Unpunctuality of patients Sample Clauses

Unpunctuality of patients. The unpunctuality of patients can be defined as the difference between a patient’s appointment time and actual arrival time (Cayirli & Veral, 2003). Patients can arrive early or late in comparison to their appointment time. As such, this difference can be both positive and negative, positive values standing for late arrivals and negative values representing early arrivals. Numerous research articles suggest that patients arrive early more often than late (Xxxxxx & Xxxxx, 1964; Xxxxxx & Xxxxxxxx, 1966; Xxxxxxxxx, 1970; X’Xxxxx, 1985; Xxxxxxx & Xxxxxxxxxxx, 1991; Xxxxxxx & Xxxxxxxx, 1996). Both early and late arrivals can contribute to performance deficiencies of an appointment system. Patients arriving early can affect the performance of an appointment system since early arrivals may lead to a jam in the waiting area (Xxxxx & Xxxxxx, 1952). In case a patient arrives late, the appointment schedule for the rest of the clinic session may be disrupted. If the scheduler wants to stick to the policy of calling patients in the order of appointments, a patient arriving late may not only cause longer wait times for patients scheduled later that day, but it may also lead to idle time and overtime for the doctor. To avoid this, researchers have come up with various scheduling rules that take into account patient unpunctuality: • Fan & Hu (2016) introduce a back row policy for tardy patients. They describe the back row policy as follows: “If patient i arrives late but within the maximal allowance span U, patient i is allowed to join the queue at the back. He receives treatment before other patients who arrive later than him. This policy can mitigate deliberate tardiness because the patient expects that if he arrives punctually, he may not need to wait. And in the presence of the FCFS policy for late arrivals, the unpunctual patient will not deliberately delay his arrival.” To avoid deliberate early arrivals, Fan & Xx (2016) do not allow early patients to receive treatment prior to the punctual patient whose appointment time may be earlier, even if this leads to the doctor staying idle. In other words, Fan & Xx (2016) suggest the doctor sticks to calling patients in the order of their appointment times, unless patients are late, in which case they are seen on a FCFS basis. Their policy does not deal with early arrivals. • On the contrary, Xxxxxxx & Xxxxxxxxxxxx (2014) design scheduling rules that deal with both late and early arrivals. According to their policy “patient...
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