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