2016
DOI: 10.1080/15326349.2015.1136221
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The snowball effect of customer slowdown in critical many-server systems

Abstract: Customer slowdown describes the phenomenon that a customer's service requirement increases with experienced delay. In healthcare settings, there is substantial empirical evidence for slowdown, particularly when a patient's delay exceeds a certain threshold. For such threshold slowdown situations, we design and analyze a many-server system that leads to a two-dimensional Markov process. Analysis of this system leads to insights into the potentially detrimental effects of slowdown, especially in heavy-traffic co… Show more

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Cited by 6 publications
(5 citation statements)
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“…Aksin and Harker's (2001) work is motivated by a customer contact centre in which service rates decrease with load because agents require access to a shared information system with limited capacity, whereas Dong et al (2013) extend the Erlang A model to incorporate slowdown effects. Slowdown could also occur if customers who wait longer have longer average service times, as modeled by Chan et al (2015) and Selen et al (2015). Selen et al (2015) formulate their model as a QBD, as we do, but their phase variable is defined differently from ours.…”
Section: Analytical and Simulation Studiesmentioning
confidence: 99%
See 1 more Smart Citation
“…Aksin and Harker's (2001) work is motivated by a customer contact centre in which service rates decrease with load because agents require access to a shared information system with limited capacity, whereas Dong et al (2013) extend the Erlang A model to incorporate slowdown effects. Slowdown could also occur if customers who wait longer have longer average service times, as modeled by Chan et al (2015) and Selen et al (2015). Selen et al (2015) formulate their model as a QBD, as we do, but their phase variable is defined differently from ours.…”
Section: Analytical and Simulation Studiesmentioning
confidence: 99%
“…Slowdown could also occur if customers who wait longer have longer average service times, as modeled by Chan et al (2015) and Selen et al (2015). Selen et al (2015) formulate their model as a QBD, as we do, but their phase variable is defined differently from ours.…”
Section: Analytical and Simulation Studiesmentioning
confidence: 99%
“…A Markov process with a structure in which there are no upward transitions is amenable to the same solution approaches. The single-server priority system is one of many models that possesses this structure; a few others can be found in [41,42,99,105]. Due to the upward structure the balance equations could be solved recursively by treating them as second-order difference equations.…”
Section: Takeawaysmentioning
confidence: 99%
“…Of course, there are many systems beyond those covered in this section that can be modeled by class M Markov chains. For example, class M chains were recently used to model medical service systems in [8], [5], and [25].…”
Section: Examples Of Class M Markov Chainsmentioning
confidence: 99%