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KMID : 1128620110150010081
Cung-Ang Journal of Nursing
2011 Volume.15 No. 1 p.81 ~ p.96
The Effect of a Clinic Scheduling Intervention on Outpatients¡¯ Waiting Time
Woo Hye-Jong

Lee Gye-Jung
Yu Eun-Kyoung
Park So-Hyun
Kim Yeong-Ran
Lee Bu-Seup
Lee Phil-Ho
Hwang In-Kyung
Ryu You-Mi
Oh Jung-Mi
Abstract
Background:It is important to develop innovative clinical scheduling systems to minimize patients¡¯ waiting time and maximize the patients¡¯ satisfaction with the services provided.

Purpose:The purpose of this study was a) to evaluate the effectiveness of a clinic scheduling intervention in an outpatient clinic on waiting time and perceived waiting time and b) to explore perceived waiting time and its correlates.

Methods:A total of 1718 outpatients who visited an orthopedic clinic at a University hospital from July 2010 to December 2010 were enrolled and randomly assigned to either the control group or one of 4 clinic scheduling model which were designed based on time and case. Data including waiting time, demographic data, and evaluation of clinical services were collected after patients¡¯ clinic visits. Data were analyzed using SPSS for Windows (ver. 20) and SAS 9.0. Descriptive statistics, Pearson correlation, ANOVA, and linear regression were used.

Results:The waiting times in modified schedule groups were shorter than in the control group (P<0.001). There was significant relationship between the length of waiting time and negative emotion (r=0.031, P<0.001), and low acceptability (r=-0.31, P<0.001) respectively. Covariates predicted negative emotions (Ps <0.001) after controlling for waiting time; however, controllability and stability did not predict acceptability (Ps>0.05) respectively after controlling for waiting time.

Conclusion:A clinic scheduling intervention based on time and case would reduce outpatients¡¯ waiting time, resulting in increased satisfaction with services.
KEYWORD
Waiting Time , Clinic scheduling
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