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Gastroenterology Research and Practice
Volume 2015, Article ID 764153, 9 pages
Review Article

Studying and Incorporating Efficiency into Gastrointestinal Endoscopy Centers

1Division of Gastroenterology, San Francisco General Hospital and Trauma Center, San Francisco, CA 94110, USA
2Daniel J. Epstein Department of Industrial and Systems Engineering, University of Southern California, Los Angeles, CA 90089, USA

Received 18 January 2015; Accepted 26 April 2015

Academic Editor: Yusuke Sato

Copyright © 2015 Lukejohn W. Day and David Belson. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Efficiency is defined as the use of resources in such a way as to maximize the production of goods and services. Improving efficiency has been the focus of management in many industries; however, it has not been until recently that incorporating efficiency models into healthcare has occurred. In particular, the study and development of improvement projects aimed at enhancing efficiency in GI have been growing rapidly in recent years. This focus on improving efficiency in GI has been spurred by the dramatic rise in the demand for endoscopic procedures as well as the rising number of insured patients requiring GI care coupled at the same time with limited resources in terms of staffing and space in endoscopy centers. This paper will critically review the history of efficiency in endoscopy centers, first by looking at other healthcare industries that have extensively studied and improved efficiency in their fields, examine a number of proposed efficiency metrics and benchmarks in endoscopy centers, and finally discuss opportunities where endoscopy centers could improve their efficiency.