Modeling a Public Hospital Outpatient Clinic in Peru using Discrete Simulation

Valeria Quevedo, Javier Chapilliquen


Having insurance or not makes a difference in terms of the procedure patients need to follow to be attended in public hospitals in Peru. Studies show a high dissatisfaction towards the service offered by public hospitals, mainly due to long waiting times, specially for patients with insurance. The initiatives implemented by the government to solve these problems were not supplemented with a rigorous analysis to help quantify their impact. The main objective of this study is to assess the quality of care at one of the most visited public hospitals in Peru. Discrete simulation was used to build a model which was validated through historical data and hospital personnel. The model is capable of measuring the service level and it facilitates the identification of bottlenecks. It identified the most critical medical specialties most utilized and that have the longest queues. The results also serve to identify the services with a low utilization rate. High idle time during the insurance verification process was identified as a problem. It seems insurance verification could be integrated with admission tasks or during other services. The model can be applied to any public hospital in Peru given the fact that their outpatients processes are similar.


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Paper Citation

in Harvard Style

Quevedo V. and Chapilliquen J. (2015). Modeling a Public Hospital Outpatient Clinic in Peru using Discrete Simulation . In Proceedings of the International Conference on Operations Research and Enterprise Systems - Volume 1: ICORES, ISBN 978-989-758-075-8, pages 389-394. DOI: 10.5220/0005271903890394

in Bibtex Style

author={Valeria Quevedo and Javier Chapilliquen},
title={Modeling a Public Hospital Outpatient Clinic in Peru using Discrete Simulation},
booktitle={Proceedings of the International Conference on Operations Research and Enterprise Systems - Volume 1: ICORES,},

in EndNote Style

JO - Proceedings of the International Conference on Operations Research and Enterprise Systems - Volume 1: ICORES,
TI - Modeling a Public Hospital Outpatient Clinic in Peru using Discrete Simulation
SN - 978-989-758-075-8
AU - Quevedo V.
AU - Chapilliquen J.
PY - 2015
SP - 389
EP - 394
DO - 10.5220/0005271903890394