Abstract

BackgroundThis study aimed to reduce the total waiting time for high-end health screening processes.MethodThe subjects of this study were recruited from a health screening center in a tertiary hospital in northern Taiwan from September 2016 to February 2017, where a total of 2342 high-end customers participated. Three policies were adopted for the simulation.ResultsThe first policy presented a predetermined proportion of customer types, in which the total waiting time was increased from 72.29 to 83.04 mins. The second policy was based on increased bottleneck resources, which provided significant improvement, decreasing the total waiting time from 72.29 to 28.39 mins. However, this policy also dramatically increased the cost while lowering the utilization of this health screening center. The third policy was adjusting customer arrival times, which significantly reduced the waiting time—with the total waiting time reduced from 72.29 to 55.02 mins. Although the waiting time of this policy was slightly longer than that of the second policy, the additional cost was much lower.ConclusionsScheduled arrival intervals could help reduce customer waiting time in the health screening department based on the “first in, first out” rule. The simulation model of this study could be utilized, and the parameters could be modified to comply with different health screening centers to improve processes and service quality.

Highlights

  • This study aimed to reduce the total waiting time for high-end health screening processes

  • It employed Radio Frequency Identification (RFID) and Wi-Fi tag wristbands to collect the data of six customer types and the health examination process to develop a model conforming to the current status of the health screening center in this study

  • This study used First in (FIFO) to perform a simulation according to the developed model based on six improvement plans and three major improvement strategies for the waiting areas of the examination stations

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Summary

Introduction

This study aimed to reduce the total waiting time for high-end health screening processes. Middle-aged individuals are paying more attention to preventive healthcare and health screening. Chen et al BMC Health Services Research (2021) 21:936 concerns. Malignant tumors are the top cause of death in Taiwan; patients dying of malignant tumors accounted for 28.2% of the total number of deaths in 2018—an increase of 1.6% compared with that in 2017 (Ministry of Health and Welfare, 2019) [4]. The early identification of malignant tumors paired with suitable treatment greatly increases the probability of survival. This fact has given rise to more attention being paid to preventive health screening

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