Bonet-Olivencia, Samuel A.

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Probabilistic cost model to estimate the cost expected value of no-show in outpatient clinics
(2016) Bonet-Olivencia, Samuel A.; Méndez-Piñero, Mayra I.; College of Engineering; Bartolomei-Suárez, Sonia; Rodríguez-Álamo, Betzabé; Department of Industrial Engineering; Matos Pagán, Abigail
Efforts have been made to reduce the costs associated to healthcare systems. No-shows to medical appointments impact healthcare systems finances and efficiency. Outpatient clinics have used diverse methods to decrease no-show rates; however, it has not been eradicated. This work presents a framework for the development of a cost model that integrates patients’ probabilities of no-show and cost information to determine the cost expected value of an appointment slot as a representation of the cost of a no-show to the system. The cost model has led to the development of a procedure for the evaluation of scheduling scenarios with the purpose of identifying the ones that perform better. A prototype of an interactive platform in Excel has been created to demonstrate the application of the developed methodology, and also to provide a tool that may help an outpatient facility in the scheduling process.