CAJ | 학술논문

为了减少病人排队挂号的等待时间及优化医院自身资源的合理配置,近几年我国各大医院都先后开展预约挂号服务.然而,医院在开展预约挂号时面临的问题是:预约挂号为病人带来了多少好处和便捷,预约数量和病人总挂号成本存在什么样的关系,到底开放多少预约号最为合适?本文从病人的角度对上述问题进行了定量研究.论文将病人的挂号成本分为时间成本和费用成本两类,运用了排队论建立了预约量与病人总挂号成本的模型,得出了预约挂号的个体选择依据和系统选择依据,并从总挂号成本与预约量的关系中得到使所有病人总挂号成本最小的最优预约量.然后,进一步分析了最优预约量中各个参数的敏感性,以期为医院的预约挂号管理工作提供指导.
위료감소병인배대괘호적등대시간급우화의원자신자원적합리배치,근궤년아국각대의원도선후개전예약괘호복무.연이,의원재개전예약괘호시면림적문제시:예약괘호위병인대래료다소호처화편첩,예약수량화병인총괘호성본존재십요양적관계,도저개방다소예약호최위합괄?본문종병인적각도대상술문제진행료정량연구.논문장병인적괘호성본분위시간성본화비용성본량류,운용료배대론건립료예약량여병인총괘호성본적모형,득출료예약괘호적개체선택의거화계통선택의거,병종총괘호성본여예약량적관계중득도사소유병인총괘호성본최소적최우예약량.연후,진일보분석료최우예약량중각개삼수적민감성,이기위의원적예약괘호관리공작제공지도.
In order to decrease patient's waiting time and optimize the collocation of hospital's resource, many large hospitals have recently developed the appointment and registration system. However, there are some issues when hospitals are developing the system--how much benefit and convenience the system brings to patients,what relationship is between the appointment amount and the total registration cost, and how many appointment is optimal. All these problems are considered in this paper by quantitative analysis from patients' point. The patients' total registration cost is divided into time cost and fee cost. Using the results of the queuing theory, we build the model about the appointment amount and the total registration cost,and gain the individual selection principle and system selection principle of the appointment and registration , respectively. And we have a conclusion that there exists an optimal appointment amount which minimizes the total registration cost.Then,when all parameters are given,we can compute out the optimal appointment amount. Finally,the sensitivity of all parameters is analyzed, in order to provide suggestions about the appointment and registration management.