INTRODUCTION 1 LITERATURE REWIEW 7 METHODOLOGY 30 DATA COLLECTION AND MODEL DEVELOPMENT 40 REULTS AND DISCUSSION 60

vi TABLE OF CONTENT Declaration i Approval ii Abstract iii Abstrak iv Acknowledgement v Table of Content vi List of Figures x List of Table xi List of Abbreviations, Symbols, Nomenclatures xii

CHAPTER 1.INTRODUCTION 1

1.1 Background 1 1.2 Simulation 2 1.3 Polyclinic Community Ayer Keroh 3 1.4 Problem Statement 4 1.5 Objectives 4 1.6 Scope 4 1.7 Organization of Report 5

CHAPTER 2 LITERATURE REWIEW 7

2.1 Introduction 7 2.2 History of Queuing Theory 9 2.3 Queue Problem 10 2.3.1 Reneging 10 vii 2.3.2 Variable Arrival Rate 11 2.3.3 Blocking 12 2.3.4 System Design 13 2.3.5 Bottleneck 13 2.4 Characteristic of Queuing System 13 2.5 Queuing Notation 16 2.6 Steady State Behavior of Infinite-Population Markovian Model 17 2.6.1 Single-Server Queues with Poison Arrivals unlimited Capacity 18 2.6.2 Multi Server Queue 19 2.7 Simulation 20 2.7.1 The Power of Simulation 21 2.7.2 System 22 2.7.3 Model 23 2.7.4 Development of Simulation Software 25 2.8 Publication Queuing System in Service Industry 27

CHAPTER 3 METHODOLOGY 30

3.1 Introduction 30 3.2 Methodology Overview 32 3.2.1 Design Survey 32 3.2.2 Analysis of Distribution 32 3.2.3 Model Conceptualization 35 3.2.4 Model Translation 37 3.2.5 Verification and Validation 38 3.3 Results and Discussion 39 3.4 Conclusion and Recommendation of Future Work 39 viii

CHAPTER 4: DATA COLLECTION AND MODEL DEVELOPMENT 40

4.1 Data Collection 40 4.1.1 Data Collection from Design Survey 40 4.1.2 Patient Arrival Time, Service Time Begin and End 42 4.2 Analysis of Distribution 43 4.2.1 Selecting Distribution Family 45 4.2.2 Morning Session 46 4.2.3 Afternoon Session 48 4.3 Model Conceptualization 49 4.3.1 Experiments Factors and Responses 49 4.3.2 Model Scope 50 4.3.3 Model Level of Detail 51 4.3.4 Assumption 51 4.3.5 Simplification 51 4.4 Model Translation 51 4.4.1 Queue Model Queuing Theory 51 4.4.1 Morning Session 52 4.4.2 Afternoon Session 52 4.4.2 Simulation model 53 4.5 Verification and Validation 55 4.5.1 Verification 55 4.5.2 Validation 56

CHAPTER 5: REULTS AND DISCUSSION 60

5.1 Results 60 5.1.1 Results of the collected data 61 5.1.2 Results of the Queuing Model 61 ix 5.1.3 Results of the Simulated Model 62 5.2 Discussion 62 5.2.1 Discussion on the Collected Data 62 5.2.2 Discussion on the Queue Model 63 5.2.3 Discussion on the Simulation Model 63 5.2.4 Discussion of the Patient Satisfactory Level 63 5.2.5 Ways of Improvement in Polyclinic Performance 64

CHAPTER 6: CONCLUSION AND RECOMMENDATION 65