Scripties UMCG - Rijksuniversiteit Groningen
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Capaciteit op de poli Urologie in beeld

(2016) Berg, Gert-Jan van den

Urology lacks an understanding of supply and demand. In addition, urology is not able to schedule outpatient appointments within the passed standards. The objective of this study is to provide insight into the demand for care and the care itself. This study will provide recommendations concerning the optimal use of capacity, so that new patients can be treated within the passed standards and control patients can be treated within an acceptable time. The following research question is central: ‘What is the required capacity at the urology clinic so that the demand for care is performed within the passed standard?’.

In answering the research question, four methods were used: Informal interviews, observations, literature review and data analysis. The data that was used, comes from 2015. The results showed that the care is not adjusted with the demand for care. Oncology, functional urology, pediatric urology, andrology and endo-urology have capacity shortages of respectively 7, 0, 2, 2 and 3 consultation hours per week. Furthermore, it can be concluded that the consultation format is not adjusted to the demand for care. This results in a lot of extra work for the administrative staff. This study recommends using an overbooking model, so that the occupancy of the physician is increased, the access time is reduced, and ‘non-entrants’ can be effectively used. This allows the waiting time for the patient to increase by a factor of 3.5, the waiting time for the doctor to drop significantly and the chance of having to work overtime to decrease with an average of 30%. This study also outlines a situation where junior doctors do not carry out consultation hours. In this situation, doctors of oncology, functional urology, pediatric urology, andrology and endo-urology should carry out respectively 13, 2, 6, 5 and 5 more consultation hours per week to handle the demand for care within the passed standard.

In order to keep the access time constant, it is important to adjust the available capacity to the required capacity. For a decrease in access time, use could be made of the overbooking model by increasing the available capacity. Also, the adjustment between the consultation types and the need for care could be improved. Finally, in further research could be explored why the percentage of ‘non-entrants' is too high.


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