Theoretical and Practical Aspects of Outpatient Clinic Optimization

Zonderland, Maartje E.

doi:10.1007/978-3-030-60212-3_3

Cited by 2 publications

(2 citation statements)

References 33 publications

(43 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One of the most important departments of the hospital, where most elective care trajectories start here, with a consultation between a care provider and a patient [35].…”

Section: Outpatient Clinicmentioning

confidence: 99%

Digital Health Interventions for Chronic Wound Management: A Systematic Review and Meta-Analysis

Bai,

Zhang,

Jiao

et al. 2024

J Med Internet Res

View full text Add to dashboard Cite

Background: Chronic wounds have a serious impact on patients' quality of life and place a significant strain on global finances and healthcare systems. Mobile health (mHealth) technology in various forms has been proposed as an important modality for the management of chronic wounds. However, existing studies on the efficacy of mHealth interventions for chronic wound management produce inconclusive results due to the complexity of wound etiology and the diversity of mHealth delivery methods. Objective:The purpose of this study was to conduct a systematic review and meta-analysis of the current evidence on mHealth in the management of patients with chronic wounds, and determine whether mHealth-supported interventions were more beneficial for chronic wound outcomes than conventional care.Methods: Eligible randomized controlled trials (RCTs), cohort studies, and quasi-experimental studies published from the date of inception to December 1,2022, were identified by searching Pubmed, Web of Science, EMBASE, Cochrane Library, CINAHL, China Knowledge Resource Integrated Database (CNKI), Wanfang Database, Weipu Database (VIP), and Chinese Biomedical Database (CBM). Studies were evaluated independently by two researchers and audited by a third researcher. We assessed the quality of each RCTs, cohort study, and quasi-experimental study separately using the Cochrane risk of bias tool, ROBINS-I, and the Joanna Briggs Institute Critical Appraisal tools checklists. Continuous and dichotomous data were extracted for relevant outcomes and analyzed in a random effect meta-analysis model using RevMan5.4.1 software. Results:Twenty-four studies with 7945 patients were included in this systematic review, while only 19 studies with 6355 patients were included in the meta-analysis. The combined effect estimate showed no significant differences between the mHealth and control groups in terms of wound healing (RR 1.15,95% CI 0.94-1.40; P=.17), adverse events (RR 0.54, 95% CI 0.26-1.10; P=.09), or all-cause mortality around one year (RR 1.19,95% CI 0.66-2.14; P=.57). Compared with the control group, the use of mHealth was associated with significant changes in PUSH-score (MD -2.37, 95% CI -2.82 to -1.92; P<.001). Although meta-analysis was not possible in terms of wound size, cost analysis, patient satisfaction, and wound reporting rates, most studies still demonstrated that mHealth was not inferior to conventional care in managing chronic wounds. Conclusions:The findings of our study demonstrate the viability of adopting mHealth to treat chronic wounds. However, larger, high-quality randomized controlled trials are needed to strengthen the evidence, and further clinical effectiveness research needs to be done in greater detail. Clinical Trial: PROSPERO CRD42023392415; https://www.crd.york.ac.uk/prospero/display_record.php?ID=392415

show abstract

“…One of the most important departments of the hospital, where most elective care trajectories start here, with a consultation between a care provider and a patient [35].…”

Section: Outpatient Clinicmentioning

confidence: 99%

Digital Health Interventions for Chronic Wound Management: A Systematic Review and Meta-Analysis

Bai,

Zhang,

Jiao

et al. 2024

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Outpatient clinics and daytreatment facilities are not affected by bed shortage at ICU or ward. However, these clinics are considerably affected by distancing measures as they typically include a waiting area with limited capacity, which restricts the number of patients simultaneously present (Zonderland, 2021). Replacing in-person appointments by digital ones might allow continuation the majority of appointments, however, this replacement is not always possible and is not preferred by patients and physicians (Wehrle et al, 2021).…”

Section: Literaturementioning

confidence: 99%

Outpatient clinic scheduling with limited waiting area capacity

Otten

Dijkstra

Leeftink

et al. 2021

Journal of the Operational Research Society

View full text Add to dashboard Cite

This paper proposes an iterative simulation optimisation approach to maximise the number of in-person consultations in the blueprint schedule of a clinic facing same-day multiappointment patient trajectories and restrictions on the number of patients simultaneously allowed in the waiting area, taking into account the combined effects of early arrival times (patients arriving early from home), bridging times (minimum time required between appointments) and waiting times (due to randomness in patient arrivals and provider punctuality). Our approach combines an Integer Linear Program (ILP) that maximises the number of in-person consultations considering the effect of average early arrival and bridging times and a Monte Carlo simulation (MCS) model to include the effect of waiting times due to randomness. We iteratively adapt our parameters in the ILP until the MCS model returns a 95% confidence interval of the number of patients in the waiting area that does not exceed its capacity. Our results reveal the impact of early arrival, bridging and waiting times on the number of in-person appointments that may be included in a blueprint schedule. Our results further show that careful design of the blueprint schedule allows our case study clinics to organise a vast majority of their appointments in-person.

show abstract

Theoretical and Practical Aspects of Outpatient Clinic Optimization

Cited by 2 publications

References 33 publications

Digital Health Interventions for Chronic Wound Management: A Systematic Review and Meta-Analysis

Digital Health Interventions for Chronic Wound Management: A Systematic Review and Meta-Analysis

Outpatient clinic scheduling with limited waiting area capacity

Contact Info

Product

Resources

About