Adaptive staff scheduling at Outpatient Department of Ntaja Health Center in Malawi - A queuing theory application

Accurate staff scheduling is crucial in overcoming the problem of mismatch between staffing ratios and demand for health services which can impede smooth patient flow. Patient flow is an important process towards provision of improved quality of service and also improved utilization of hospital res...

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Autores principales: Kambombo Mtonga, Antoine Gatera, Kayalvizhi Jayavel, Mwawi Nyirenda, Santhi Kumaran
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Lenguaje:EN
Publicado: PAGEPress Publications 2021
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Acceso en línea:https://doaj.org/article/2e8b0ba35d5d47f5a70b93818e90ef84
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spelling oai:doaj.org-article:2e8b0ba35d5d47f5a70b93818e90ef842021-11-15T09:04:06ZAdaptive staff scheduling at Outpatient Department of Ntaja Health Center in Malawi - A queuing theory application10.4081/jphr.2021.23472279-90282279-9036https://doaj.org/article/2e8b0ba35d5d47f5a70b93818e90ef842021-11-01T00:00:00Zhttps://www.jphres.org/index.php/jphres/article/view/2347https://doaj.org/toc/2279-9028https://doaj.org/toc/2279-9036 Accurate staff scheduling is crucial in overcoming the problem of mismatch between staffing ratios and demand for health services which can impede smooth patient flow. Patient flow is an important process towards provision of improved quality of service and also improved utilization of hospital resources. However, extensive waiting times remains a key source of dissatisfaction with the quality of health care service among patients. With rarely scheduled hospital visits, the in-balance between hospital staffing and health service demand remains a constant challenge in Sub-Saharan Africa. Accurate workload predictions help anticipate financial needs and also aids in strategic planning for the health facility. Using a local health facility for a case study, we investigate problems faced by hospital management in staff scheduling. We apply queuing theory techniques to assess and evaluate the relationship between staffing ratios and waiting times at the facility. Specifically, using patient flow data for a rural clinic in Malawi, we model queue parameters and also approximate recommended staffing ratios to achieve steady state leading to reduced waiting times and consequently, improved service delivery at the clinic. Kambombo MtongaAntoine GateraKayalvizhi JayavelMwawi NyirendaSanthi KumaranPAGEPress PublicationsarticlePatient queuepatient waiting timepatient flowstaff schedulingsingle server multiple phase modelPublic aspects of medicineRA1-1270ENJournal of Public Health Research (2021)
institution DOAJ
collection DOAJ
language EN
topic Patient queue
patient waiting time
patient flow
staff scheduling
single server multiple phase model
Public aspects of medicine
RA1-1270
spellingShingle Patient queue
patient waiting time
patient flow
staff scheduling
single server multiple phase model
Public aspects of medicine
RA1-1270
Kambombo Mtonga
Antoine Gatera
Kayalvizhi Jayavel
Mwawi Nyirenda
Santhi Kumaran
Adaptive staff scheduling at Outpatient Department of Ntaja Health Center in Malawi - A queuing theory application
description Accurate staff scheduling is crucial in overcoming the problem of mismatch between staffing ratios and demand for health services which can impede smooth patient flow. Patient flow is an important process towards provision of improved quality of service and also improved utilization of hospital resources. However, extensive waiting times remains a key source of dissatisfaction with the quality of health care service among patients. With rarely scheduled hospital visits, the in-balance between hospital staffing and health service demand remains a constant challenge in Sub-Saharan Africa. Accurate workload predictions help anticipate financial needs and also aids in strategic planning for the health facility. Using a local health facility for a case study, we investigate problems faced by hospital management in staff scheduling. We apply queuing theory techniques to assess and evaluate the relationship between staffing ratios and waiting times at the facility. Specifically, using patient flow data for a rural clinic in Malawi, we model queue parameters and also approximate recommended staffing ratios to achieve steady state leading to reduced waiting times and consequently, improved service delivery at the clinic.
format article
author Kambombo Mtonga
Antoine Gatera
Kayalvizhi Jayavel
Mwawi Nyirenda
Santhi Kumaran
author_facet Kambombo Mtonga
Antoine Gatera
Kayalvizhi Jayavel
Mwawi Nyirenda
Santhi Kumaran
author_sort Kambombo Mtonga
title Adaptive staff scheduling at Outpatient Department of Ntaja Health Center in Malawi - A queuing theory application
title_short Adaptive staff scheduling at Outpatient Department of Ntaja Health Center in Malawi - A queuing theory application
title_full Adaptive staff scheduling at Outpatient Department of Ntaja Health Center in Malawi - A queuing theory application
title_fullStr Adaptive staff scheduling at Outpatient Department of Ntaja Health Center in Malawi - A queuing theory application
title_full_unstemmed Adaptive staff scheduling at Outpatient Department of Ntaja Health Center in Malawi - A queuing theory application
title_sort adaptive staff scheduling at outpatient department of ntaja health center in malawi - a queuing theory application
publisher PAGEPress Publications
publishDate 2021
url https://doaj.org/article/2e8b0ba35d5d47f5a70b93818e90ef84
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AT kayalvizhijayavel adaptivestaffschedulingatoutpatientdepartmentofntajahealthcenterinmalawiaqueuingtheoryapplication
AT mwawinyirenda adaptivestaffschedulingatoutpatientdepartmentofntajahealthcenterinmalawiaqueuingtheoryapplication
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