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N. 130 (2024)

Open Access model as an intervention to improve outpatient waiting time management

DOI
https://doi.org/10.3280/mesa2024-130oa18959
Inviata
dicembre 5, 2024
Pubblicato
2025-05-14

Abstract

This study analyzes Azienda Ospedaliero-Universitaria Pisana’s implementation of the Open Access model for managing outpatient waiting lists. The Open Access model aims at guaranteeing services within three days and works by daily progressive opening of scheduling slots. The analysis focuses on policies that rule the access to specialist visits and diagnostic tests, revealing significant increase in the percentage of visits within national times standards.
Waiting times for first availability drastically decreased with the introduction of the Open Access model.
Effective management of waiting lists is essential for timely access to healthcare services. Digital tools and proper monitoring structures are crucial in detecting anomalies and ensuring a well-functioning decision support system.

Riferimenti bibliografici

  1. Almomani I., & AlSarheed A. (2016). Enhancing outpatient clinics management software by reducing patients’ waiting time. Journal of infection and public health, 9(6): 734-743. DOI: 10.1016/j.jiph.2016.09.005.
  2. Barnabè F., Guercini J., Di Perna M. (2019). Assessing performance and value-creation capabilities in Lean Healthcare: insights from a case study. Public Money & Management. DOI: 10.1080/09540962.2019.1598197.
  3. Boelke C., Boushon B., & Isensee S. (2000). Achieving open access: the road to improved service & satisfaction. Medical group management journal, 47(5): 58-68.
  4. Camgoz Akdag H., Kaya C. O., Savuran G., & Canturk N. Z. (2018). Application of lean principles in hospitals: a process design in an emergency department. Industrial Engineering in the Industry 4.0 Era: Selected papers from the Global Joint Conference on Industrial Engineering and Its Application Areas, GJCIE 2017, July 20-21, Vienna, Austria 265-278. DOI: 10.1007/978-3-319-71225-3_23.
  5. Chan H., Lo S., Lee L., Lo W., Yu W., Wu Y., Ho S., Yeung R., & Chan J. (2014). Lean techniques for the improvement of patients’ flow in emergency department. World journal of emergency medicine, 5(1): 24-28. DOI: 10.5847/wjem.j.issn.1920-8642.2014.01.004.
  6. Cittadinanzattiva. Osservatorio civico sul federalismo in Sanità. Rapporto 2019.
  7. Condel J. L., Sharbaugh D. T., & Raab S. S. (2004). Error-free pathology: applying lean production methods to anatomic pathology. Clinics in laboratory medicine, 24(4): 865-899. DOI: 10.1016/j.cll.2004.07.001.
  8. DGRT n. 604 del 06-05-2019, Allegato A: “Piano Regionale Governo Liste di Attesa (PRGLA) 2019-2021”.
  9. Hall R.W. (2013). Patient flow: Reducing delay in healthcare delivery. New York: Springer. DOI: 10.1007/978-1-4614-9512-3.
  10. Holden R. J. (2011). Lean Thinking in emergency departments: a critical review. Annals of emergency medicine, 57(3): 265-278. DOI: 10.1016/j.annemergmed.2010.08.001.
  11. Intesa Stato-Regioni 21-02-2019: “Piano Nazionale di Governo delle Liste di Attesa (PNGLA) 2019-2021”.
  12. Johannessen K. A., & Alexandersen N. (2018). Improving accessibility for outpatients in specialist clinics: reducing long waiting times and waiting lists with a simple analytic approach. BMC health services research, 18(1), 827. DOI: 10.1186/s12913-018-3635-3.
  13. Lot L. T., Sarantopoulos A., Min L. L., Perales S. R., Boin I. F. S. F., & Ataide E. C. (2018). Using Lean tools to reduce patient waiting time. Leadership in health services (Bradford, England), 31(3): 343-351. DOI: 10.1108/LHS-03-2018-0016.
  14. McCarthy K., McGee H. M., & O’Boyle C.A. (2000). Outpatient clinic waiting times and non-attendance as indicators of quality. Psychology, Health & Medicine, 5(3), 287. DOI: 10.1080/713690194.
  15. Noon C. E., Hankins C. T., & Côté M. J. (2003). Understanding the impact of variation in the delivery of healthcare services. Journal of healthcare management/American College of Healthcare Executives, 48(2): 82-98. DOI: 10.1097/00115514-200303000-00004.
  16. Okuda M., Yasuda A., & Tsumoto S. (2017). The effects of waiting time, length of stay, and hospital remodeling on the structure of patient satisfaction. Serviceology for Smart Service System: Selected papers of the 3rd International Conference of Serviceology, 287-297. DOI: 10.1007/978-4-431-56074-6_32.
  17. Rohleder T. R., Lewkonia P., Bischak D. P., Duffy P., & Hendijani R. (2011). Using simulation modeling to improve patient flow at an outpatient orthopedic clinic. Health care management science, 14(2): 135-145. DOI: 10.1007/s10729-010-9145-4.
  18. Rose K.D., Ross J.S., Horwitz L.I. (2011). Advanced access scheduling outcomes: a systematic review. Arch Intern Med., Jul 11, 171(13): 1150-9. DOI: 10.1001/archinternmed.2011.168.
  19. Tomassini C.R. (2019). Liste di attesa in sanità: La Soluzione dell’Open access. Roma: Il Pensiero Scientifico.

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