The Effect of Delay Rules in Controlling Unscheduled Visits to Hospitals
The increased demand of unscheduled visits to hospital outpatient facilities, and particularly to walk-in clinics, necessitates the consideration of means to control this flow and to reduce in-hospital waiting times. A model is developed in which a percentage of the unscheduled visits are assumed to...
Gespeichert in:
| Veröffentlicht in: | Medical care 1979-09, Vol.17 (9), p.967-972 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 972 |
|---|---|
| container_issue | 9 |
| container_start_page | 967 |
| container_title | Medical care |
| container_volume | 17 |
| creator | Fries, Brant E. Ginsberg, Allen S. |
| description | The increased demand of unscheduled visits to hospital outpatient facilities, and particularly to walk-in clinics, necessitates the consideration of means to control this flow and to reduce in-hospital waiting times. A model is developed in which a percentage of the unscheduled visits are assumed to be delayable, e.g., patients with non-urgent complaints who call may be asked to delay their arrivals for specified lengths of time. A simple rule for determining, dynamically, the length of this delay was examined by computer simulation. The results demonstrate significant reduction of in-facility waiting times while only marginally increasing the time patients wait from their initial contact with the clinic until seen by a practitioner. |
| doi_str_mv | 10.1097/00005650-197909000-00007 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_74710879</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>3764276</jstor_id><sourcerecordid>3764276</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3757-619e53b13ece8cd60a60dae04b0c56a0068ac36aa1a01c52e81c1e5af8bcf5333</originalsourceid><addsrcrecordid>eNp1UctOwzAQtBCv8vgDDj5xC6zr2E6OqBSKhISEgKvlOhsacONiO0L8PYZCObGX0c7szkqzhFAGZwxqdQ65hBRQsFrVUOeu-KLUFhkxwVWmy2qbjADGolCg6n1yEOMLAFNcjPfIblmx3IzI7GGBdNq2aBP1Lb1EZz7o_eAw0q6nE9-n4J3r-mf62Ee7wCZLDX3qYpciTZ7OfFx1ybh4RHbaDHj8g4fk8Wr6MJkVt3fXN5OL28JyJVQhWY2CzxlHi5VtJBgJjUEo52CFNACyMpZLY5gBZsUYK2YZCtNWc9sKzvkhOV37roJ_GzAmveyiRedMj36IWpWKQaXqPFitB23wMQZs9Sp0SxM-NAP9laH-zVBvMvymVF49-bkxzJfYbBbXoWW5XMvv3iUM8dUN7xj0Ao1LC_3fZ_5cX2LyYWPKlSzHSvJPeX6Eyg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>74710879</pqid></control><display><type>article</type><title>The Effect of Delay Rules in Controlling Unscheduled Visits to Hospitals</title><source>MEDLINE</source><source>JSTOR Archive Collection A-Z Listing</source><source>Journals@Ovid Ovid Autoload</source><creator>Fries, Brant E. ; Ginsberg, Allen S.</creator><creatorcontrib>Fries, Brant E. ; Ginsberg, Allen S.</creatorcontrib><description>The increased demand of unscheduled visits to hospital outpatient facilities, and particularly to walk-in clinics, necessitates the consideration of means to control this flow and to reduce in-hospital waiting times. A model is developed in which a percentage of the unscheduled visits are assumed to be delayable, e.g., patients with non-urgent complaints who call may be asked to delay their arrivals for specified lengths of time. A simple rule for determining, dynamically, the length of this delay was examined by computer simulation. The results demonstrate significant reduction of in-facility waiting times while only marginally increasing the time patients wait from their initial contact with the clinic until seen by a practitioner.</description><identifier>ISSN: 0025-7079</identifier><identifier>EISSN: 1537-1948</identifier><identifier>DOI: 10.1097/00005650-197909000-00007</identifier><identifier>PMID: 481001</identifier><language>eng</language><publisher>United States: J. B. Lippincott Co</publisher><subject>Appointments and Schedules ; Arithmetic mean ; Educational administration ; Health care waiting times ; Modeling ; Models, Theoretical ; Operations Research ; Outpatient Clinics, Hospital - organization & administration ; Outpatient Clinics, Hospital - statistics & numerical data ; Patient care ; Percentages ; Personnel Staffing and Scheduling ; Physicians ; Scheduling ; Sequencing ; Time Factors ; Traffic ; United States</subject><ispartof>Medical care, 1979-09, Vol.17 (9), p.967-972</ispartof><rights>Copyright 1979 J. B. Lippincott Co.</rights><rights>Lippincott-Raven Publishers.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3757-619e53b13ece8cd60a60dae04b0c56a0068ac36aa1a01c52e81c1e5af8bcf5333</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3764276$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3764276$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/481001$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fries, Brant E.</creatorcontrib><creatorcontrib>Ginsberg, Allen S.</creatorcontrib><title>The Effect of Delay Rules in Controlling Unscheduled Visits to Hospitals</title><title>Medical care</title><addtitle>Med Care</addtitle><description>The increased demand of unscheduled visits to hospital outpatient facilities, and particularly to walk-in clinics, necessitates the consideration of means to control this flow and to reduce in-hospital waiting times. A model is developed in which a percentage of the unscheduled visits are assumed to be delayable, e.g., patients with non-urgent complaints who call may be asked to delay their arrivals for specified lengths of time. A simple rule for determining, dynamically, the length of this delay was examined by computer simulation. The results demonstrate significant reduction of in-facility waiting times while only marginally increasing the time patients wait from their initial contact with the clinic until seen by a practitioner.</description><subject>Appointments and Schedules</subject><subject>Arithmetic mean</subject><subject>Educational administration</subject><subject>Health care waiting times</subject><subject>Modeling</subject><subject>Models, Theoretical</subject><subject>Operations Research</subject><subject>Outpatient Clinics, Hospital - organization & administration</subject><subject>Outpatient Clinics, Hospital - statistics & numerical data</subject><subject>Patient care</subject><subject>Percentages</subject><subject>Personnel Staffing and Scheduling</subject><subject>Physicians</subject><subject>Scheduling</subject><subject>Sequencing</subject><subject>Time Factors</subject><subject>Traffic</subject><subject>United States</subject><issn>0025-7079</issn><issn>1537-1948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1979</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UctOwzAQtBCv8vgDDj5xC6zr2E6OqBSKhISEgKvlOhsacONiO0L8PYZCObGX0c7szkqzhFAGZwxqdQ65hBRQsFrVUOeu-KLUFhkxwVWmy2qbjADGolCg6n1yEOMLAFNcjPfIblmx3IzI7GGBdNq2aBP1Lb1EZz7o_eAw0q6nE9-n4J3r-mf62Ee7wCZLDX3qYpciTZ7OfFx1ybh4RHbaDHj8g4fk8Wr6MJkVt3fXN5OL28JyJVQhWY2CzxlHi5VtJBgJjUEo52CFNACyMpZLY5gBZsUYK2YZCtNWc9sKzvkhOV37roJ_GzAmveyiRedMj36IWpWKQaXqPFitB23wMQZs9Sp0SxM-NAP9laH-zVBvMvymVF49-bkxzJfYbBbXoWW5XMvv3iUM8dUN7xj0Ao1LC_3fZ_5cX2LyYWPKlSzHSvJPeX6Eyg</recordid><startdate>197909</startdate><enddate>197909</enddate><creator>Fries, Brant E.</creator><creator>Ginsberg, Allen S.</creator><general>J. B. Lippincott Co</general><general>Lippincott-Raven Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197909</creationdate><title>The Effect of Delay Rules in Controlling Unscheduled Visits to Hospitals</title><author>Fries, Brant E. ; Ginsberg, Allen S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3757-619e53b13ece8cd60a60dae04b0c56a0068ac36aa1a01c52e81c1e5af8bcf5333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1979</creationdate><topic>Appointments and Schedules</topic><topic>Arithmetic mean</topic><topic>Educational administration</topic><topic>Health care waiting times</topic><topic>Modeling</topic><topic>Models, Theoretical</topic><topic>Operations Research</topic><topic>Outpatient Clinics, Hospital - organization & administration</topic><topic>Outpatient Clinics, Hospital - statistics & numerical data</topic><topic>Patient care</topic><topic>Percentages</topic><topic>Personnel Staffing and Scheduling</topic><topic>Physicians</topic><topic>Scheduling</topic><topic>Sequencing</topic><topic>Time Factors</topic><topic>Traffic</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fries, Brant E.</creatorcontrib><creatorcontrib>Ginsberg, Allen S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Medical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fries, Brant E.</au><au>Ginsberg, Allen S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Delay Rules in Controlling Unscheduled Visits to Hospitals</atitle><jtitle>Medical care</jtitle><addtitle>Med Care</addtitle><date>1979-09</date><risdate>1979</risdate><volume>17</volume><issue>9</issue><spage>967</spage><epage>972</epage><pages>967-972</pages><issn>0025-7079</issn><eissn>1537-1948</eissn><abstract>The increased demand of unscheduled visits to hospital outpatient facilities, and particularly to walk-in clinics, necessitates the consideration of means to control this flow and to reduce in-hospital waiting times. A model is developed in which a percentage of the unscheduled visits are assumed to be delayable, e.g., patients with non-urgent complaints who call may be asked to delay their arrivals for specified lengths of time. A simple rule for determining, dynamically, the length of this delay was examined by computer simulation. The results demonstrate significant reduction of in-facility waiting times while only marginally increasing the time patients wait from their initial contact with the clinic until seen by a practitioner.</abstract><cop>United States</cop><pub>J. B. Lippincott Co</pub><pmid>481001</pmid><doi>10.1097/00005650-197909000-00007</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7079 |
| ispartof | Medical care, 1979-09, Vol.17 (9), p.967-972 |
| issn | 0025-7079 1537-1948 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_74710879 |
| source | MEDLINE; JSTOR Archive Collection A-Z Listing; Journals@Ovid Ovid Autoload |
| subjects | Appointments and Schedules Arithmetic mean Educational administration Health care waiting times Modeling Models, Theoretical Operations Research Outpatient Clinics, Hospital - organization & administration Outpatient Clinics, Hospital - statistics & numerical data Patient care Percentages Personnel Staffing and Scheduling Physicians Scheduling Sequencing Time Factors Traffic United States |
| title | The Effect of Delay Rules in Controlling Unscheduled Visits to Hospitals |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T21%3A47%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Effect%20of%20Delay%20Rules%20in%20Controlling%20Unscheduled%20Visits%20to%20Hospitals&rft.jtitle=Medical%20care&rft.au=Fries,%20Brant%20E.&rft.date=1979-09&rft.volume=17&rft.issue=9&rft.spage=967&rft.epage=972&rft.pages=967-972&rft.issn=0025-7079&rft.eissn=1537-1948&rft_id=info:doi/10.1097/00005650-197909000-00007&rft_dat=%3Cjstor_proqu%3E3764276%3C/jstor_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=74710879&rft_id=info:pmid/481001&rft_jstor_id=3764276&rfr_iscdi=true |