A New Scenario-Based Simulation Model for Cost Management of Healthcare Services through Improving the Efficiency of the Health Centers
Table 12
Differences resulted from the application of patient visits’ selected scenarios without overtime work (A) and with overtime work (B) compared to the current state of the system.
Performance indexes
Scenario
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Average number of discharged patients
A
2.08
0.88
2.48
1.92
2.52
4.56
B
2.84
1.24
2.84
1.88
2.6
3.72
Average number of cancelled patients per day
A
0.12
0.32
−0.12
0.28
−0.04
1.68
B
−0.28
−0.04
−0.48
0.32
−0.24
0.72
Average waiting time in the system
A
−688.92
−544.76
781.47
1146.73
680.68
5233.41
B
−1726.19
−3279.14
−1952.91
−2012.98
−3489.7
−1310.19
Maximum waiting time in the system
A
−1739.84
−3165.37
−1834.32
−1378.58
−1285.24
1266.65
B
−4393.9
−5114.35
−3783.3
−5371.05
−6101.64
−6012.08
Average time spent in the system
A
−504.87
−493
989.7
1360.21
980.46
5760.42
B
−1392.55
−3122.85
−1640.15
−1790.38
−3194.22
−931.48
Maximum time spent in the system
A
−2199.31
−2527.2
−1723.94
−1182.56
−890.17
1528.99
B
−4475.04
−4763.05
−3959.79
−5317.18
−5475.13
−5407.72
Anesthesiologist utilization rate
A
0.031507
0.019095
0.067038
0.025631
0.024396
0.019818
B
0.0304
0.00139
0.049334
0.015026
−0.01559
−0.00054
Bed utilization rate
A
0.014102
0.005898
0.081513
0.029244
0.031432
0.044506
B
0.007233
−0.04894
0.026678
−0.03126
−0.10196
−0.00678
Technician utilization rate of shift 1
A
0.012134
0.004249
0.048058
0.033123
0.019935
−0.00206
B
0.020299
−0.00951
0.034295
0.016864
−0.00177
0.000877
Technician utilization rate of shift 2
A
0.015951
0.021942
−0.00252
0.010065
B
0.013613
0.019605
0.003136
−0.00583
The end of system’s service provision average time
