Mathematical modeling and the redesign of a teaching ambulatory clinic

D. H. Baker, Joseph Mamlin

Research output: Contribution to journalArticle

Abstract

Mathematical modeling was utilized in the planning and decision-making process involved in reorganizing a teaching clinic to effect continuity of care. The model interrelated physicians, time and space, facilitating value judgments and decisions. After examining multiple model runs, the authors finally selected a per-clinic-session doctor mix of 5 interns, 2.3 residents, and 1.6 fellows. Group productivity by model simulation was 14.6 pts/hour, utilizing 10.1 rooms. Subsequently, 90 house officers were each assigned to the clinic one-half day a week on a continuing basis. Time-motion data, from 10 sessions five months after the change, showed that during one week 353 patients were seen at a rate of 13.9 patients per hour in the rooms and time available. The fact that the reorganization was successful and the outcomes remarkably similar to model predictions has engendered confidence in the role of modeling in the planning process.

Original languageEnglish (US)
Pages (from-to)573-577
Number of pages5
JournalAcademic Medicine
Volume51
Issue number7
StatePublished - 1976

Fingerprint

mathematical modeling
Teaching
value judgement
Continuity of Patient Care
reorganization
planning process
simulation model
decision-making process
Decision Making
continuity
confidence
productivity
physician
resident
Physicians
planning
time
Group

Keywords

  • Ambulatory care
  • Hospitals, teaching
  • Indiana
  • Mathematics
  • Models, theoretical
  • Outpatient clinics, hospital (manpower)
  • Personnel management
  • Personnel staffing and scheduling

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Mathematical modeling and the redesign of a teaching ambulatory clinic. / Baker, D. H.; Mamlin, Joseph.

In: Academic Medicine, Vol. 51, No. 7, 1976, p. 573-577.

Research output: Contribution to journalArticle

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