Preliminary exploration of data-driven outpatient resource planning for a large comprehensive tertiary grade A hospital_West China Medical Journal

Authors：

WANG Zhuo ¹ , ZHU Ting ¹ , HE Wei ¹ ,  ZENG Lihui ² ,  YANG Xiaoyan ¹

1. West China Biomedical Big Data Center, West China Hospital / West China School of Medicine, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Outpatient, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZENG Lihui, Email: Arronzeng@163.com; YANG Xiaoyan, Email: yangxiaoyan@scu.edu.cn

Keywords：

Utilization rate of consulting room; online outpatient; resource allocation; cluster analysis

DOI：

10.7507/1002-0179.202411275

Video：

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This article analyzes the supply and demand data of outpatient resources in a large comprehensive tertiary grade A hospital from 2021 to 2023. Cluster analysis is used to classify the offline outpatient volume of each department and identify five different department categories with different outpatient volume characteristics. Based on the differences in outpatient volume and resource utilization between different categories and departments, this paper explores the supply-demand matching relationship of outpatient resources under normal and emergency states from online and offline outpatient. Based on the dimensions of categories and departments, this paper proposes an outpatient resource planning strategy that takes into account both normal and emergency states, providing a basis for improving the quality and efficiency of outpatient services in large comprehensive tertiary grade A hospitals.

Citation： WANG Zhuo, ZHU Ting, HE Wei, ZENG Lihui, YANG Xiaoyan. Preliminary exploration of data-driven outpatient resource planning for a large comprehensive tertiary grade A hospital. West China Medical Journal, 2025, 40(3): 459-464. doi: 10.7507/1002-0179.202411275 Copy

1.	Ferreira DC, Nunes AM, Marques RC. Operational efficiency vs clinical safety, care appropriateness, timeliness, and access to health care: the case of Portuguese public hospitals. J Product Anal, 2020, 53(1): 6.
2.	Boakye KG, Qin H, Blankson C, et al. Operations-oriented strategies and patient satisfaction: the mediating effect of service experience. Int J Qual Serv Sci, 2021, 13(3): 395-416.
3.	袁磊, 钱招昕, 黄耿文. 基于时间序列分析的重大突发公共卫生事件对医疗服务的影响研究. 中国卫生统计, 2023, 40(5): 748-753.
4.	胡小靖, 房洪军, 孙玮, 等. 医院门诊量与资源配置策略研究. 医院管理论坛, 2021, 38(10): 22-26.
5.	王朝娟, 李福忠. 运用边际贡献指标实现对医院床位和诊室资源的有效配置. 商业会计, 2018(8): 50-52.
6.	潘燕, 刘思佳, 张瑜, 等. 基于 PDCA 方法下的门诊诊室供需分析与管理研究. 中国卫生标准管理, 2023, 14(2): 74-78.
7.	任宗伟, 郭海妮. 考虑患者回诊情况下的门诊科室调度优化. 运筹与管理, 2018, 27(4): 39-49.
8.	杨顺舟, 仇永贵. 提高门诊诊室使用率的探索与实践. 江苏卫生事业管理, 2021, 32(8): 1053-1055.
9.	Aslani N, Kuzgunkaya O, Vidyarthi N, et al. A robust optimization model for tactical capacity planning in an outpatient setting. Health Care Manag Sci, 2021, 24(1): 26-40.
10.	Bolsi B, de Queiroz TA, de Lima VL, et al. Assigning multi-skill configurations to multiple servers with a scenario-based planning and recombination approach. Comput Oper Res, 2024, 169(3): 106719.
11.	Yao X, Shehadeh KS, Padman R. Multi-resource allocation and care sequence assignment in patient management: a stochastic programming approach. Health Care Manag Sci, 2024, 27(3): 352-369.
12.	Wang C, Yang F, Li QL. Optimal decision of dynamic bed allocation and patient admission with buffer wards during an epidemic. Math, 2023, 11(3): 687.
13.	龚瑞娥, 曾烂漫, 李春辉, 等. 大型综合医院在突发公共卫生事件中平战结合改建实证与反思. 中南大学学报(医学版), 2020, 45(5): 489-494.
14.	白雪, 姜博文, 方鹏骞. 基于“十四五”规划的我国公立医院平战结合实现路径探讨. 中国医院管理, 2021, 41(3): 11-14.
15.	王海鑫, 康正, 吴群红, 等. 基于重大突发公共卫生事件应对的医院医疗浪涌能力建设研究. 中国医院管理, 2021, 41(3): 30-34.
16.	Luo L, Li J, Xu X, et al. A data-driven hybrid three-stage framework for hospital bed allocation: a case study in a large tertiary hospital in China. Comput Math Methods Med, 2019, 2019: 7370231.
17.	Xie J, Zhuang W, Ang M, et al. Analytics for hospital resource planning - two case studies. Prod Oper Manag, 2020, 30(4): 13158.
18.	Bosque-Mercader L, Siciliani L. The association between bed occupancy rates and hospital quality in the English National Health Service. Eur J Health Econ, 2023, 24(2): 209-236.
19.	Naderi B, Roshanaei V, Begen MA, et al. Increased surgical capacity without additional resources: generalized operating room planning and scheduling. Prod Oper Manag, 2021, 30(8): 2608-2635.

1. Ferreira DC, Nunes AM, Marques RC. Operational efficiency vs clinical safety, care appropriateness, timeliness, and access to health care: the case of Portuguese public hospitals. J Product Anal, 2020, 53(1): 6.
2. Boakye KG, Qin H, Blankson C, et al. Operations-oriented strategies and patient satisfaction: the mediating effect of service experience. Int J Qual Serv Sci, 2021, 13(3): 395-416.
3. 袁磊, 钱招昕, 黄耿文. 基于时间序列分析的重大突发公共卫生事件对医疗服务的影响研究. 中国卫生统计, 2023, 40(5): 748-753.
4. 胡小靖, 房洪军, 孙玮, 等. 医院门诊量与资源配置策略研究. 医院管理论坛, 2021, 38(10): 22-26.
5. 王朝娟, 李福忠. 运用边际贡献指标实现对医院床位和诊室资源的有效配置. 商业会计, 2018(8): 50-52.
6. 潘燕, 刘思佳, 张瑜, 等. 基于 PDCA 方法下的门诊诊室供需分析与管理研究. 中国卫生标准管理, 2023, 14(2): 74-78.
7. 任宗伟, 郭海妮. 考虑患者回诊情况下的门诊科室调度优化. 运筹与管理, 2018, 27(4): 39-49.
8. 杨顺舟, 仇永贵. 提高门诊诊室使用率的探索与实践. 江苏卫生事业管理, 2021, 32(8): 1053-1055.
9. Aslani N, Kuzgunkaya O, Vidyarthi N, et al. A robust optimization model for tactical capacity planning in an outpatient setting. Health Care Manag Sci, 2021, 24(1): 26-40.
10. Bolsi B, de Queiroz TA, de Lima VL, et al. Assigning multi-skill configurations to multiple servers with a scenario-based planning and recombination approach. Comput Oper Res, 2024, 169(3): 106719.
11. Yao X, Shehadeh KS, Padman R. Multi-resource allocation and care sequence assignment in patient management: a stochastic programming approach. Health Care Manag Sci, 2024, 27(3): 352-369.
12. Wang C, Yang F, Li QL. Optimal decision of dynamic bed allocation and patient admission with buffer wards during an epidemic. Math, 2023, 11(3): 687.
13. 龚瑞娥, 曾烂漫, 李春辉, 等. 大型综合医院在突发公共卫生事件中平战结合改建实证与反思. 中南大学学报(医学版), 2020, 45(5): 489-494.
14. 白雪, 姜博文, 方鹏骞. 基于“十四五”规划的我国公立医院平战结合实现路径探讨. 中国医院管理, 2021, 41(3): 11-14.
15. 王海鑫, 康正, 吴群红, 等. 基于重大突发公共卫生事件应对的医院医疗浪涌能力建设研究. 中国医院管理, 2021, 41(3): 30-34.
16. Luo L, Li J, Xu X, et al. A data-driven hybrid three-stage framework for hospital bed allocation: a case study in a large tertiary hospital in China. Comput Math Methods Med, 2019, 2019: 7370231.
17. Xie J, Zhuang W, Ang M, et al. Analytics for hospital resource planning - two case studies. Prod Oper Manag, 2020, 30(4): 13158.
18. Bosque-Mercader L, Siciliani L. The association between bed occupancy rates and hospital quality in the English National Health Service. Eur J Health Econ, 2023, 24(2): 209-236.
19. Naderi B, Roshanaei V, Begen MA, et al. Increased surgical capacity without additional resources: generalized operating room planning and scheduling. Prod Oper Manag, 2021, 30(8): 2608-2635.

West China Medical Journal

Preliminary exploration of data-driven outpatient resource planning for a large comprehensive tertiary grade A hospital

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