The effect of overbooking on idle dental chair capacity in the Pretoria region of the Gauteng Oral Health Services.
An analysis of annual reports revealed that on average 20% of patient appointments with oral hygienists in the Department of Health in the Pretoria region were not utilised due to patient noncompliance (i.e. broken appointments). Many solutions have been considered to address the high rate of noncompliance and the resulting idle chair capacity. One solution selected to overcome some of the negative consequences of broken appointments was deliberate overbooking. The aim of our study was to determine the effect of overbooking on idle dental chair capacity by measuring the utilisation rate over a three month period (July to September) after 25% overbooking was introduced in the Pretoria region. A statistical analysis was conducted on our results to determine an overbooking rate that would ensure full utilisation of the available dental chair capacity. The available time units over the three month study period amounted to 1365, allocated to 1427 patients resulting in an overal overbooking rate of 4.54%. The overall utilisation rate was found to be 79.2%. The calculated regression line estimated that there would be full utilisation of dental chair capacity at an overbooking rate of 26.7%. Overbooking at the levels applied in this study had a minimal overall effect on idle dental chair capacity. Our results confirm the need for careful planning and management in addressing noncompliance. In a manner similar to the clinical situation, organisational development requires a correct diagnosis in order that an appropriate and effective intervention may be designed.
Oral Health Department, University of Limpopo Polokwane Campus, Polokwane, South Africa. wesselh@ul.ac.za
W S J
WS
Holtshousen
E
E
Coetzee
D001071:Appointments and Schedules; D003749:Dental Facilities / Q000458:organization & administration / Q000706:statistics & numerical data; D003752:Dental Health Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D003756:Dental Hygienists / Q000706:statistics & numerical data*; D003777:Dental Prophylaxis / Q000706:statistics & numerical data; D006801:Humans; D010349:Patient Compliance; D017150:Public Sector / Q000458:organization & administration / Q000706:statistics & numerical data; D013019:South Africa; D013218:State Dentistry / Q000458:organization & administration / Q000706:statistics & numerical data