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Capacity Control in a Single-Server Diagnostic--Treatment Queue with Heterogeneous Treatment Modes

Abstract

This study develops an analytical and decision framework for a pooled single-server diagnostic--treatment service receiving both first-time and referred patients. A first-time patient receives diagnosis followed immediately by one of n treatment modes, whereas a referred patient enters directly into the prescribed treatment mode. For the two-treatment case, closed-form probability generating functions characterize the stationary queue-length distribution; for arbitrary n, a matrix-geometric representation provides a computational solution. The queueing analysis is then directed to capacity control decisions. The effective load is decomposed into mode-specific workload contributions, yielding a minimum service-rate increment for a prescribed utilization target to show that utilization-equivalent interventions need not be delay-equivalent. This motivates a distribution-aware control based on the stationary probability of severe congestion. Finally, the total cost function shown to be strictly convex, providing a global minimum for restricted one-mode interventions. Analytical results are cross-validated against the Pollaczek--Khintchine relations and discrete-event simulation.

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BibTeX
@misc{rani2026capacity,
  title = {{Capacity Control in a Single-Server Diagnostic--Treatment Queue with Heterogeneous Treatment Modes}},
  author = {Shobha Rani and Rohit Dehru and Raghu Nandan Sengupta},
  howpublished = {arXiv},
  year = {2026},
  month = oct,
  doi = {10.48550/arxiv.2608.07967},
  eprint = {2608.07967},
  archivePrefix = {arXiv},
  url = {https://arxiv.org/abs/2608.07967},
}
RIS
TY  - UNPB
TI  - Capacity Control in a Single-Server Diagnostic--Treatment Queue with Heterogeneous Treatment Modes
AU  - Shobha Rani
AU  - Rohit Dehru
AU  - Raghu Nandan Sengupta
PY  - 2026
DA  - 2026/10/01
PB  - arXiv
DO  - 10.48550/arxiv.2608.07967
UR  - https://arxiv.org/abs/2608.07967
AB  - This study develops an analytical and decision framework for a pooled single-server diagnostic--treatment service receiving both first-time and referred patients. A first-time patient receives diagnosis followed immediately by one of n treatment modes, whereas a referred patient enters directly into the prescribed treatment mode. For the two-treatment case, closed-form probability generating functions characterize the stationary queue-length distribution; for arbitrary n, a matrix-geometric representation provides a computational solution. The queueing analysis is then directed to capacity control decisions. The effective load is decomposed into mode-specific workload contributions, yielding a minimum service-rate increment for a prescribed utilization target to show that utilization-equivalent interventions need not be delay-equivalent. This motivates a distribution-aware control based on the stationary probability of severe congestion. Finally, the total cost function shown to be strictly convex, providing a global minimum for restricted one-mode interventions. Analytical results are cross-validated against the Pollaczek--Khintchine relations and discrete-event simulation.
ER  -