한국시뮬레이션학회논문지 (Journal of the Korea Society for Simulation)

한국시뮬레이션학회 (The Korea Society for Simulation)
권호 표지
DOI QR코드

DOI QR Code

개인 병원의 부분 예약제 도입을 위한 시뮬레이션 분석 사례

Simulation Analysis for a Partial Appointment System of Outpatients in a Private Clinic

  • 라순영 ((재)지역미래산업진흥원) ;
  • 정병호 (전북대학교 산업정보시스템공학과) ;
  • 유태우 (케이엘이에스(주))
  • 투고 : 2012.06.21
  • 심사 : 2012.12.18
  • 발행 : 2012.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

환자의 대기시간은 의료시스템의 서비스품질을 결정하는 중요한 요소이다. 개인병원의 경우 아직 환자 예약제가 보편적이지 않다. 예약제는 환자들을 시간적으로 분산시킴으로써 환자의 대기시간을 감소시킬 것으로 기대된다. 본 논문에서는 세 가지 예약규칙을 제안하고 시뮬레이션 기법을 이용하여 예약환자와 비예약환자의 대기시간을 비교분석한다. 시뮬레이션 결과 분석을 통해 예약자 할당 슬롯의 길이가 60분일 때보다 30분일 때 환자의 대기시간이 짧게 나타났음을 보여준다. ANOVA 분석을 통해 예약자 할당수준 1에서 비예약 환자의 경우는 일정패턴 규칙에서 예약 환자의 경우에는 지그재그패턴 규칙에서 평균대기 시간이 짧게 나타나고 있음을 보인다.

The waiting time of patients is an important factor related with service quality of a hospital system. An appointment system of patients is not popular, in special, in a private hospital. An appointment system is expected to diversify patients in time and to reduce patient's waiting time. Three appointment rules are suggested and analyzed to compare the waiting time of appointment and walk-in patients using simulation analysis. The results of two way ANOVA show that the time slot of 30 minutes for allocating appointment patients is better than the time slot of 60 minites in view of patient's waiting time. The results of the appointment level 1 also show that the constant pattern rule and the zigzag pattern rule give shorter waiting time for walk-in patient and for appointment patient, respectively.

키워드

참고문헌

  1. 박영수(1986), "종합병원의 외래환자의 대기행렬 및 예약제에 관한 연구", 대한병원협회지, Vol.15, No. 5, pp.4-19
  2. Lee, J.K., Kim, M.K., and Ha, B.H.(2011), "Evaluation of appointment policy and scheduling rule for a dental clinic based on computer simulation", Korean Journal of Hospital Management, Vol. 16, No. 4, pp.161-182.
  3. Lee, H.J. and Chang, H.J.(2003), "Quantitative evaluation of appointment system for outpatients in dental clinic", Korean Journal of Hospital Management, Vol. 8, No. 2, pp. 49-69.
  4. Bailey, N.T.(1952), "A study of queues and appointment systems in hospital outpatient departments", Journal of the Royal Statistical Society, Vol. 14, No. 2, pp.185-199.
  5. Blanco White, MJ. and Pike, M.C.(1964), "Appointment systems in outpatients' clinics and the effect on patients' unpunctuality", Medical Care, Vol. 2, No. 3, pp. 133-145. https://doi.org/10.1097/00005650-196407000-00002
  6. Cayirli, T. and Veral, E.(2003), "Outpatient Scheduling in Health Care : A Review of Literature", Production and Operations Management, Vol. 12, No. 4, pp. 519-549.
  7. Cayirli, T., Veral, E. and Rosen, H. (2006), "Designing appointment scheduling systems for ambbulatory care services", Health Care Management Sci., Vol. 9, No. 1, pp. 47-58. https://doi.org/10.1007/s10729-006-6279-5
  8. Ho, C.J. and Lau, H.S.(1992), "Minimizing total cost in scheduling outpatient appointments", Management Science, Vol. 38, No. 12, pp. 1750-1764. https://doi.org/10.1287/mnsc.38.12.1750
  9. Jansson, B.(1966), "Choosing a good appointment system-a study of queues of the type(D,M,I)", Operations Research, Vol. 14, No. 2, pp. 292-312. https://doi.org/10.1287/opre.14.2.292
  10. Klassen KJ, and Yoogalingam, R.(2009), "Improving performance in outpatient appointment services with a simulation optimization approach", Production and Operations Management Society, Vol. 18, No. 4, pp. 447-458. https://doi.org/10.1111/j.1937-5956.2009.01021.x
  11. Rohleder, T. and Klassen, K.J.(2000), "Using client-variance information to improve dynamic appointment scheduling performance", Omega, Vol. 28, No. 3, pp. 293-302. https://doi.org/10.1016/S0305-0483(99)00040-7
  12. Vanden Bosch, P.M. and Dietz, D.C.(1999), "Minimizing expected waiting in a medical appointment system", IIE Transactions, Vol. 32, No. 9, pp. 841-848.
  13. Villegas, E.L.(1967), "Outpatient Appointment System Saves Time for Patients and Doctors", Hospitals, Vol. 41, No. 8, pp. 52-57.
  14. Wang, P.P.(1997), "Optimally scheduling N customer arrival times for a single-server system", Computers and Operations Research, Vol. 24, No. 8, pp. 703-716. https://doi.org/10.1016/S0305-0548(96)00093-7