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Assessing and controlling the impact of hospital capacity planning on the waiting time

Dellaert, Nico; Cayiroglu, Ezgi; Jeunet, Jully (2016), Assessing and controlling the impact of hospital capacity planning on the waiting time, International Journal of Production Research, 54, 8, p. 2203-2214. 10.1080/00207543.2015.1051668

Type
Article accepté pour publication ou publié
Date
2016
Journal name
International Journal of Production Research
Volume
54
Number
8
Publisher
Taylor & Francis
Pages
2203-2214
Publication identifier
10.1080/00207543.2015.1051668
Metadata
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Author(s)
Dellaert, Nico
Technische Universiteit Eindhoven
Cayiroglu, Ezgi
Technische Universiteit Eindhoven
Jeunet, Jully
Laboratoire d'analyse et modélisation de systèmes pour l'aide à la décision [LAMSADE]
Abstract (EN)
In the literature, tactical plans of elective patients aim at increasing hospital efficiency through a better resource utilisation, although hospitals claim that patient satisfaction, usually measured by the waiting time, is also important. In this regard, the purpose of this paper is to show how patient satisfaction can be associated with any tactical plan, by developing a method to compute exact waiting time distributions. We also present a procedure to calculate the exact levels of resource utilisation. Therefore, with our procedures, hospital managers can determine the operational performance of their tactical plan. We then explore two strategies to improve tactical plans in terms of waiting time: slack planning and smooth allocation. A case study based on data from a Dutch cardiothoracic surgery centre shows that slack planning leads to a trade-off between waiting time and hospital efficiency. When slack planning is combined to smooth allocation, additional improvements of the waiting time can be reached.
Subjects / Keywords
service; hospital capacity planning; Markov processes; operational performance; waiting time; resource utilisation

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