Integrating discrete event simulation and data envelopment analysis for performance measurement and efficency evaluation of resource configurations in an outpatient clinic

Health care facilities, especially outpatient clinics, are the main source of medical care and treatment for the population. To provide quality services, facilities must perform their work optimally. System performance, such as patient wait time, patient cycle time, and throughput, can be measured u...

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Main Author:	Mohamad Amirrul Muqmin, Mohamad Isa
Format:	Thesis
Language:	eng eng eng
Published:	2023
Subjects:	HM Sociology.
Online Access:	https://etd.uum.edu.my/11011/1/depositpermission-826822.pdf https://etd.uum.edu.my/11011/2/s826822_01.pdf https://etd.uum.edu.my/11011/3/s826822_02.pdf
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id	my-uum-etd.11011
record_format	uketd_dc
spelling	my-uum-etd.110112024-02-25T01:13:12Z Integrating discrete event simulation and data envelopment analysis for performance measurement and efficency evaluation of resource configurations in an outpatient clinic 2023 Mohamad Amirrul Muqmin, Mohamad Isa Khalid, Ruzelan Mohd Nawawi, Mohd Kamal Awang Had Salleh Graduate School of Arts & Sciences Awang Had Salleh Graduate School of Arts & Sciences HM Sociology. Health care facilities, especially outpatient clinics, are the main source of medical care and treatment for the population. To provide quality services, facilities must perform their work optimally. System performance, such as patient wait time, patient cycle time, and throughput, can be measured using discrete event simulation (DES). DES replicates facility structures and behaviour and provides a platform for measuring the impact of operational alternatives (resource configurations) on system performance. However, current tools from DES do not identify the best resource configurations for future implementation. Therefore, this research develops a DES model for an outpatient clinic and evaluates the effectiveness of a range of possible resource configurations to improve system performance. The Kesihatan Changlun clinic was considered as a case study. Relevant data, such as patient arrival time, resource service time, and patient flow were observed and collected. The information was then fed into the DES model, which was designed and developed using Arena software. The model was used to measure clinic performance and verify that the clinic was operating efficiently. Actual performance was then determined by testing the various resource configurations. Their relative efficiency was evaluated using Data Envelopment Analysis (DEA). To rank the efficient configurations, cross-efficiency analysis DEA was used. The analysis of the results showed that the Kesihatan Changlun clinic is efficient. However, performance can be further improved by allocating an appropriate number of resources to relevant processes. This research helps decision makers to effectively manage their healthcare facilities by finding the best resource configuration. 2023 Thesis https://etd.uum.edu.my/11011/ https://etd.uum.edu.my/11011/1/depositpermission-826822.pdf text eng staffonly https://etd.uum.edu.my/11011/2/s826822_01.pdf text eng 2027-01-21 staffonly https://etd.uum.edu.my/11011/3/s826822_02.pdf text eng staffonly other masters Universiti Utara Malaysia
institution	Universiti Utara Malaysia
collection	UUM ETD
language	eng eng eng
advisor	Khalid, Ruzelan Mohd Nawawi, Mohd Kamal
topic	HM Sociology.
spellingShingle	HM Sociology. Mohamad Amirrul Muqmin, Mohamad Isa Integrating discrete event simulation and data envelopment analysis for performance measurement and efficency evaluation of resource configurations in an outpatient clinic
description	Health care facilities, especially outpatient clinics, are the main source of medical care and treatment for the population. To provide quality services, facilities must perform their work optimally. System performance, such as patient wait time, patient cycle time, and throughput, can be measured using discrete event simulation (DES). DES replicates facility structures and behaviour and provides a platform for measuring the impact of operational alternatives (resource configurations) on system performance. However, current tools from DES do not identify the best resource configurations for future implementation. Therefore, this research develops a DES model for an outpatient clinic and evaluates the effectiveness of a range of possible resource configurations to improve system performance. The Kesihatan Changlun clinic was considered as a case study. Relevant data, such as patient arrival time, resource service time, and patient flow were observed and collected. The information was then fed into the DES model, which was designed and developed using Arena software. The model was used to measure clinic performance and verify that the clinic was operating efficiently. Actual performance was then determined by testing the various resource configurations. Their relative efficiency was evaluated using Data Envelopment Analysis (DEA). To rank the efficient configurations, cross-efficiency analysis DEA was used. The analysis of the results showed that the Kesihatan Changlun clinic is efficient. However, performance can be further improved by allocating an appropriate number of resources to relevant processes. This research helps decision makers to effectively manage their healthcare facilities by finding the best resource configuration.
format	Thesis
qualification_name	other
qualification_level	Master's degree
author	Mohamad Amirrul Muqmin, Mohamad Isa
author_facet	Mohamad Amirrul Muqmin, Mohamad Isa
author_sort	Mohamad Amirrul Muqmin, Mohamad Isa
title	Integrating discrete event simulation and data envelopment analysis for performance measurement and efficency evaluation of resource configurations in an outpatient clinic
title_short	Integrating discrete event simulation and data envelopment analysis for performance measurement and efficency evaluation of resource configurations in an outpatient clinic
title_full	Integrating discrete event simulation and data envelopment analysis for performance measurement and efficency evaluation of resource configurations in an outpatient clinic
title_fullStr	Integrating discrete event simulation and data envelopment analysis for performance measurement and efficency evaluation of resource configurations in an outpatient clinic
title_full_unstemmed	Integrating discrete event simulation and data envelopment analysis for performance measurement and efficency evaluation of resource configurations in an outpatient clinic
title_sort	integrating discrete event simulation and data envelopment analysis for performance measurement and efficency evaluation of resource configurations in an outpatient clinic
granting_institution	Universiti Utara Malaysia
granting_department	Awang Had Salleh Graduate School of Arts & Sciences
publishDate	2023
url	https://etd.uum.edu.my/11011/1/depositpermission-826822.pdf https://etd.uum.edu.my/11011/2/s826822_01.pdf https://etd.uum.edu.my/11011/3/s826822_02.pdf
_version_	1794023807812370432

Integrating discrete event simulation and data envelopment analysis for performance measurement and efficency evaluation of resource configurations in an outpatient clinic

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