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Comparing 2 Appointment Scheduling Policies Using Discrete-Event Simulation.

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Summary

Double-booking and walk-in policies effectively reduce patient no-shows and cancellations. Double-booking excels with high patient arrival rates, while walk-ins are better for lower rates, optimizing appointment scheduling.

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Area of Science:

  • Healthcare Management
  • Operations Research

Background:

  • High rates of patient no-shows and cancellations negatively impact healthcare efficiency.
  • Double-booking and walk-in admission are common strategies to mitigate these issues.

Purpose of the Study:

  • To compare the effectiveness of double-booking and walk-in admission policies.
  • To determine the optimal circumstances for implementing each policy.

Main Methods:

  • Discrete-event simulation using Arena software.
  • Evaluation of average patient waiting time and missed appointments.

Main Results:

  • Double-booking yielded higher productivity at high patient arrival rates (93.24% success rate).
  • Walk-in admission was superior at low patient arrival rates (89.45% success rate).
  • The current system had a 61.18% successful appointment rate.

Conclusions:

  • Both policies reduce negative impacts of cancellations and no-shows but perform differently based on demand.
  • The optimal appointment scheduling system depends on patient demand rate and fluctuations.