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Queuing network models for panel sizing in oncology

Author

Listed:
  • Peter T. Vanberkel

    (Dalhousie University)

  • Nelly Litvak

    (University of Twente
    Eindhoven University of Technology)

  • Martin L. Puterman

    (University of British Columbia)

  • Scott Tyldesley

    (British Columbia Cancer Agency)

Abstract

Motivated by practices and issues at the British Columbia Cancer Agency (BCCA), we develop queuing network models to determine the appropriate number of patients to be managed by a single physician. This is often referred to as a physician’s panel size. The key features that distinguish our study of oncology practices from other panel size models are high patient turnover rates, multiple patient and appointment types, and follow-up care. The paper develops stationary and non-stationary queuing network models corresponding to stabilized and developing practices, respectively. These models are used to determine new patient arrival rates that ensure practices operate within certain performance thresholds. Data from the BCCA are used to calibrate and illustrate the implications of these models.

Suggested Citation

  • Peter T. Vanberkel & Nelly Litvak & Martin L. Puterman & Scott Tyldesley, 2018. "Queuing network models for panel sizing in oncology," Queueing Systems: Theory and Applications, Springer, vol. 90(3), pages 291-306, December.
    • Handle: RePEc:spr:queues:v:90:y:2018:i:3:d:10.1007_s11134-018-9571-4
    DOI: 10.1007/s11134-018-9571-4
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    References listed on IDEAS

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    1. Wu, Kan & McGinnis, Leon, 2012. "Performance evaluation for general queueing networks in manufacturing systems: Characterizing the trade-off between queue time and utilization," European Journal of Operational Research, Elsevier, vol. 221(2), pages 328-339.
    2. Linda V. Green & Sergei Savin, 2008. "Reducing Delays for Medical Appointments: A Queueing Approach," Operations Research, INFORMS, vol. 56(6), pages 1526-1538, December.
    3. Asli Ozen & Hari Balasubramanian, 2013. "The impact of case mix on timely access to appointments in a primary care group practice," Health Care Management Science, Springer, vol. 16(2), pages 101-118, June.
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    Cited by:

    1. Zander, Anne & Nickel, Stefan & Vanberkel, Peter, 2021. "Managing the intake of new patients into a physician panel over time," European Journal of Operational Research, Elsevier, vol. 294(1), pages 391-403.

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