Reducing queues: demand and capacity variations.
OBJECTIVE
The aim of this paper is to investigate how waiting lists or queues could be reduced without adding more resources; and to describe what factors sustain reduced waiting-times.


METHODS
Cases were selected according to successful and sustained queue reduction. The approach in this study is action research.


RESULTS
Accessibility improved as out-patient waiting lists for two clinics were reduced. The main success was working towards matching demand and capacity. It has been possible to sustain the improvements.


CONCLUSIONS
Results should be viewed cautiously. Transferring and generalizing outcomes from this study is for readers to consider. However, accessible healthcare may be possible by paying more attention to existing solutions.


CONCLUSIONS
The study indicates that queue reduction activities should include acquiring knowledge about theories and methods to improve accessibility, finding ways to monitor varying demand and capacity, and to improve patient processing by reducing variations.


CONCLUSIONS
Accessibility is considered an important dimension when measuring service quality. However, there are few articles on how clinic staff sustain reduces waiting lists. This paper contributes accessible knowledge to the field.
Chalmers University of Technology, Gothenburg, Sweden. henrik.eriksson@chalmers.se
Henrik
H
Eriksson
Ing-Marie
IM
Bergbrant
Ingela
I
Berrum
Boel
B
Mörck
D017598:Efficiency, Organizational; D006297:Health Services Accessibility / Q000458:organization & administration; D006301:Health Services Needs and Demand / Q000458:organization & administration*; D006302:Health Services Research; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D017064:Process Assessment, Health Care; D014850:Waiting Lists