Health Care Analysis 2 (2):164-169 (1994)
  Copy   BIBTEX


Outpatient services are increasingly recognised as an important component of health care provision and may be improved through the application of modern management techniques. We have performed a time and role audit of consultation and waiting times in two medical clinics using different queuing systems: namely, a serial processing clinic where patients wait in a single queue and a quasi-parallel processing clinic where patients are directed to the shortest queue to maintain clinic flow. Data collected were used to construct a computer simulation of patient flows in clinic. Assessment of patient satisfaction in the clinic process was determined using a self-administered questionnaire. Mean waiting time was shorter in the quasi-parallel processing clinic: 26 (SD 17) minutes compared with 36(24) minutes in the serial processing clinic. In the serial processing clinic 61% of patients waited more than 30 minutes compared with 41% in the quasi-parallel processing clinic. In the serial processing clinic 8% of 142 patients surveyed complained of the time spent waiting. The computer simulation we produced was able to determine waiting times with different clinic structures. The simulation showed that reductions in waiting time up to 30% might be achieved by changing our serial processing clinic to a quasi-parallel processing one. Performance of medical outpatient clinics can be improved by examining and changing clinic management. Computer simulation of outpatient clinics offers a means of assessing the impact of such changes on waiting time in clinic and on waiting lists



    Upload a copy of this work     Papers currently archived: 79,971

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Understanding patients' views of a surgical outpatient clinic.Alison Waghorn Frcs & Martin McKee Frcp - 2000 - Journal of Evaluation in Clinical Practice 6 (3):273-279.
Foucault's clinic.John C. Long - 1992 - Journal of Medical Humanities 13 (3):119-138.
The place of space in the birth of the clinic.Edward S. Casey - 1987 - Journal of Medicine and Philosophy 12 (4):351-356.
A New Laboratory and Clinic Perimeter.C. E. Ferree & G. Rand - 1922 - Journal of Experimental Psychology 5 (1):46.
Forward--The Visual Culture of the Queer in the Clinic.Sharrona Pearl - 2013 - Journal of Medical Humanities 34 (2):299-300.
Bioethics in a clinic for women with psychosis.M. V. Seeman & B. Seeman - 2011 - Journal of Medical Ethics 37 (9):518-522.
The Clinic and the Tearoom.Geoffrey Rees - 2013 - Journal of Medical Humanities 34 (2):109-121.


Added to PP

17 (#658,501)

6 months
1 (#478,598)

Historical graph of downloads
How can I increase my downloads?

Citations of this work

Research, decay and an antidote.David Seedhouse - 1996 - Health Care Analysis 4 (3):181-184.

Add more citations

References found in this work

No references found.

Add more references