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1 – 10 of 986Soumyajyoti Datta, Rohit Kapoor and Peeyush Mehta
Outpatient care delivery is one of the key revenue sources of a hospital which plays a salient role in timely care delivery. The key purpose of the study is to propose a…
Abstract
Purpose
Outpatient care delivery is one of the key revenue sources of a hospital which plays a salient role in timely care delivery. The key purpose of the study is to propose a multi-objective simulation-based decision support model that considers the cost of care delivery and patient dissatisfaction as its two key conflicting objectives. Patient dissatisfaction considers service fairness. Patient idiosyncrasies such as no-show, unpunctuality and balking have been considered in the model involving multiple classes of patients.
Design/methodology/approach
A model has been designed using data collected from field investigations. In the first stage, queuing theory based discrete event simulation model has been developed. Genetic algorithm has been used to solve the scalarized problem and obtain actionable insights. In the second stage, non-dominated sorting genetic algorithm II (NSGA-II) has been involved to achieve the Pareto optimal fronts considering equal priority of the two objectives.
Findings
The computational results considering various parameter settings can help in efficient resource planning while ensuring better care delivery. The model proposed in the study provides structural insights on the business strategy of healthcare service providers on optimizing the dual goals of care delivery cost and service fairness.
Originality/value
The study is one of the early works that helps to improve the care delivery process by taking into consideration the environmental factors as well as service fairness. The study demonstrates the usage of simulation-based multi-objective optimization to provide a more sustainable patient centric care delivery.
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Miao Yu, Jun Gong and Jiafu TANG
The purpose of this paper is to provide a framework for the optimal design of queueing systems of call centers with delay information. The main decisions in the design of such…
Abstract
Purpose
The purpose of this paper is to provide a framework for the optimal design of queueing systems of call centers with delay information. The main decisions in the design of such systems are the number of servers, the appropriate control to announce delay anticipated.
Design/methodology/approach
This paper models a multi-server queueing system as an M/M/S+M queue with customer reactions. Based on customer psychology in waiting experiences, a number of different service-level definitions are structured and the explicit computation of their performance measures is performed. This paper characterizes the level of satisfaction with delay information to modulate customer reactions. Optimality is defined as the number of agents that maximize revenues net of staffing costs.
Findings
Numerical studies show that the solutions to optimal design of staffing levels and delay information exhibit interesting differences, especially U-shaped curve for optimal staffing level. Experiments show how call center managers can determine economically optimal anticipated delay and number of servers so that they could control the trade-off between revenue loss and customer satisfaction.
Originality/value
Many results that pertain to announcing delay information, customer reactions, and links to satisfaction with delay information have not been established in previous studies, however, this paper analytically characterizes these performance measures for staffing call centers.
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Miao Yu, Jun Gong, Jiafu Tang and Fanwen Kong
The purpose of this paper is to provide delay announcements for call centers with hyperexponential patience modeling. The paper aims to employ a state-dependent Markovian…
Abstract
Purpose
The purpose of this paper is to provide delay announcements for call centers with hyperexponential patience modeling. The paper aims to employ a state-dependent Markovian approximation for informing arriving customers about anticipated delay in a real call center.
Design/methodology/approach
Motivated by real call center data, the patience distribution is modeled by the hyperexponential distribution and is analyzed by its realistic significance, with and without delay information. Appropriate M/M/s/r+H2 queueing model is structured, including a voice response system that is employed in practice, and a state-dependent Markovian approximation is applied for computing abandonment. Based on this approximation, a method is proposed for estimating virtual delays, and it is investigated about the problem of announcing virtual delays to customers upon their arrival.
Findings
There are two parts of findings from the results obtained from the case study and a numerical study of simulation comparisons. First, using an H2 distribution for the abandonment distribution is driven by an empirical study which shows its good fit to real-life call center data. Second, simulation experiments indicate that the model and approximation are reasonable, and the state-dependent Markovian approximation works very well for call centers with larger pooling. It is concluded that our approach can be applied in a voice response system of real call centers.
Originality/value
Many results pertain to announcing delay information, customer reactions and links to estimating hyperexponential distribution based on real data that have not been established in previous studies; however, this paper analytically characterizes these performance measures for delay announcements.
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Donald H. Kraft, Bert R. Boyce, Harold Borko and Elaine Svenonius
Whenever goods and services are supplied at a price that lies below the market‐clearing level, excess demand occurs and some way has to be found of rationing the limited available…
Abstract
Whenever goods and services are supplied at a price that lies below the market‐clearing level, excess demand occurs and some way has to be found of rationing the limited available supply amongst prospective customers. Problems of this kind may occur in any market in which price does not continuously adjust to the relative pressures of supply and demand. The phenomenon occurs in both private markets and in the government sector in both capitalist and non‐capitalist economies. A wide array of devices may take the place of price adjustment: adjustment of stocks or inventories; the emergence of black markets; discrimination amongst customers by sellers by reference to a wide variety of characteristics (such as whether they are regular customers or whether they are of a particular sex or colour or whatever); the application of some other rule such as first‐come‐first‐served and so forth. The object of this article is to focus on just one means of rationing limited supplies, namely that of using waiting time to reduce demand. To give a definite shape to discussion we impose the further limitation of confining ourselves to goods and services that are provided by public agencies of one kind or other, and to the provision of health care in particular.
Chwen Sheu, Roger McHaney and Sunil Babbar
Customer waiting is regarded as one of the most critical aspects of service quality. Research has suggested various approaches to reduce the negative impact of waiting. This…
Abstract
Customer waiting is regarded as one of the most critical aspects of service quality. Research has suggested various approaches to reduce the negative impact of waiting. This article investigates the waiting time performance of alternative service process designs that consist of two operations, order taking and order preparation. The research premise is that no single service process design is the best in all operating conditions. Managers should build flexibility into service process design by using alternative designs in combination. Several break‐even models are developed to examine the contingent nature of the performance of alternative designs. The results point to the need for building flexibility into service process designs by demonstrating that waiting time performance can only be optimized if design strategies are altered in response to ongoing changes in service system input parameters.
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This paper considers the problem of estimating the service capacity that should be provided in a situation in which additional capacity may result in greater demand. Difficulties…
Abstract
This paper considers the problem of estimating the service capacity that should be provided in a situation in which additional capacity may result in greater demand. Difficulties with conventional approaches are discussed. It is shown to be possible to estimate optimal service capacity in a relatively convenient manner from transaction data in some situations. This procedure has pedagogical as well as practical uses.
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Alec N. Dalton and Andrew M. Daw
Service experiences and waiting lines are often – unfortunately – seen to go hand in hand. This chapter explains why this is the case. Beginning with an exploration of capacity…
Abstract
Service experiences and waiting lines are often – unfortunately – seen to go hand in hand. This chapter explains why this is the case. Beginning with an exploration of capacity and operating constraints, discussion then delves into both the mathematical origins and psychological implications of waiting lines. The final section offers hope to managers and guests alike, with a survey of different operations strategies and tactics that can eliminate or abate the need to wait.
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The purpose of this paper is to provide simulation modelling for bulk arrival bulk service queueing system involved in a textile industry and analyze the performance metrics.
Abstract
Purpose
The purpose of this paper is to provide simulation modelling for bulk arrival bulk service queueing system involved in a textile industry and analyze the performance metrics.
Design/methodology/approach
This paper describes the simulation modelling of a bulk queueing system with limited number of admissions and multiple vacations. The model is developed for the proposed queueing system using Flexsim 2017, and it is explained through an application observed in a textile industry involving the process of cone winding.
Findings
In this paper, the simulation model has been developed to study the behaviour of queues at different resources in a production system. Various performance measures such as average components, average waiting time, total number of inputs and outputs, processing time and idle time involved in a textile industry are evaluated using simulation and justified through numerical illustration.
Practical implications
The proposed simulation model may be used in various scenarios wherever a real time situation exists related to bulk queueing system. The results produced in this paper can be used by the manufacturing industries to enhance the need-based accuracy. It is worth pointing out that the findings are of direct practical relevance and can be successfully used for a number of industrial applications.
Originality/value
The approach suggested in this paper attempts to deal with the queueing system involved in a textile industry and provides numerical results in less time with less computer resources. It provides a reasonably good approximation for simple and complex queueing models where it is difficult to find closed form of theoretical results.
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Kenneth J. Klassen and Thomas R. Rohleder
Service managers are continually challenged with balancing customer demand and service capacity. Recent studies have raised awareness of various demand and capacity management…
Abstract
Service managers are continually challenged with balancing customer demand and service capacity. Recent studies have raised awareness of various demand and capacity management practices available to services, but little numerical work has been done to identify how these decisions work together and how they relate to one another. For instance, reducing prices may attract customers during a slow period, but the extent of impact this should have on cross‐training staff is not clear. A simulation based on theoretical and empirical insights explores the impact of various decisions on profitability and operations. The decisions modelled include the impact of: automation, customer participation, cross training employees, informing customers about the operation, and others. It is shown that demand and capacity decisions do indeed impact on each other – sometimes in ways that are not initially obvious. Results provide useful thought‐starters for service managers striving to improve their operations.
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