ABSTRACT
The aim of this study is to conduct an intervention that tests whether a new scheduling policy designed to reduce waiting times actually will lead to a reduction in waiting times. The new scheduling policy was developed using mixed methods. Qualitative data was gathered to fully understand current planning processes, while quantitative methods were used to model and predict future waiting times. If current planning practices are continued, waiting times will only increase. Additionally, the findings show that simulation modeling can be used to predict the capacity needed for intakes (first appointment) to reduce and maintain target waiting times over time. In our study, this meant a slight increase in capacity for intakes. This new scheduling policy led to a reduction in waiting times from 65 days in 2016, to under 40 days post-intervention in 2017. Waiting times have been held under 40 days since implementation of the new policy, 2017-2020. Our study shows that setting appropriate (weekly) intake goals, will lead to maintaining acceptable levels of variation in waiting times. This theory was tested and proven to be effective.
Subject(s)
Mental Health Services , Waiting Lists , Adolescent , Child , Humans , Appointments and Schedules , Computer Simulation , Time FactorsABSTRACT
Meta-analysis, a systematic statistical examination that combines the results of several independent studies, has the potential of obtaining problem- and implementation-independent knowledge and understanding of metaheuristic algorithms, but has not yet been applied in the domain of operations research. To illustrate the procedure, we carried out a meta-analysis of the adaptive layer in adaptive large neighborhood search (ALNS). Although ALNS has been widely used to solve a broad range of problems, it has not yet been established whether or not adaptiveness actually contributes to the performance of an ALNS algorithm. A total of 134 studies were identified through Google Scholar or personal e-mail correspondence with researchers in the domain, 63 of which fit a set of predefined eligibility criteria. The results for 25 different implementations of ALNS solving a variety of problems were collected and analyzed using a random effects model. This dataset contains a detailed comparison of ALNS with the non-adaptive variant per study and per instance, together with the meta-analysis summary results. The data enable to replicate the analysis, to evaluate the algorithms using other metrics, to revisit the importance of ALNS adaptive layer if results from more studies become available, or to simply consult the ready-to-use formulas in the summary file to carry out a meta-analysis of any research question. The individual studies, the meta-analysis and its results are described and interpreted in detail in Renata Turkes, Kenneth Sörensen, Lars Magnus Hvattum, Meta-analysis of Metaheuristics: Quantifying the Effect of Adaptiveness in Adaptive Large Neighborhood Search, in the European Journal of Operational Research.