Patient Flow Analysis in Resource-Limited Settings: A Practical Tutorial and Case Study

Dixon, Cinnamon A.; Punguyire, Damien; Mahabee-Gittens, Melinda; Ho, Mona; Lindsell, Christopher J.

doi:10.9745/ghsp-d-14-00121

Cited by 20 publications

(15 citation statements)

References 8 publications

(8 reference statements)

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“…El Patient Flow Analysis o 'Cascada de pacientes', es una técnica de administración que permite encontrar alternativas para aumentar la eficiencia de los servicios. Además, posibilita la identificación de vacíos en la distribución y utilización de los servicios, evaluando la manera como los pacientes transitan a través del servicio (Assefzadeh, 1996;Dixon et al, 2015), a efectos de establecer áreas de intervención que permitan aumentar la participación de pacientes no provenientes de EPS en la IPS Profesionales de la Salud.…”

Section: Eje De Investigación 3: Evaluación Del Proceso De Ventaunclassified

Análisis situacional y generación de un mapa estratégico para el incremento del mercado potencial en una institución prestadora de salud

Jaimes¹,

Mejía²

2020

CIFE

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Este estudio tiene como objeto de estudio la Institución: Profesionales de la Salud y CIA. Profesionales de la Salud y Cía. es una empresa de origen santandereano con una trayectoria de más de 25 años en el sector de la rehabilitación. Los problemas que actualmente enfrenta el sector salud, específicamente la relación entre las EPS-IPS son cada vez más comunes en la institución y por tanto la búsqueda de nuevos mercados es una necesidad. Desarrollar una estrategia de mercadeo en salud permitirá conocer y entender al usuario que todavía no está caracterizado por la institución, permitiéndole generar una propuesta de valor adaptada a las necesidades insatisfechas, disminuyendo de esta manera la dependencia a las Empresas Promotoras de Salud. Por tanto, este estudio tiene como objetivo general generar un mapa estratégico de mercadeo que responda a las necesidades del entorno de la empresa Profesionales de la Salud y Cía. y que responda a cumplir sus objetivos hacia el futuro de captar mayor población potencial para el consumo de sus servicios de rehabilitación.

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Section: Eje De Investigación 3: Evaluación Del Proceso De Ventaunclassified

Análisis situacional y generación de un mapa estratégico para el incremento del mercado potencial en una institución prestadora de salud

Jaimes¹,

Mejía²

2020

CIFE

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“…The main cause of these challenges is the increasing demand for health services along with limited and expensive resources in this domain. 1,2 Overcrowding of healthcare facilities results from an imbalance between demand and supply. 3,4 It is an important problem in outpatient facilities where timely access and fast and easy throughput are key performance measures.…”

Section: Introductionmentioning

confidence: 99%

“…5,6 Overcrowding and inefficient patient flow in healthcare facilities not only affect quality and timeliness of services, but also affect patient satisfaction. 2 Patient flow analysis (PFA) is a useful tool for identifying patient flow inefficiencies. It also reflects how quick and efficient hospitals are in providing healthcare services, shows possible bottlenecks, and is an evidence-based tool for managing patient flow.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 There is evidence of the application of PFA in healthcare facilities. The main uses of patient flow are for estimating wait time and visit time, 2,9,10 identifying bottlenecks in service providing processes, 11,12 optimizing schedules, 13,14 and planning for future reorganization and resource allocation. 8,[15][16][17] Studies have focused on a large variety of hospital departments, such as outpatient departments and clinics, emergency departments, inpatient wards, surgical units, and also diagnostic and paraclinic departments.…”

Section: Introductionmentioning

confidence: 99%

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Patient Flow Analysis in General Hospitals: How Clinical Disciplines Affect Outpatient Wait Times

et al. 2019

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Background: Overcrowding is an important problem for outpatient services in healthcare facilities. Patient flow analysis (PFA) is a useful method for identifying inefficiencies in and facilitating patient flow. Objective: PFA was used to estimate patient wait time and determine how different clinical disciplines impact wait times in the studied hospital. Methods: This cross-sectional study investigated a study population comprised of outpatients who referred to clinics at a general hospital in Tehran, Iran. A total of 3836 samples were selected from different stations. Nonrandomized quota sampling was used, and data was gathered using workflow checklists, the content validity of which was proven by experts and hospital authorities. SPSS statistical software was used for data analysis. Results: Total patient stay in the outpatient setting was an estimated 77 minutes (without considering para-clinic units and pharmacy). More than 90% of this time was spent waiting. The wait time of patients at the clinic was greater than that at other stations, and it was less at the cash station than at other stations. Wait times varied at different clinics (P value < 0.001) and were correlated with physician delay (P value < 0.001). Conclusion: The most important result of using PFA in the outpatient setting was managing wait times. This study indicated that a considerable amount of a patient’s total stay in the system was related to waiting for physical examinations. This suggests that the first priority in improving the system should be managing patient wait times for physical examinations.

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“…The stepwise approach termed the 3Ps – preparation, piloting, and performing – is used as a flexible guide of items to consider when performing a patient flow analysis. After performing a patient flow analysis, the collected data is analyzed as it relates to the objectives and process measures to help identify areas for improvement [9]. …”

Section: Introductionmentioning

confidence: 99%

Comparison of patient flow and provider efficiency of two delivery strategies for HPV-based cervical cancer screening in Western Kenya: a time and motion study

Olwanda

Shen

Kahn

et al. 2018

Global Health Action

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Background: Improving patient flow and reducing over-crowding can improve quality, promptness of care, and patient satisfaction. Given low utilization of preventive care in low-resource countries, improved patient flows are especially important in these settings. Objective: Compare patient flow and provider efficiency between two cervical cancer screening strategies via self-collected human papillomavirus (HPV). Methods: We collected time and motion data for patients screened for cervical cancer in 12 communities in rural Migori County, Kenya as part of a larger cluster randomized trial. Six communities were randomized to screening in community health campaigns (CHCs) and six to screening at government clinics. We quantified patient flow: duration spent on each active stage of screening and wait times, and the number of patients arriving at CHCs and clinics each hour of the day. In addition, for four CHCs, we collected time and motion data for providers, and measured provider efficiency as a ratio of active (service delivery) time to total time spent at the clinic. Results: Total duration of screening visits, at CHCs and clinics was 42 and 87 minutes, respectively (p < 0.001 for difference). Total active time lasted longer at CHCs, with a mean of 28 minutes per patient versus 15 minutes at clinics, largely due to differences in duration for group education (p < 0.001). Wait time for registration at clinics was 36 minutes, explaining most of the difference between settings, but sometimes incorporated other health services. Conclusions: There is a substantial difference in patient flow at clinics compared to CHCs. Shorter duration at CHCs suggests that the model is favorable for patients in limiting time spent on screening. Future cervical cancer screening programs designed for scale-up should consider how this advantage may enhance satisfaction and uptake. For clinic-based screening programs, efforts could be made towards reducing registration wait times.

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Patient Flow Analysis in Resource-Limited Settings: A Practical Tutorial and Case Study

Cited by 20 publications

References 8 publications

Análisis situacional y generación de un mapa estratégico para el incremento del mercado potencial en una institución prestadora de salud

Análisis situacional y generación de un mapa estratégico para el incremento del mercado potencial en una institución prestadora de salud

Patient Flow Analysis in General Hospitals: How Clinical Disciplines Affect Outpatient Wait Times

Comparison of patient flow and provider efficiency of two delivery strategies for HPV-based cervical cancer screening in Western Kenya: a time and motion study

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