Patient-centered appointment scheduling using agent-based simulation

Ayten Turkcan, Tammy Toscos, Bradley Doebbeling

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Enhanced access and continuity are key components of patient-centered care. Existing studies show that several interventions such as providing same day appointments, walk-in services, after-hours care, and group appointments, have been used to redesign the healthcare systems for improved access to primary care. However, an intervention focusing on a single component of care delivery (i.e. improving access to acute care) might have a negative impact other components of the system (i.e. reduced continuity of care for chronic patients). Therefore, primary care clinics should consider implementing multiple interventions tailored for their patient population needs. We collected rapid ethnography and observations to better understand clinic workflow and key constraints. We then developed an agent-based simulation model that includes all access modalities (appointments, walk-ins, and after-hours access), incorporate resources and key constraints and determine the best appointment scheduling method that improves access and continuity of care. This paper demonstrates the value of simulation models to test a variety of alternative strategies to improve access to care through scheduling.

Original languageEnglish (US)
Pages (from-to)1125-1133
Number of pages9
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
Volume2014
StatePublished - 2014
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

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