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Appointment scheduling with unscheduled arrivals and reprioritization

Author

Listed:
  • Nardo J. Borgman

    (University of Twente)

  • Ingrid M. H. Vliegen

    (Eindhoven University of Technology)

  • Richard J. Boucherie

    (University of Twente)

  • Erwin W. Hans

    (University of Twente)

Abstract

Inspired by the real life problem of a radiology department in a Dutch hospital, we study the problem of scheduling appointments, taking into account unscheduled arrivals and reprioritization. The radiology department offers CT diagnostics to both scheduled and unscheduled patients. Of these unscheduled patients, some must be seen immediately, while others may wait for some time. Herein a trade-off is sought between acceptable waiting times for appointment patients and unscheduled patients’ lateness. In this paper we use a discrete event simulation model to determine the performance of a given appointment schedule in terms of waiting time and lateness. Also we propose a constructive and local search heuristic that embeds this model and optimizes the schedule. For smaller instances, we verify the simulation model as well as compare our search heuristics’ performance with optimal schedules obtained using a Markov reward process. In addition we present computational results from the case study in the Dutch hospital. These results show that a considerable decrease of waiting time is possible for scheduled patients, while still treating unscheduled patients on time.

Suggested Citation

  • Nardo J. Borgman & Ingrid M. H. Vliegen & Richard J. Boucherie & Erwin W. Hans, 2018. "Appointment scheduling with unscheduled arrivals and reprioritization," Flexible Services and Manufacturing Journal, Springer, vol. 30(1), pages 30-53, June.
    • Handle: RePEc:spr:flsman:v:30:y:2018:i:1:d:10.1007_s10696-016-9268-0
    DOI: 10.1007/s10696-016-9268-0
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    References listed on IDEAS

    as
    1. 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.
    2. Sabine Sickinger & Rainer Kolisch, 2009. "The performance of a generalized Bailey–Welch rule for outpatient appointment scheduling under inpatient and emergency demand," Health Care Management Science, Springer, vol. 12(4), pages 408-419, December.
    3. 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.
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    Cited by:

    1. Jesús Isaac Vázquez-Serrano & Rodrigo E. Peimbert-García & Leopoldo Eduardo Cárdenas-Barrón, 2021. "Discrete-Event Simulation Modeling in Healthcare: A Comprehensive Review," IJERPH, MDPI, vol. 18(22), pages 1-20, November.

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