Improving Performance in Outpatient Appointment Services with a Simulation Optimization Approach
Why this work is in the frame
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Bibliographic record
Abstract
Outpatient health care service providers face increasing pressure to improve the quality of their service through effective scheduling of appointments. In this paper, a simulation optimization approach is used to determine optimal rules for a stochastic appointment scheduling problem. This approach allows for the consideration of more variables and factors in modeling this system than in prior studies, providing more flexibility in setting policy under various problem settings and environmental factors. Results show that the dome scheduling rule proposed in prior literature is robust, but practitioners could benefit from considering a flatter, “plateau‐dome.” The plateau–dome scheduling pattern is shown to be robust over many different performance measures and scenarios. Furthermore, because this is the first application of simulation optimization to appointment scheduling, other insights are gleaned that were not possible with prior methodologies.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it