Improving Healthcare Service Quality: A System Dynamics Approach to Managing Visit Times and Reducing Error Rates

This study explores the application of system dynamics modelling to enhance service quality in healthcare systems. Healthcare environments are inherently complex, requiring adaptive strategies to address challenges such as fluctuating patient demands, work pressure, reduced visit times, and error ge...

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Main Authors: Fatemeh Ghayoor, Donya Rahmani
Format: Article
Language:English
Published: Ferdowsi University of Mashhad 2025-06-01
Series:Journal of Systems Thinking in Practice
Subjects:
Online Access:https://jstinp.um.ac.ir/article_46620_36790bcd62462868506170fb55c6cfd8.pdf
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author Fatemeh Ghayoor
Donya Rahmani
author_facet Fatemeh Ghayoor
Donya Rahmani
author_sort Fatemeh Ghayoor
collection DOAJ
description This study explores the application of system dynamics modelling to enhance service quality in healthcare systems. Healthcare environments are inherently complex, requiring adaptive strategies to address challenges such as fluctuating patient demands, work pressure, reduced visit times, and error generation in physician prescriptions. Through simulation-based analysis, we evaluated the impact of various policies, including adjustments to patient arrival rates and human resource hire/quit rate. Our findings indicate that reducing patient arrival rates effectively stabilises work pressure and minimises error generation, but it may conflict with organisational accessibility goals. Increasing human resources, particularly experienced employees, emerges as a sustainable alternative, enhancing service capacity and reducing errors. A dual strategy combining an increased hire fraction of experienced employees with retention-focused policies preventing the employee quit rate yields the most promising results. This approach improves employee efficiency, reduces error probabilities, aligns visit times with standards, and boosts profitability. The study underscores the importance of balancing workforce optimization with system costs to achieve long-term improvements in service quality. Simulation-based decision-making offers healthcare administrators a robust framework for evaluating the cascading effects of policy changes. By integrating dynamic modelling into management practices, healthcare systems can achieve enhanced operational performance, improved patient satisfaction, and sustainable service quality outcomes..
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spelling doaj-art-f88fcb03a9bb4e0bacf1879bccbd5eef2025-08-20T03:13:27ZengFerdowsi University of MashhadJournal of Systems Thinking in Practice2980-94602821-16692025-06-0142163810.22067/jstinp.2025.91833.114146620Improving Healthcare Service Quality: A System Dynamics Approach to Managing Visit Times and Reducing Error RatesFatemeh Ghayoor0Donya Rahmani1Department of Industrial Engineering, K. N. Toosi University of Technology, Tehran, Iran.Department of Industrial Engineering, K. N. Toosi University of Technology, Tehran, Iran.This study explores the application of system dynamics modelling to enhance service quality in healthcare systems. Healthcare environments are inherently complex, requiring adaptive strategies to address challenges such as fluctuating patient demands, work pressure, reduced visit times, and error generation in physician prescriptions. Through simulation-based analysis, we evaluated the impact of various policies, including adjustments to patient arrival rates and human resource hire/quit rate. Our findings indicate that reducing patient arrival rates effectively stabilises work pressure and minimises error generation, but it may conflict with organisational accessibility goals. Increasing human resources, particularly experienced employees, emerges as a sustainable alternative, enhancing service capacity and reducing errors. A dual strategy combining an increased hire fraction of experienced employees with retention-focused policies preventing the employee quit rate yields the most promising results. This approach improves employee efficiency, reduces error probabilities, aligns visit times with standards, and boosts profitability. The study underscores the importance of balancing workforce optimization with system costs to achieve long-term improvements in service quality. Simulation-based decision-making offers healthcare administrators a robust framework for evaluating the cascading effects of policy changes. By integrating dynamic modelling into management practices, healthcare systems can achieve enhanced operational performance, improved patient satisfaction, and sustainable service quality outcomes..https://jstinp.um.ac.ir/article_46620_36790bcd62462868506170fb55c6cfd8.pdfsystem dynamicserror generationvisit timehealthcare service qualitypatient arrival ratehuman resource efficiency
spellingShingle Fatemeh Ghayoor
Donya Rahmani
Improving Healthcare Service Quality: A System Dynamics Approach to Managing Visit Times and Reducing Error Rates
Journal of Systems Thinking in Practice
system dynamics
error generation
visit time
healthcare service quality
patient arrival rate
human resource efficiency
title Improving Healthcare Service Quality: A System Dynamics Approach to Managing Visit Times and Reducing Error Rates
title_full Improving Healthcare Service Quality: A System Dynamics Approach to Managing Visit Times and Reducing Error Rates
title_fullStr Improving Healthcare Service Quality: A System Dynamics Approach to Managing Visit Times and Reducing Error Rates
title_full_unstemmed Improving Healthcare Service Quality: A System Dynamics Approach to Managing Visit Times and Reducing Error Rates
title_short Improving Healthcare Service Quality: A System Dynamics Approach to Managing Visit Times and Reducing Error Rates
title_sort improving healthcare service quality a system dynamics approach to managing visit times and reducing error rates
topic system dynamics
error generation
visit time
healthcare service quality
patient arrival rate
human resource efficiency
url https://jstinp.um.ac.ir/article_46620_36790bcd62462868506170fb55c6cfd8.pdf
work_keys_str_mv AT fatemehghayoor improvinghealthcareservicequalityasystemdynamicsapproachtomanagingvisittimesandreducingerrorrates
AT donyarahmani improvinghealthcareservicequalityasystemdynamicsapproachtomanagingvisittimesandreducingerrorrates