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The Effect of a Clinic Scheduling Intervention on Outpatients¡¯ Waiting Time

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KMID : 1128620110150010081
¿ìÇýÁ¾ ( Woo Hye-Jong ) - Áß¾Ó´ëÇб³ ÀÇ°ú´ëÇÐ °£È£°úÇבּ¸¼Ò

ÀÌ°èÁ¤ ( Lee Gye-Jung ) - Áß¾Ó´ëÇб³ ÀÇ°ú´ëÇÐ °£È£°úÇבּ¸¼Ò
À¯Àº°æ ( Yu Eun-Kyoung ) - Áß¾Ó´ëÇб³ ÀÇ°ú´ëÇÐ °£È£°úÇבּ¸¼Ò
¹Ú¼ÒÇö ( Park So-Hyun ) - Áß¾Ó´ëÇб³ ÀÇ°ú´ëÇÐ °£È£°úÇבּ¸¼Ò
±è¿µ¶õ ( Kim Yeong-Ran ) - Áß¾Ó´ëÇб³ ÀÇ°ú´ëÇÐ °£È£°úÇבּ¸¼Ò
À̺μ· ( Lee Bu-Seup ) - Áß¾Ó´ëÇб³ ÀÇ°ú´ëÇÐ °£È£°úÇבּ¸¼Ò
ÀÌÇÊÈ£ ( Lee Phil-Ho ) - Áß¾Ó´ëÇб³ ÀÇ°ú´ëÇÐ °£È£°úÇבּ¸¼Ò
ȲÀΰæ ( Hwang In-Kyung ) - Áß¾Ó´ëÇб³ ÀÇ°ú´ëÇÐ °£È£°úÇבּ¸¼Ò
·ù¿ì¹Ì ( Ryu You-Mi ) - Áß¾Ó´ëÇб³ ÀÇ°ú´ëÇÐ °£È£°úÇבּ¸¼Ò
¿ÀÁ¤¹Ì ( Oh Jung-Mi ) - Áß¾Ó´ëÇб³ ÀÇ°ú´ëÇÐ °£È£°úÇבּ¸¼Ò

Abstract

Background:It is important to develop innovative clinical scheduling systems to minimize patients¡¯ waiting time and maximize the patients¡¯ satisfaction with the services provided.

Purpose:The purpose of this study was a) to evaluate the effectiveness of a clinic scheduling intervention in an outpatient clinic on waiting time and perceived waiting time and b) to explore perceived waiting time and its correlates.

Methods:A total of 1718 outpatients who visited an orthopedic clinic at a University hospital from July 2010 to December 2010 were enrolled and randomly assigned to either the control group or one of 4 clinic scheduling model which were designed based on time and case. Data including waiting time, demographic data, and evaluation of clinical services were collected after patients¡¯ clinic visits. Data were analyzed using SPSS for Windows (ver. 20) and SAS 9.0. Descriptive statistics, Pearson correlation, ANOVA, and linear regression were used.

Results:The waiting times in modified schedule groups were shorter than in the control group (P<0.001). There was significant relationship between the length of waiting time and negative emotion (r=0.031, P<0.001), and low acceptability (r=-0.31, P<0.001) respectively. Covariates predicted negative emotions (Ps <0.001) after controlling for waiting time; however, controllability and stability did not predict acceptability (Ps>0.05) respectively after controlling for waiting time.

Conclusion:A clinic scheduling intervention based on time and case would reduce outpatients¡¯ waiting time, resulting in increased satisfaction with services.
KeyWords
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Waiting Time , Clinic scheduling
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