778-790, 2010.
20 A.K.A., Wijewickrama, Simulation analysis for reducing queues in mixed-patients' outpatient department. International Journal of Simulation Modelling, Vol. 5, No. 2, pp. 56-68, 2006.   DOI
21 M. MacDonnell, S. Teehan, Discrete event simulation analysis of the hospital bed management problem. EuroMOT, 2006.
22 J. Helm, S. AhmadBeygi, M. Van Oyen, The flexible patient flow simulation framework. Institute of Industrial Engineers, 2009.
23 V. Z. Osidach, M. C. Fu, Computer simulation of a mobile examination center. Simulation Conference, Vol. 2, pp. 1868-1875 2003.
24 W. T. Song, A. E. Bair, A simulation study on the impact of physician starting time in a physical examination service. Simulation Conference, pp. 1553-1563, 2008.
25 Yeong-Deok Youn, Su-Ra Seo, Hyeon-Cheol Kim, Evaluation of the effectiveness of a general health screening. National Health Insurance Service, 2010.
26 M.J. Wilson, B. Siegel, M. Williams, Perfecting patient flow; America's safety net hospitals and emergency department crowding. National Association of Public Hospitals and Health Systems, 2005.