Reglas de decisión para la selección de sistemas de citas basadas en características del paciente y de la institución de salud

Background:Outpatient scheduling has a significant impact on the perceived quality of service by the users and the efficient use of resources in the health system. There are mathematical methods that assist in solving this problem, but are seldom applied. Aim: To propose decision rules that are base...

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Autores principales:	Sepúlveda R,Juan Pedro, Berroeta M,Cristián
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2012
Materias:	Computer simulation Outpatients Point-of-care systems
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000700006
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spelling	oai:scielo:S0034-988720120007000062012-10-22Reglas de decisión para la selección de sistemas de citas basadas en características del paciente y de la institución de saludSepúlveda R,Juan PedroBerroeta M,Cristián Computer simulation Outpatients Point-of-care systems Background:Outpatient scheduling has a significant impact on the perceived quality of service by the users and the efficient use of resources in the health system. There are mathematical methods that assist in solving this problem, but are seldom applied. Aim: To propose decision rules that are based on the own conditions of each institution and indicate which appointment system is the most suitable for the decision makers. Material and Methods: Through computer simulation, the effect of a wide range of decision and environmental factors over the appointment systems performance was assessed, in order to determine how these factors affect them. Re-suits: Consideringperformance indicators associated to the patient's satisfaction and resources utilization, scheduling shorter length patients (e.g. check-up patients) in the beginning of the working day resulted to be in the efficient solutions frontier, as well as scheduling patients in one person blocks (shifting to multiple patient blocks only if resources utilization indicators are prioritized). Conclusions: Performance indicators are more sensitive to the sequence used to schedule different length patients, rather than the number of patients scheduled per block. Moreover, decision rules based on the institution priorities are proposed, which are quite robust to environmental factors.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.7 20122012-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000700006es10.4067/S0034-98872012000700006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Computer simulation Outpatients Point-of-care systems
spellingShingle	Computer simulation Outpatients Point-of-care systems Sepúlveda R,Juan Pedro Berroeta M,Cristián Reglas de decisión para la selección de sistemas de citas basadas en características del paciente y de la institución de salud
description	Background:Outpatient scheduling has a significant impact on the perceived quality of service by the users and the efficient use of resources in the health system. There are mathematical methods that assist in solving this problem, but are seldom applied. Aim: To propose decision rules that are based on the own conditions of each institution and indicate which appointment system is the most suitable for the decision makers. Material and Methods: Through computer simulation, the effect of a wide range of decision and environmental factors over the appointment systems performance was assessed, in order to determine how these factors affect them. Re-suits: Consideringperformance indicators associated to the patient's satisfaction and resources utilization, scheduling shorter length patients (e.g. check-up patients) in the beginning of the working day resulted to be in the efficient solutions frontier, as well as scheduling patients in one person blocks (shifting to multiple patient blocks only if resources utilization indicators are prioritized). Conclusions: Performance indicators are more sensitive to the sequence used to schedule different length patients, rather than the number of patients scheduled per block. Moreover, decision rules based on the institution priorities are proposed, which are quite robust to environmental factors.
author	Sepúlveda R,Juan Pedro Berroeta M,Cristián
author_facet	Sepúlveda R,Juan Pedro Berroeta M,Cristián
author_sort	Sepúlveda R,Juan Pedro
title	Reglas de decisión para la selección de sistemas de citas basadas en características del paciente y de la institución de salud
title_short	Reglas de decisión para la selección de sistemas de citas basadas en características del paciente y de la institución de salud
title_full	Reglas de decisión para la selección de sistemas de citas basadas en características del paciente y de la institución de salud
title_fullStr	Reglas de decisión para la selección de sistemas de citas basadas en características del paciente y de la institución de salud
title_full_unstemmed	Reglas de decisión para la selección de sistemas de citas basadas en características del paciente y de la institución de salud
title_sort	reglas de decisión para la selección de sistemas de citas basadas en características del paciente y de la institución de salud
publisher	Sociedad Médica de Santiago
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000700006
work_keys_str_mv	AT sepulvedarjuanpedro reglasdedecisionparalaselecciondesistemasdecitasbasadasencaracteristicasdelpacienteydelainstituciondesalud AT berroetamcristian reglasdedecisionparalaselecciondesistemasdecitasbasadasencaracteristicasdelpacienteydelainstituciondesalud
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Reglas de decisión para la selección de sistemas de citas basadas en características del paciente y de la institución de salud

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