This paper presents a comprehensive improvement approach to the admission and appointment scheduling processes in a public hospital located in North Lima, where significant operational and technical gaps were identified. A total of 73.3% of patients reported dissatisfaction with the admission service, exceeding the acceptable threshold of 40% by 33.3 percentage points (Office of Quality Management, 2024). Moreover, 57.71% of users experienced waiting times longer than 30 minutes, established as the benchmark by the MINSA “Zero Queues Plan” (Ministry of Health, 2022). By applying queuing theory, process standardization, and discrete-event simulation, the operational flow was redesigned, and quantifiable improvements were projected. The results indicate a reduction in waiting times of more than 40% and a 33% increase in overall patient satisfaction, highlighting the potential replicability of this proposal in other public healthcare facilities in Peru, particularly those characterized by high demand and limited resources.
Improving Patient Satisfaction through a Hybrid Approach of Queuing Theory, Discrete-Event Simulation, and Service Quality in Admission and Appointment Scheduling at a Public Hospital
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