Production
https://prod.org.br/article/doi/10.1590/0103-6513.20210137
Production
Research Article

A systematized approach for reduction of medical appointment waiting list

Bruno S. Gonçalves; Elisa Vieira; Rui M. Lima; José Dinis-Carvalho

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Abstract

Paper aims: This work aims to develop a systematized approach for the reduction of medical appointment waiting lists, proposing an optimization decision-making model followed by continuous people engagement towards a systematic approach for waiting list problem-solving.

Originality: There are several studies related to waiting lists in healthcare contexts, however, the present study presents an innovative approach for waiting list problem-solving by proposing prescriptive decision-making models followed by continuous improvement and people engagement.

Research method: A research approach with the following phases was developed: system analysis, problem quantification, and development of an optimization model. After these phases, the model was applied, and the results were analysed, as contributions to a systematized model.

Main findings: The model was applied to the screening waiting list for orthopaedics appointments followed by the fundamental involvement of medical doctors, which made it possible to implement the optimal solution generated by the model, resulting in a reduction of 90% by 56 days in waiting time for the screening process.

Implications for theory and practice: This model contributes for theory and for practice as a way to deal with different scenarios for waiting list reduction in the upcoming days during and after the pandemic.

Keywords

Hospital operations management, Lean healthcare, Capacity planning, Waiting list, Elective patients

References

Al-Hakim, L. (2006). Web-based hospital information system for managing operating theatre waiting list. International Journal of Healthcare Technology and Management, 7(3-4), 266-282. http://dx.doi.org/10.1504/IJHTM.2006.008436.

Almomani, I., & AlSarheed, A. (2016). Enhancing outpatient clinics management software by reducing patients’ waiting time. Journal of Infection and Public Health, 9(6), 734-743. http://dx.doi.org/10.1016/j.jiph.2016.09.005. PMid:27663518.

Barros, P. P., Machado, S. R., & Jorge de Almeida, S. (2011). Portugal: health system review. Geneva: World Health Organization, Regional Office for Europe.

Bowerman, J., Lodge, A., & Bamford, D. (2007). Health Service Improvement through Diagnostic Waiting List Management. Leadership in Health Services, 20(4), 254-265. http://dx.doi.org/10.1108/17511870710829364

Bowers, J. A. (2011). Simulating waiting list management. Health Care Management Science, 14(3), 292-298. http://dx.doi.org/10.1007/s10729-011-9171-x. PMid:21695520.

Briggs, R. J., Smith, K. M., Dejager, E. M., Callahan, J. T., Abernethy, J. A., Dunn, E. J., & Hunter-Smith, D. J. (2011). The active management of surgical waiting lists: a urological surgery case study. Australian Health Review, 35(4), 399-403. http://dx.doi.org/10.1071/AH10923. PMid:22126940.

Chen, P.-S., & Juan, K.-L. (2013). Applying simulation optimization for solving a collaborative patient-referring mechanism problem. Journal of Industrial and Production Engineering, 30(6), 405-413. http://dx.doi.org/10.1080/21681015.2013.849766.

Chen, W., Zhang, Z. G., & Chen, X. (2020). On two-tier healthcare system under capacity constraint. International Journal of Production Research, 58(12), 3744-3764. http://dx.doi.org/10.1080/00207543.2019.1634846.

Chen, Z., King, W., Pearcey, R., Kerba, M., & Mackillop, W. J. (2008). The relationship between waiting time for radiotherapy and clinical outcomes: a systematic review of the literature. Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology, 87(1), 3-16. http://dx.doi.org/10.1016/j.radonc.2007.11.016.

Cipriano, L. E., Chesworth, B. M., Anderson, C. K., & Zaric, G. S. (2008). An evaluation of strategies to reduce waiting times for total joint replacement in Ontario. Medical Care, 46(11), 1177-1183. http://dx.doi.org/10.1097/MLR.0b013e31817925e8. PMid:18953229.

Comans, T. A., Chang, A. T., Standfield, L., Knowles, D., O’Leary, S., & Raymer, M. (2017). The development and practical application of a simulation model to inform musculoskeletal service delivery in an australian Public Health Service. Operations Research for Health Care, 15, 13-18. http://dx.doi.org/10.1016/j.orhc.2017.07.002.

Comas, M., Castells, X., Hoffmeister, L., Román, R., Cots, F., Mar, J., Gutiérrez-Moreno, S., & Espallargues, M. (2008). Discrete-event simulation applied to analysis of waiting lists. evaluation of a prioritization system for cataract surgery. Value in Health, 11(7), 1203-1213. http://dx.doi.org/10.1111/j.1524-4733.2008.00322.x. PMid:18494754.

Costa, L. B. M., & Godinho Filho, M. (2016). Lean healthcare: review, classification and analysis of literature. Production Planning and Control, 27(10), 823-836. http://dx.doi.org/10.1080/09537287.2016.1143131.

Dichter, J. R., Kanter, R. K., Dries, D., Luyckx, V., Lim, M. L., Wilgis, J., Anderson, M. R., Sarani, B., Hupert, N., Mutter, R., Devereaux, A. V., Christian, M. D., & Kissoon, N. (2014). System-level planning, coordination, and communication: care of the critically Ill and injured during pandemics and disasters: CHEST consensus statement. Chest, 146(4, Suppl.), e87S-e102S. http://dx.doi.org/10.1378/chest.14-0738. PMid:25144713.

Dinis-Carvalho, J., Vieira, E., Lima, R. M., & Gonçalves, B. S. (2022). Reducing waiting time for orthopaedic consultation through a continuous improvement approach. In J. Machado, F. Soares, J. Trojanowska & V. Ivanov (Eds.), Innovations in industrial engineering (Lecture Notes in Mechanical Engineering). Cham: Springer. http://dx.doi.org/10.1007/978-3-030-78170-5_40.

Elkhuizen, S. G., Das, S. F., Bakker, P. J. M., & Hontelez, J A M. (2007). Using computer simulation to reduce access time for outpatient departments. Quality & Safety in Health Care, 16(5), 382-386. http://dx.doi.org/10.1136/qshc.2006.021568. PMid:17913781.

Elwyn, G. J., Williams, L. A., Barry, S., & Kinnersley, P. (1996). Waiting list management in general practice: a review of orthopaedic patients. British Medical Journal, 312(7035), 887-888. http://dx.doi.org/10.1136/bmj.312.7035.887. PMid:8611882.

Escobar, A., Quintana, J. M., González, M., Bilbao, A., & Ibañez, B. (2009). Waiting list management: priority criteria or first-in first-out? A case for total joint replacement. Journal of Evaluation in Clinical Practice, 15(4), 595-601. http://dx.doi.org/10.1111/j.1365-2753.2008.01056.x. PMid:19674214.

Fournier, P.-L., Jobin, M.-H., Lapointe, L., & Bahl, L. (2021). Lean implementation in healthcare: offsetting physicians’ resistance to change. Production Planning and Control, 1-13. http://dx.doi.org/10.1080/09537287.2021.1938730.

Frost, C. E. B. (1980). How permanent are NHS waiting lists? Social Science & Medicine. Part C, Medical Economics, 14(1), 1-11. http://dx.doi.org/10.1016/0160-7995(80)90003-9. PMid:7444482.

Geng, N., Chen, L., Liu, R., & Zhu, Y. (2017). Optimal patient assignment for W queueing network in a diagnostic facility setting. International Journal of Production Research, 55(19), 5609-5631. http://dx.doi.org/10.1080/00207543.2017.1324650.

Green, L. (2005). Capacity planning and management in hospitals. In M. L. Brandeau, F. Sainfort & W. P. Pierskalla (Eds.), Operations research and health care a handbook of methods and applications (Vol. 70, pp. 15-41). Boston: Springer. http://dx.doi.org/10.1007/1-4020-8066-2_2.

Keskinocak, P., & Savva, N. (2019). A review of the healthcare-management (modeling) literature published in manufacturing & service operations management. Manufacturing & Service Operations Management, 22. http://dx.doi.org/10.1287/msom.2019.0817.

Leite, H., Bateman, N., & Radnor, Z. (2020). Beyond the ostensible: an exploration of barriers to lean implementation and sustainability in healthcare. Production Planning and Control, 31(1), 1-18. http://dx.doi.org/10.1080/09537287.2019.1623426.

Lima, R. M., Dinis-Carvalho, J., Souza, T. A., Vieira, E., & Gonçalves, B. (2021). Implementation of lean in health care environments: an update of systematic reviews. International Journal of Lean Six Sigma, 12(2), 399-431. http://dx.doi.org/10.1108/IJLSS-07-2019-0074.

Lin, C. K. Y. (2015). An adaptive scheduling heuristic with memory for the block appointment system of an outpatient specialty clinic. International Journal of Production Research, 53(24), 7488-7516. http://dx.doi.org/10.1080/00207543.2015.1084060.

Mandahawi, N., Shurrab, M., Al-Shihabi, S., Abdallah, A. A., & Alfarah, Y. M. (2017). Utilizing six sigma to improve the processing time: a simulation study at an emergency department. Journal of Industrial and Production Engineering, 34(7), 495-503. http://dx.doi.org/10.1080/21681015.2017.1367728.

Mangan, J. L., Walsh, C., Kernohan, W. G., Murphy, J. S., Mollan, R. A., McMillen, R., & Beverland, D. E. (1992). Total joint replacement: implication of cancelled operations for hospital costs and waiting list management. Quality in Health Care, 1(1), 34-37. http://dx.doi.org/10.1136/qshc.1.1.34. PMid:10136828.

Miao, R., Zhang, H., Wu, Q., Zhang, J., & Jiang, Z. (2020). Using structural equation modeling to analyze patient value, satisfaction, and loyalty: a case study of healthcare in China. International Journal of Production Research, 58(2), 577-596. http://dx.doi.org/10.1080/00207543.2019.1598595.

Neby, S., Lægreid, P., Mattei, P., & Feiler, T. (2015). Bending the rules to play the game: accountability, DRG and waiting list scandals in Norway and Germany. European Policy Analysis, 1(1), 127-148. http://dx.doi.org/10.18278/epa.1.1.9.

Priyan, S. (2017). Operations research in healthcare: a review. Juniper Online Journal of Public Health, 1(3), 1-12.

Raymond, M.-H., Demers, L., & Feldman, D. E. (2016). Waiting list management practices for home-care occupational therapy in the Province of Quebec, Canada. Health & Social Care in the Community, 24(2), 154-164. http://dx.doi.org/10.1111/hsc.12195. PMid:25684435.

Rother, M. (2010). Toyota Kata: managing people for improvement, adaptiveness and superior results. New York: McGraw-Hill Education.

Siciliani, L., Moran, V., & Borowitz, M. (2014). Measuring and comparing health care waiting times in OECD countries. Health Policy, 118(3), 292-303. http://dx.doi.org/10.1016/j.healthpol.2014.08.011. PMid:25217838.

Simunovic, N., Devereaux, P. J., Sprague, S., Guyatt, G. H., Schemitsch, E., DeBeer, J., & Bhandari, M. (2010). Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis. Canadian Medical Association Journal, 182(15), 1609-1616. http://dx.doi.org/10.1503/cmaj.092220.

Smith, D. H., & Hadorn, D. C. (2002). Lining up for children’s mental health services: a tool for prioritizing waiting lists. Journal of the American Academy of Child and Adolescent Psychiatry, 41(4), 367-376. http://dx.doi.org/10.1097/00004583-200204000-00007. PMid:11931592.

Spratt, B., & Kozan, E. (2016). Waiting list management through master surgical schedules: a case study. Operations Research for Health Care, 10, 49-64. http://dx.doi.org/10.1016/j.orhc.2016.07.002.

Tatham, M., Stringer, H., Perera, S., & Waller, G. (2012). Do you still want to be seen? The pros and cons of active waiting list management. International Journal of Eating Disorders, 45(1), 57-62. http://dx.doi.org/10.1002/eat.20920. PMid:21321990.

Testi, A., Tanfani, E., & Torre, G. (2007). A three-phase approach for operating theatre schedules. Health Care Management Science, 10(2), 163-172. http://dx.doi.org/10.1007/s10729-007-9011-1. PMid:17608057.

van Bussel, E. M., van der Voort, M. B. V. R., Wessel, R. N., & van Merode, G. G. (2018). Demand, capacity, and access of the outpatient clinic: a framework for analysis and improvement. Journal of Evaluation in Clinical Practice, 24(3), 561-569. http://dx.doi.org/10.1111/jep.12926. PMid:29665314.

Vieira, E., Gonçalves, B. S., Lima, R. M., & Dinis-Carvalho, J. (2020). Optimization model for waiting list management and service continuous improvement. In Proceedings of the 4th International Conference on Quality Engineering and Management. Braga: University of Minho.

Visintin, F., Cappanera, P., Banditori, C., & Danese, P. (2017). Development and implementation of an operating room scheduling tool: an action research study. Production Planning and Control, 28(9), 758-775. http://dx.doi.org/10.1080/09537287.2017.1310328.

Vissers, J. M. H., van Der Bij, J. D., & Kusters, R. J. (2001). Towards decision support for waiting lists: an operations management view. Health Care Management Science, 4(2), 133-142. http://dx.doi.org/10.1023/A:1011409711828. PMid:11393742.

Woodhouse, A. E. (2006). Reducing waiting times: using an opt-in system and changing prioritisation criteria. Child and Adolescent Mental Health, 11(2), 94-97. http://dx.doi.org/10.1111/j.1475-3588.2005.00372.x. PMid:32811089.

Worthington, D. (1991). Hospital waiting list management models. The Journal of the Operational Research Society, 42(10), 833-843. http://dx.doi.org/10.1057/jors.1991.164.

Yu, J.-Y., Huang, K.-L., Sun, W.-Z., & Ma, M. H.-M. (2020). The study of guarding and cruising modes of ambulances for emergency medical service. Journal of Industrial and Production Engineering, 37(8), 440-450. http://dx.doi.org/10.1080/21681015.2020.1840449.
 


Submitted date:
11/19/2021

Accepted date:
07/18/2022

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