多医生环境考虑患者爽约的门诊预约决策方法

被引:12
作者
曹萍萍 [1 ]
唐加福 [2 ]
机构
[1] 中国刑事警察学院基础教研部
[2] 东北财经大学管理科学与工程学院
关键词
门诊预约; 爽约; 决策方法; 马尔可夫过程模型;
D O I
暂无
中图分类号
R197.3 [医院、综合医院];
学科分类号
摘要
针对多个医生医疗环境下具有提前预约和当天预约两类预约患者的门诊预约问题,在考虑提前预约患者可能存在爽约行为的情形下,提出了一种用于决定是否接受提前预约患者的预约请求的门诊预约决策方法.文中首先以医院的期望收益最大作为决策目标,建立了患者存在爽约行为的医疗预约问题的马尔可夫过程模型;然后基于所建立模型的特征,证明了对于任意的提前预约时段,均存在对应于每个医生的提前预约患者的最优预约数量的上界,且此上界随着患者爽约概率的增加而增加,随着预约所有医生的患者总数的增加而减小;进一步地,给出了该门诊预约问题的一种预约决策方法以及确定该方法的精确算法;最后,通过数值实验说明了本文所提出的决策方法的适用性和有效性.
引用
收藏
页码:928 / 936
页数:9
相关论文
共 13 条
[1]   基于满意度的预约门诊排队策略研究 [J].
秦岚 ;
徐寅峰 .
运筹与管理, 2013, 22 (02) :135-142
[2]   基于精益思想的门诊预约与排队管理系统 [J].
朱相鹏 ;
苗瑞 ;
江志斌 .
工业工程与管理, 2008, 13 (06) :108-113
[3]  
Capacity allocation for demand of different customer-product-combinations with cancellations, no-shows, and overbooking when there is a sequential delivery of service[J] . Hans-J?rg Schütz,Rainer Kolisch.Annals of Operations Research . 2013 (1)
[4]   Dynamic Appointment Scheduling of a Stochastic Server with Uncertain Demand [J].
Erdogan, S. Ayca ;
Denton, Brian .
INFORMS JOURNAL ON COMPUTING, 2013, 25 (01) :116-132
[5]  
A mean–variance model to optimize the fixed versus open appointment percentages in open access scheduling systems[J] . Xiuli Qu,Ronald L. Rardin,Julie Ann S. Williams.Decision Support Systems . 2012 (3)
[6]   Appointment Overbooking in Health Care Clinics to Improve Patient Service and Clinic Performance [J].
LaGanga, Linda R. ;
Lawrence, Stephen R. .
PRODUCTION AND OPERATIONS MANAGEMENT, 2012, 21 (05) :874-888
[7]   Adaptive Appointment Systems with Patient Preferences [J].
Wang, Wen-Ya ;
Gupta, Diwakar .
M&SOM-MANUFACTURING & SERVICE OPERATIONS MANAGEMENT, 2011, 13 (03) :373-389
[8]  
Approximate dynamic programming for capacity allocation in the service industry[J] . European Journal of Operational Research . 2011 (1)
[9]   Dynamic Scheduling of Outpatient Appointments Under Patient No-Shows and Cancellations [J].
Liu, Nan ;
Ziya, Serhan ;
Kulkarni, Vidyadhar G. .
M&SOM-MANUFACTURING & SERVICE OPERATIONS MANAGEMENT, 2010, 12 (02) :347-364
[10]  
Reducing Delays for Medical Appointments: A Queueing Approach[J] . Green,Linda V,Savin,Sergei.Operations Research . 2008 (6)