Evidence map›Paper›PMID 29404881›Full record

ArticleHealth care management science2019

Appointment scheduling in multi-stage outpatient clinics.

Kenneth J Klassen, Reena Yoogalingam

Abstract read
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In one paragraph

Article in Health care management science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Kenneth J KlassenGoodman School of Business, Brock University, 500 Glenridge Ave, St Catharines, ON, L2S 3A1, Canada.
Reena YoogalingamGoodman School of Business, Brock University 500 Glenridge Ave, St Catharines, ON, L2S 3A1, Canada. ryoogalingam@brocku.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare providers can benefit from adding less costly capacity to their existing resources in order to satisfy demand while maintaining the quality of patient care. The addition of mid-level service providers (MLSPs) such as physician assistants or nurse practitioners that carry out portions of patient care provides a viable alternative for adding physician capacity. This research considers the circumstances under which adding an MLSP to a single-physician outpatient office becomes the best strategy for the clinic, and determines how scheduling policies from the widely-researched single-stage environment should be adjusted for a multi-stage environment. Compared to a single-stage system where a physician completes all portions of the service, we show that adding an MLSP can reduce patient waiting time, patient flow time, and physician service time with patients. This, in turn, can enable the clinic to see more patients and/or free up physician time for other tasks. Appointment scheduling rules are developed for a multi-stage outpatient service system using a simulation optimization approach. Performance measures focus on the patient experience and clinic operation before and during each stage of service.

Indexed as

Appointments and SchedulesAmbulatory Care FacilitiesComputer SimulationEfficiency, OrganizationalHumansNurse PractitionersOutpatientsPhysician AssistantsTime FactorsAppointment schedulingMulti-stage health systemsSimulation optimization

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.