Evaluating Different Strategies on the Blood Collection Counter Settings to Improve Patient Waiting Time in Outpatient Units

Author:

Chen Chih-Hao1,Tsai Yao-Te2,Chou Chun-An3,Weng Shao-Jen1ORCID,Lee Wen-Chin4,Hsiao Li-Wei5,Derek Natan1,Ko Chang-Pu6

Affiliation:

1. Department of Industrial Engineering and Enterprise Information, Tunghai University, Taichung, Taiwan

2. Department of International Business, Feng Chia University, Taichung, Taiwan

3. Department of Mechanical and Industrial Engineering, Northeastern University, Boston, MA, USA

4. Division of Nephrology, Department of Internal Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan

5. Division of Endocrinology and Metabolism, Department of Internal Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan

6. Department of Industrial Engineering and Systems Management, Feng Chia University, Taichung, Taiwan

Abstract

Long patient waiting time is one of the major problems in the healthcare system and it would decrease patient satisfaction. Previous studies usually investigated how to improve the treatment flow in order to reduce patient waiting time or length of stay. The studies on blood collection counters have received less attention. Therefore, the objective of this study is to reduce the patient waiting time at outpatient clinics for metabolism and nephrology outpatients. A discrete-event simulation is used to analyze the four different strategies for blood collection counter resource allocation. Through analyzing four different strategic settings, the experimental results revealed that the maximum number of patients waiting before the outpatient clinics was reduced from 41 to 33 (20%); the maximum patient waiti-ng time at the outpatient clinics was decreased from 201.6 minutes to 83 minutes (59%). In this study, we found that adjusting the settings of blood collection counters would be beneficial. Assigning one exclusive blood collection counter from 8 to 10 am is the most suitable option with the least impact on the operational process for hospital staff. The results provide managerial insight regarding the cost-effective strategy selection for the hospital operational strategy.

Funder

Chang Bing Show Chwan Memorial Hospital

Publisher

SAGE Publications

Subject

Health Policy

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