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Journal of Combinatorial Optimization

, Volume 37, Issue 1, pp 123–149 | Cite as

Online scheduling for outpatient services with heterogeneous patients and physicians

  • Huiqiao Su
  • Guohua WanEmail author
  • Shan Wang
Article
  • 155 Downloads

Abstract

In outpatient services, it is critical to schedule patients for physicians to reduce both patients waiting and physicians overtime working. In this paper, we regard the problem as an online scheduling problem and based on analysis of a real data set from a big hospital in China, we develop a dynamic programming model to solve the problem. We propose a Policy Iteration Algorithm to find the optimal solution in the steady state, and obtain the structural properties of the policy. We conduct numerical experiments to compare the performance of the policy with that of the two policies used in practice by simulating various scenarios. The numerical results show that the policy has the best performance across all scenarios, especially when the system is heavily loaded. We also discuss the managerial implications of the study for practitioners. The model and solution method can be easily extended to multi-server case and can be applied to the general service scheduling problems with heterogeneous customers and service providers.

Keywords

Health care operations Online scheduling Scheduling policy Markov decision process 

Notes

Acknowledgements

The authors are grateful to Shanghai General Hospital for providing data and help with this research. The authors are listed alphabetically and they contribute equally to this work.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2017

Authors and Affiliations

  1. 1.Antai College of Economics and ManagementShanghai Jiao Tong UniversityShanghaiChina

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