Models for patient-centered appointment scheduling in physician clinics

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dc.contributor Mittenthal, John
dc.contributor Freeman, Nickolas Kirk
dc.contributor English, Thomas M.
dc.contributor Weida, Thomas J.
dc.contributor.advisor Melouk, Sharif H. Dogru, Ali Kemal 2018-12-14T18:11:37Z 2018-12-14T18:11:37Z 2018
dc.identifier.other u0015_0000001_0003047
dc.identifier.other Dogru_alatus_0004D_13512
dc.description Electronic Thesis or Dissertation
dc.description.abstract Naive clinical capacity planning, myopic appointment scheduling techniques, and unavoidable appointment interruptions lead to excessive patient waiting time, physician idle time and overtime, which result in inefficient use of clinical resources, increased clinical costs, untimely access to care, decreased continuity of care, and dissatisfied patients. Previous research have found that efficient appointment scheduling methods may significantly improve both patient and clinic related outcomes. Furthermore, the concept of patient-centered medical home (PCMH) has become one of the predominant models of health care delivery in the last two decades. PCMH is a proactive and team based approach to care, which places the patient at the center of care and benefits from data analytics to make informed clinical decisions. Motivated by PCMH principles, this dissertation research aims to investigate patient-centered appointment scheduling in physician clinics. More specifically, we address the following problems: 1) primary care capacity planning for open-access appointment systems; 2) adaptive appointment scheduling for patient-centered medical homes; 3) managing interruptions in appointment schedules in physician clinics. To solve these problems, we use stochastic optimization and simulation optimization. Our patient-centered capacity planning, appointment scheduling, and appointment interruption management strategies provide significant value in terms of both operational and patient oriented performance measures.
dc.format.extent 152 p.
dc.format.medium electronic
dc.format.mimetype application/pdf
dc.language English
dc.language.iso en_US
dc.publisher University of Alabama Libraries
dc.relation.ispartof The University of Alabama Electronic Theses and Dissertations
dc.relation.ispartof The University of Alabama Libraries Digital Collections
dc.relation.hasversion born digital
dc.rights All rights reserved by the author unless otherwise indicated.
dc.subject.other Operations research
dc.subject.other Health care management
dc.title Models for patient-centered appointment scheduling in physician clinics
dc.type thesis
dc.type text University of Alabama. Department of Information Systems, Statistics, and Management Science Operations Management The University of Alabama doctoral Ph.D.

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