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研究生:鄧貴宇
研究生(外文):Guei-Yu Teng
論文名稱:應用隨機模型於物理復健之門診預約排程問題
論文名稱(外文):A Stochastic Model for Sequential Appointment Scheduling with Multiple Resources in a Rehabilitation Clinic
指導教授:蔡佩芳蔡佩芳引用關係
指導教授(外文):Pei-Fang Tsai
口試委員:王逸琦邱垂昱陳凱瀛
口試委員(外文):Yi-Chi WangChui-Yu ChiuKai-Ying Chen
口試日期:2012-06-05
學位類別:碩士
校院名稱:國立臺北科技大學
系所名稱:工業工程與管理系碩士班
學門:工程學門
學類:工業工程學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:65
中文關鍵詞:預約排程多資源排程復健治療
外文關鍵詞:Appointment SchedulingRehabilitation ClinicMultiple Resources Scheduling
相關次數:
  • 被引用被引用:3
  • 點閱點閱:399
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0
醫療服務產業對於多數的先進國家重要性與日俱增,台灣也不例外。由於全民健康保險的實施與醫療產業的快速成長,醫院為了加強競爭優勢,必須再提高醫療品質的同時,也得提升服務效率,逐漸轉向以病患者為優先的顧客導向關係,以吸引患者到院就醫。本研究以某一醫院物理復健部門為研究對象,主要針對門診病患現行的預約排程流程與方式,應用隨機模式以提供更好的排程結果。目前該復健部門現在並沒有統一的排程方法,僅由治療師各自和自己的病人預約治療時間。此外病患到達醫院時,並沒有嚴格的時間限制,只要在該時段內掛號,皆可接受復健治療。由於缺乏預約排程的機制,病患無法預期到達時間以及可能需要的等候時間,導致治療室常有過於壅塞或空曠的極端情況。除此之外,也使得治療師除了服務病患外,還得兼具現場排程與協調儀器使用的工作。
本研究主要目的是提出對於復建排程問題建立隨機性排程模式,針對病患動態的預約順序以及病患的缺席機率,加上預約時間內已預約人數的多寡,安排該病患適當的預約時段,以降低病患必須等到下一個時段才能進行治療的機率,又稱為滿溢機率。本研究希望能降低患者等待時間以提高服務品質,增加復健資源的利用率與作業效率,並同時符合病患與醫療人員的需求。


Health care industries have become an increasingly critical sector for most developed countries, and Taiwan is no exception. After the implementation of National Health Insurance program, the tightly regulated health care funding approach requires hospitals and physicians to find effective ways to utilize resources. The competition between hospitals to attract patients has pushed them to provide better medical service with higher quality and more customer-oriented operation. In order to achieve better management performance while maintaining adequate quality of care, the coordination between medical professionals and the management team is the key.
This research focuses on the assignment scheduling system in outpatient special clinics, especially for the physical therapy in the rehabilitation service. The aim of this research is to develop a stochastic overbooking model to enhance the service quality as well as to increase the utilization of therapy equipment, with the consideration of patients’ call-in sequence. The developed model is expected to enable the rehabilitation clinic to accommodate new visits with the same-day appointment and adjust schedule dynamically for patients upon request.


中文摘要 i
Abstract ii
誌謝 iv
目錄 v
表目錄 vii
圖目錄 viii
第一章 緒論 1
1.1 研究背景 1
1.2 研究動機 1
1.3 研究目的 3
1.4 研究架構 4
第二章 文獻探討 6
2.1 物理治療 6
2.2 預約未到與超量預約 8
2.3 門診預約排程 9
第三章 研究方法 18
3.1 研究問題 18
3.2 模型介紹 23
3.2.1 模型參數定義 24
3.2.2 模型解釋 26
3.2.3 模型運算步驟 30
第四章 研究結果 32
4.1 範例問題 32
4.2 參數設定 33
4.3 模型結果 35
4.3.1 模型結果資料 35
4.3.2 模型與法則之比較 38
第五章 研究結論 44
5.1 結論 44
5.2 未來研究方向與建議 45
參考文獻 46
附錄 50


[1]台灣大學物理治療學系,瀏覽日期:西元2012年3月3日,擷取自:http://www.pt.ntu.edu.tw/index2.asp?main_id=1&sub_id=2#
[2]行政院衛生署中央健康保險局,全民健康保險醫療費用支付標準,瀏覽日期:西元2012年7月5日,擷取自:http://www.nhi.gov.tw/webdata/webdata.aspx?menu=20&menu_id=710&webdata_id=3633&WD_ID=900
[3]曾繁斌,醫院復健排程模式與演算法之研究,碩士論文,國立清華大學工業工程研究所,新竹,2003。
[4]American Physical Therapy Association, Today’s Physical Therapist:A Comprehensive Review of a 21st-Century Health Care Profession, Retrieved:
July 5, 2012, from: http://www.apta.org/uploadedFiles/APTAorg/Practice_and_Patient_Care/PR_and_Marketing/Market_to_Professionals/TodaysPhysicalTherapist.pdf
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