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Optimizing Daily Service Scheduling for Medical Diagnostic Equipment Considering Patient Satisfaction and Hospital Revenue

Author

Listed:
  • Gang Du

    (School of Business Administration, Faculty of Economics and Management, East China Normal University, Shanghai 200062, China)

  • Xinyue Li

    (School of Business Administration, Faculty of Economics and Management, East China Normal University, Shanghai 200062, China)

  • Hui Hu

    (School of Business Administration, Faculty of Economics and Management, East China Normal University, Shanghai 200062, China)

  • Xiaoling Ouyang

    (Department of Economics, School of Economics, Faculty of Economics and Management, East China Normal University, Shanghai 200062, China)

Abstract

Under the background of the unbalanced supply and demand of medical diagnostic equipment and rising health care costs, this study aims to optimize the service scheduling for medical diagnostic equipment so as to improve patient satisfaction by ensuring the equipment utilization rate and hospital revenue. The finite horizon Markov Decision Process (MDP) was adopted to solve this problem. On the basis of field research, we divided patients into four categories: emergency patients, inpatients, appointed outpatients, and the randomly arrived outpatients according to the severity of illness and appointment situations. In the construction of the MDP model, we considered the possibility of cancellation (no-show patients) in scheduling optimization. Combined with the benefits and costs related to patient satisfaction, based on the value iteration algorithm, we took patient satisfaction and hospital revenue as the objective functions. Results indicated that, compared with the current scheduling strategy, the integrated strategy proposed in this study has a better performance, which could maintain the sustainable usage rate of large medical resources and patient satisfaction.

Suggested Citation

  • Gang Du & Xinyue Li & Hui Hu & Xiaoling Ouyang, 2018. "Optimizing Daily Service Scheduling for Medical Diagnostic Equipment Considering Patient Satisfaction and Hospital Revenue," Sustainability, MDPI, vol. 10(9), pages 1-23, September.
    • Handle: RePEc:gam:jsusta:v:10:y:2018:i:9:p:3349-:d:170801
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    References listed on IDEAS

    as
    1. Yan Ni & Ke Wang & Lindu Zhao, 2017. "A Markov decision process model of allocating emergency medical resource among multi-priority injuries," International Journal of Mathematics in Operational Research, Inderscience Enterprises Ltd, vol. 10(1), pages 1-17.
    2. Chrwan-Jyh Ho & Hon-Shiang Lau, 1992. "Minimizing Total Cost in Scheduling Outpatient Appointments," Management Science, INFORMS, vol. 38(12), pages 1750-1764, December.
    3. Christiane Barz & Kumar Rajaram, 2015. "Elective Patient Admission and Scheduling under Multiple Resource Constraints," Production and Operations Management, Production and Operations Management Society, vol. 24(12), pages 1907-1930, December.
    4. Geng, Na & Xie, Xiaolan, 2012. "Optimizing contracted resource capacity with two advance cancelation modes," European Journal of Operational Research, Elsevier, vol. 221(3), pages 501-512.
    5. Wen-Ya Wang & Diwakar Gupta, 2011. "Adaptive Appointment Systems with Patient Preferences," Manufacturing & Service Operations Management, INFORMS, vol. 13(3), pages 373-389, July.
    6. Linda V. Green & Sergei Savin, 2008. "Reducing Delays for Medical Appointments: A Queueing Approach," Operations Research, INFORMS, vol. 56(6), pages 1526-1538, December.
    7. Guido Kaandorp & Ger Koole, 2007. "Optimal outpatient appointment scheduling," Health Care Management Science, Springer, vol. 10(3), pages 217-229, September.
    8. Adam Diamant & Joseph Milner & Fayez Quereshy, 2018. "Dynamic Patient Scheduling for Multi†Appointment Health Care Programs," Production and Operations Management, Production and Operations Management Society, vol. 27(1), pages 58-79, January.
    9. Lawrence W. Robinson & Rachel R. Chen, 2010. "A Comparison of Traditional and Open-Access Policies for Appointment Scheduling," Manufacturing & Service Operations Management, INFORMS, vol. 12(2), pages 330-346, June.
    10. Astaraky, Davood & Patrick, Jonathan, 2015. "A simulation based approximate dynamic programming approach to multi-class, multi-resource surgical scheduling," European Journal of Operational Research, Elsevier, vol. 245(1), pages 309-319.
    11. Gang Du & Xi Liang & Chuanwang Sun, 2017. "Scheduling Optimization of Home Health Care Service Considering Patients’ Priorities and Time Windows," Sustainability, MDPI, vol. 9(2), pages 1-22, February.
    12. Norina Szander & Lorenzo Ros-McDonnell & María Victoria De-la-Fuente-Aragón & Robert Vodopivec, 2018. "Sustainable Urban Homecare Delivery with Different Means of Transport," Sustainability, MDPI, vol. 10(2), pages 1-12, February.
    13. Xiang Ma & Antoine Sauré & Martin L. Puterman & Marianne Taylor & Scott Tyldesley, 2016. "Capacity planning and appointment scheduling for new patient oncology consults," Health Care Management Science, Springer, vol. 19(4), pages 347-361, December.
    14. Yasin Gocgun & Martin Puterman, 2014. "Dynamic scheduling with due dates and time windows: an application to chemotherapy patient appointment booking," Health Care Management Science, Springer, vol. 17(1), pages 60-76, March.
    15. Lu, Yuwei & Xie, Xiaolan & Jiang, Zhibin, 2018. "Dynamic appointment scheduling with wait-dependent abandonment," European Journal of Operational Research, Elsevier, vol. 265(3), pages 975-984.
    16. Hyun-Rok Lee & Taesik Lee, 2018. "Markov decision process model for patient admission decision at an emergency department under a surge demand," Flexible Services and Manufacturing Journal, Springer, vol. 30(1), pages 98-122, June.
    17. Ridvan Gedik & Shengfan Zhang & Chase Rainwater, 2017. "Strategic level proton therapy patient admission planning: a Markov decision process modeling approach," Health Care Management Science, Springer, vol. 20(2), pages 286-302, June.
    18. Jonathan Patrick & Martin L. Puterman & Maurice Queyranne, 2008. "Dynamic Multipriority Patient Scheduling for a Diagnostic Resource," Operations Research, INFORMS, vol. 56(6), pages 1507-1525, December.
    19. Chongjun Yan & Jiafu Tang & Bowen Jiang & Richard Y.K. Fung, 2015. "Sequential appointment scheduling considering patient choice and service fairness," International Journal of Production Research, Taylor & Francis Journals, vol. 53(24), pages 7376-7395, December.
    20. Ahmadi-Javid, Amir & Jalali, Zahra & Klassen, Kenneth J, 2017. "Outpatient appointment systems in healthcare: A review of optimization studies," European Journal of Operational Research, Elsevier, vol. 258(1), pages 3-34.
    21. Sauré, Antoine & Patrick, Jonathan & Tyldesley, Scott & Puterman, Martin L., 2012. "Dynamic multi-appointment patient scheduling for radiation therapy," European Journal of Operational Research, Elsevier, vol. 223(2), pages 573-584.
    22. Linda V. Green & Sergei Savin & Ben Wang, 2006. "Managing Patient Service in a Diagnostic Medical Facility," Operations Research, INFORMS, vol. 54(1), pages 11-25, February.
    23. Diwakar Gupta & Lei Wang, 2008. "Revenue Management for a Primary-Care Clinic in the Presence of Patient Choice," Operations Research, INFORMS, vol. 56(3), pages 576-592, June.
    24. J Patrick & M L Puterman, 2007. "Improving resource utilization for diagnostic services through flexible inpatient scheduling: A method for improving resource utilization," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(2), pages 235-245, February.
    25. Geng, Na & Xie, Xiaolan & Jiang, Zhibin, 2013. "Implementation strategies of a contract-based MRI examination reservation process for stroke patients," European Journal of Operational Research, Elsevier, vol. 231(2), pages 371-380.
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