臺灣博碩士論文加值系統

本研究為台灣診所的排隊問題。在單一醫生進行服務且醫生的看診時間有高度不確定性的情況下，因此，號碼預約制度被廣泛的採用，而非時間預約。大多數患者將根據醫生期望看診時間來考慮懲罰因子並進行估算。但是，累積看診時間是右偏分佈的。患者可能出現太晚並讓醫生閒置。對於過號的患者，有一些處罰規則。我們的目標是優化最佳懲罰機制，使權重合計目標最小化。在Flexsim環境下模擬了具有懲罰機制的診所排程系統。並在一些重要的變量因素提供敏感分析 : 門診患者數量、患者的到達不確定性以及醫生的診療時間的不確定性不同的場景模擬100次。

This study is a queuing problem for the clinic in Taiwan. We consider this queuing problem with a single doctor, and the doctor’s consultation time is highly uncertain. Herein, the number appointment system is widely adopted, instead of time appointment system. Most of the patients will consider the penalty factor and estimate based on the expected consultation times. However, the cumulative consultation time is right-skewed distributed. Patients may show out too late and make the doctor idle. There are some penalty rules applied to late patients who miss their numbers in Taiwan. Our goal is to optimize the penalty mechanism, such that weights aggregated objective is minimized. Finally, our clinic scheduling system with the penalty mechanism is simulated in the environment of Flexsim. To provide sensitive analysis on some important variable factors, different scenarios on the number of the patients, patient’s arrival uncertainty, and doctor’s consultation time uncertainty are implemented 100 times.

摘要 I
Abstract II
誌謝 III
Contents IV
Table Contents VI
Figure Contents VII
Section 1. Introduction 1
1.1 Research background 1
1.2 Research issues. 4
Section 2. Literature review 6
2.1 Current situation of Taiwan hospitals 6
2.2 Health care paper 11
2.2 Others………… 12
Section 3. Problem statement 14
3.1 Problem assumptions 14
3.2 Problem statement 15
Section 4. Solution approaches 19
4.1 Notations……… 19
4.2 Assumption for Game theory model 19
Section 5. Numerical studies 25
5.1 Flexsim model… 25
5.1.1 Patient’s target show time 27
5.1.2 Check if the patient is late 27
5.1.3 New sequence 27
5.2 Design of experiments 28
5.3 Experiment results 31
Section 6. Conclusions and future research 47
References 49

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http://www.mmh.org.tw/mmhaff/service_06_1.html
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http://www1.cch.org.tw/home.aspx