Outpatient appointment scheduling is a hot and difficult problem in the field of medical operation and management. At present, many large hospitals in China open a variety of registration channels. In other words, there are multiple channels for patients to choose from, such as queueing in the outpatient hall, dialing the registration hotline or making an appointment through the Internet terminal. Therefore, when a variety of outpatient registration modes co-exist, it is particularly important to develop different waiting time strategies according to the characteristics of patients. In this paper, the waiting time is taken as a key factor affecting the behavior of patients' channel choice from a new perspective. First of all, under the assumption of the exogenous price, the channel selection model of patients is constructed based on the utility theory, which takes the patient's channel preference, time sensitivity and advance payment sensitivity into account. Then the demand distributions under different market conditions are derived from the channel selection model. On these bases, the hospital develops different waiting time strategies to achieve the purpose of maximizing profits. The results show that:(1) in all cases, the larger time sensitivity and the smaller channel preference lead to a shorter waiting time; (2) when there are two or three channels, the patient's preference for the channel will also have an impact on the results. The larger the proportion of patients who prefer a channel, the longer the waiting time for the patients who choose the channel; (3) besides, the patient's sensitivity to advance payment does not affect the optimal waiting time.This paper provides a guidance for hospitals to develop reasonable time strategies, which help to alleviate the conflict between doctors and patients and complete the rational allocation of medical resources.
ZHOU Xiong-wei, ZHANG Zhan-xiao, MA Ben-jiang, ZHOU Yan-ju
. Research on the Time Strategy of Outpatient Registration in Multi-channel Environment[J]. Chinese Journal of Management Science, 2018
, 26(9)
: 129
-140
.
DOI: 10.16381/j.cnki.issn1003-207x.2018.09.013
[1] 杜少甫, 谢金贵, 刘作仪. 医疗运作管理:新兴研究热点及其进展[J]. 管理科学学报, 2013, 16(8):1-19.
[2] 许欣悦, 曾多, 田玮, 等. 北京某三甲医院预约挂号对患者候诊时间的影响分析[J]. 中国医院管理, 2015, 35(10):38-40.
[3] Lindley D V. The theory of queues with a single server[J]. Mathematical Proceedings of the Cambridge Philosophical Society, 1952, 48(2):277-289.
[4] Naor P. The regulation of queue size by levying tolls[J]. Econometrica, 1969, 37(1):15-24.
[5] Green L V, Savin S. Reducing delays for medical appointments:A queueing approach[J]. Operations Research, 2008, 56(6):1526-1538.
[6] Hassin R, Mendel S. Scheduling arrivals to queues:A single-server model with no-shows[J]. Management Science, 2008, 54(3):565-572.
[7] LaGanga L R, Lawrence S R. Appointment overbooking in health care clinics to improve patient service and clinic performance[J]. Production & Operations Management, 2012, 21(5):874-888.
[8] Zacharias C, Pinedo M. Appointment scheduling with no-shows and overbooking[J]. Production & Operations Management, 2013, 23(5):788-801.
[9] Denton B, Gupta D. A sequential bounding approach for optimal appointment scheduling[J]. ⅡE Transactions, 2003, 35(11):1003-1016.
[10] 陈妍, 周文慧, 华中生, 等. 面向延时敏感患者的转诊系统定价与能力规划[J]. 管理科学学报, 2015, 18(4):73-83.
[11] 阎崇钧, 唐加福, 姜博文, 等. 确定服务时间预约系统联合能力计划与调度方法[J]. 中国管理科学, 2015, 23(S1):15-22.
[12] Cayirli T, Veral E. Outpatient scheduling in health care:A review of literature[J]. Production & Operations Management, 2003, 12(4):519-549.
[13] Gupta D, Denton B. Appointment scheduling in health care:Challenges and opportunities[J]. ⅡE Transactions, 2008, 40(9):800-819.
[14] Ahmadi-Javid A, Jalali Z, Klassen K J. Outpatient appointment systems in healthcare:A review of optimization studies[J]. European Journal of Operational Research, 2017, 258(1):3-34.
[15] Chiang W K, Chhajed D, Hess J. Direct marketing, indirect profits:A strategic analysis of dual-channel supply-chain design[J]. Management Science, 2003, 49(1):1-20.
[16] Balasubramanian S. Mail versus mall:A strategic analysis of competition between direct marketers and conventional retailers[J]. Marketing Science, 1998, 17(3):181-195.
[17] Xiao Tiaojun, Choi T M, Cheng T C E. Product variety and channel structure strategy for a retailer-Stackelberg supply chain[J]. European Journal of Operational Research, 2014, 233(1):114-124.
[18] Chen K Y, Kaya M, Özer Ö. Dual sales channel management with service competition[J]. Manufacturing & Service Operations Management, 2008, 10(4):654-675.
[19] Li Zhaolin, Lu Qiang, Talebian M. Online versus bricks-and-mortar retailing:A comparison of price, assortment and delivery time[J]. International Journal of Production Research, 2015, 53(13):3823-3835.
[20] Gallino S, Moreno A. Integration of online and offline channels in retail:The impact of sharing reliable inventory availability information[J]. Management Science, 2014, 60(6):1434-1451.
[21] Kumar P, Kalwani M U, Dada M. The impact of waiting time guarantees on customers' waiting experiences[J]. Marketing Science, 1997, 16(4):295-314.
[22] Allon G, Federgruen A. Competition in service industries[J]. Operations Research, 2007, 55(1):37-55.
[23] Cachon G P, Harker P T. Competition and outsourcing with scale economies[J]. Management Science, 2002, 48(10):1314-1333.
[24] Ho T H, Zheng Y S. Setting customer expectation in service delivery:An integrated marketing-operations perspective[J]. Management Science, 2004, 50(4):479-488.
[25] Gaur V, Park Y H. Asymmetric consumer learning and inventory competition[J]. Management Science, 2007, 53(2):227-240.
[26] Hall J, Porteus E. Customer service competition in capacitated systems[J]. Manufacturing & Service Operations Management, 2000, 2(2):144-165.
[27] Leclerc F, Schmitt B H, Dubé L. Waiting time and decision making:Is time like money?[J]. Journal of Consumer Research, 1995, 22(1):110-119.
[28] Robinson L W, Chen R R. Estimating the implied value of the customer's waiting time[J]. Manufacturing & Service Operations Management, 2011, 13(1):53-57.
[29] Liu Yang, de Véricourt F, Sun Peng. Time-based competition with benchmark effects[J]. Manufacturing & Service Operations Management, 2014, 16(1):119-132.