Question: In this study, a multiple server channel model was developed for the outpatient department at the Public Health Clinic with a focus on the patient

In this study, a multiple server channel model was developed for the outpatient department at the Public
Health Clinic with a focus on the patient waiting time for having a treatment. The main objective of this study is to
determine waiting time of patients flow which can be used to improve the operating performance and also
improving the quality of the services provided to the patients. The first objective to this study to determine the
waiting arrival time and service time of patients at outpatient department. This results is shown at the Table 2,3 and
4. The result stated that the average waiting time of patients in queue is 54.295 minutes with the average total exit
patient is 327 patients. Thus, the average service time is 13.481 minutes. In comparison, a study in Malaysia found
that the average service time in outpatients was 15 minutes (Ba et al.,2017). There is no specific guideline on the
best service length but studies found that patients prefer to have more time with the doctor.
Meanwhile the second objective is proved that this study using the simulation technique for model queuing
system. Based on the results of multiple server channel patient flow simulation model developed, it is proved that
there is waiting time achieved with Ministry of Health patient charter. In this patient charter stated that patients
should achieved the target of waiting to see the doctor within or less than 60 minutes. Simulation model result shows
that longest waiting time exist at pre-consultation room about 28 minutes and the lowest utilization of server is at
registration counter about 59%. Therefore, suggested improvement need to make to this stations with a view to
reduce the waiting time and increase the utilization of server. This is to ensure the high quality of services is
delivered. The outcome of this study is the better understanding of queuing theory and management service. In
addition, the health care providers can make decision that increase the satisfaction of all relevant group besides
optimizing the resources. This study further established that queuing theory and modelling is an effective tool that
can be used to make decisions on staffing needs for optimal performance with regards to queuing challenges in
clinics. This study therefore be replicated in other clinics or other countries in order to inform clinic administrators
more on the usefulness of the application of queuing theory and modelling as a tool for improved decision making.

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