When open access might not work: Understanding patient attitudes in appointment scheduling

Liu, Nan; Rosenthal, D.I.; Poghosyan, Lusine

doi:10.1097/hmr.0000000000000150

Cited by 13 publications

(10 citation statements)

References 22 publications

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“…Another study at the University Hospital of Egypt [ 39 ] analyzed patients' satisfaction with the quality of services in outpatient clinics, concluding that there is a need for continuous quality improvement and care in the healthcare environment, mainly to satisfy patients. The process of developing an overlap period in clinics with different assumptions is related to the service time distribution, over time, and no-shows [ 40 , 41 ]. OLAS's primary advantages for appointment scheduling are its lack of specific scheduling services, such as alarm and warning of overlapping times.…”

Section: Results and Analysismentioning

confidence: 99%

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Appointment Scheduling Problem in Complexity Systems of the Healthcare Services: A Comprehensive Review

Ala

Chen

2022

Journal of Healthcare Engineering

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This paper provides a comprehensive review of Appointment Scheduling (AS) in healthcare service while we propose appointment scheduling problems and various applications and solution approaches in healthcare systems. For this purpose, more than 150 scientific papers are critically reviewed. The literature and the articles are categorized based on several problem specifications, i.e., the flow of patients, patient preferences, and random arrival time and service. Several methods have been proposed to shorten the patient waiting time resulting in the shortest idle times in healthcare centers. Among existing modeling such as simulation models, mathematical optimization techniques, Markov chain, and artificial intelligence are the most practical approaches to optimizing or improving patient satisfaction in healthcare centers. In this study, various criteria are selected for structuring the recent literature dealing with outpatient scheduling problems at the strategic, tactical, or operational levels. Based on the review papers, some new overviews, problem settings, and hybrid modeling approaches are highlighted.

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Section: Results and Analysismentioning

confidence: 99%

“…e process of developing an overlap period in clinics with different assumptions is related to the service time distribution, over time, and no-shows [40,41]. OLAS's primary advantages for appointment scheduling are its lack of specific scheduling services, such as alarm and warning of overlapping times.…”

Section: Overlapping Scheduling (Olas)mentioning

confidence: 99%

Appointment Scheduling Problem in Complexity Systems of the Healthcare Services: A Comprehensive Review

Ala

Chen

2022

Journal of Healthcare Engineering

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“…This requires integration of the scheduling tool with the hospital EHRs. Note that although OA scheduling has shown promise, Finkelstein et al (65) found that OA systems can reduce established patients' satisfaction due to more limited capacity for scheduling their appointments. This points to the need to develop good fixed schedules for non-OA capacity.…”

Section: Providing Treatmentmentioning

confidence: 99%

Engineering Approaches for Addressing Opioid Use Disorder in the Community

Griffin

2020

Annu. Rev. Biomed. Eng.

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Many communities in the United States are struggling to deal with the negative consequences of illicit opioid use. Effectively addressing this epidemic requires the coordination and support of community stakeholders in a change process with common goals and objectives, continuous engagement with individuals with opioid use disorder (OUD) through their treatment and recovery journeys, application of systems engineering principles to drive process change and sustain it, and use of a formal evaluation process to support a learning community that continuously adapts. This review presents strategies to improve OUD treatment and recovery with a focus on engineering approaches grounded in systems thinking.

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“…13,37,39 The right balance between demand and supply of appointments seems to be key when meeting the patient's needs for access to care and continuity in care. 35,40 In the present study, the access to primary care was investigated as an organisational concept, whereas other aspects of access to health care were not investigated. Access to a healthcare system is a multidimensional construct, and patients' individual characteristics are known to affect their healthcare-seeking behaviour.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Advanced Access scheduling in general practice and use of primary care: a Danish population-based matched cohort study

et al. 2020

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BackgroundAdvanced access scheduling (AAS) allows patients to receive care from their GP at the time chosen by the patient. AAS has shown to increase the accessibility to general practice, but little is known about how AAS implementation affects the use of in-hours and out-of-hours (OOH) services.AimTo describe the impact of AAS on the use of in-hours and OOH services in primary care.Design & settingA population-based matched cohort study using Danish register data.MethodA total of 161 901 patients listed in 33 general practices with AAS were matched with 287 837 reference patients listed in 66 reference practices without AAS. Outcomes of interest were use of daytime face-to-face consultations, and use of OOH face-to-face and phone consultations in a 2-year period preceding and following AAS implementation.ResultsNo significant differences were seen between AAS practices and reference practices. During the year following AAS implementation, the number of daytime face-to-face consultations was 3% (adjusted incidence rate ratio [aIRR] = 1.03; 95% confidence interval [CI] = 0.99 to 1.07) higher in the AAS practices compared with the number in the reference practices. Patients listed with an AAS practice had 2% (aIRR = 0.98; 95% CI = 0.92 to 1.04) fewer OOH phone consultations and 6% (aIRR = 0.94; 95% CI = 0.86 to 1.02) fewer OOH face-to-face consultations compared with patients listed with a reference practice.ConclusionThis study showed no significant differences following AAS implementation. However, a trend was seen towards slightly higher use of daytime primary care and lower use of OOH primary care.

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When open access might not work: Understanding patient attitudes in appointment scheduling

Cited by 13 publications

References 22 publications

Appointment Scheduling Problem in Complexity Systems of the Healthcare Services: A Comprehensive Review

Appointment Scheduling Problem in Complexity Systems of the Healthcare Services: A Comprehensive Review

Engineering Approaches for Addressing Opioid Use Disorder in the Community

Advanced Access scheduling in general practice and use of primary care: a Danish population-based matched cohort study

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