论文标题
带有灵活的起点/终点和服务功能的家庭保健计划
Home health care planning with considering flexible starting/ending points and service features
论文作者
论文摘要
卫生系统最近提出的策略之一是为在家中的患者提供服务，除了降低卫生系统成本外，还提高了服务质量。在现实世界中，某些服务（例如生物测试或血液采样）迫使护士从/在实验室而不是仓库中开始或结束他/她的路线，从而改变了整个最佳计划。到目前为止，尚未考虑这些特殊服务要求和功能的效果。在这项研究中，建议考虑到根据每种服务的特定特征的每个护士途径的启动/结束位置的灵活性，建议了一个新的数学模型。然后，使用建议的模型来解决各种大小的几组问题，其中结果证实了所提出的方法的效率。此外，对服务所需特征的参数进行了一些敏感性分析，然后进行了一些管理洞察和未来研究的方向。
One of the recently proposed strategies in health systems is providing services to patients at home, improving the service quality, besides reducing the health system costs. In the real world, some services, such as biological tests or blood sampling, force the nurses to start or end his/her route from/at the laboratory instead of the depot, changing the whole optimal planning. The effect of these special service requirements and features has not been considered so far. In this study, a new mathematical model is suggested considering the flexibility of starting/ending places of each nurse's route according to the specific characteristics of each service. Then several sets of problems in various sizes are solved using the proposed model, where the results confirm the efficiency of the proposed approach. In addition, some sensitivity analyses are performed on the parameters of the required features of the services, followed by some managerial insights and directions for future studies.
