每周的家庭医疗保健路由和安排与重叠的患者集群
1Graduate Program in Operations Research & Industrial Engineering, The University of Texas, Austin, TX, USA.
Health systems (Basingstoke, England)
|May 29, 2025
概括
本研究介绍了使用混合整数线性编程 (MILP) 进行高效的家庭医疗保健调度和路由的两阶段方法. 该方法优化了患者治疗师的任务和日常路线,改进了当前的做法.
科学领域:
- 运营研究 运营研究
- 医疗保健管理的管理
- 应用数学 应用数学 应用数学
背景情况:
- 家庭医疗保健的安排和路由是复杂的,涉及多个目标和约束.
- 现有的方法可能无法有效地平衡患者需求和运营成本.
- 优化治疗师的任务和日常路线对于服务质量和效率至关重要.
研究的目的:
- 开发和评估每周家庭医疗保健安排和路由的两阶段方法.
- 提出新的混合整数线性编程 (MILP) 模型,用于患者-治疗师分配和每日路线生成.
- 尽量减少非计划访问,旅行和服务费用,同时考虑护理连续性,工作负载平衡和时间窗口.
主要方法:
- 采用两种新的混合整数线性编程 (MILP) 模型的两阶段方法.
- 第一个阶段:在一周内对患者和治疗师的分配.
- 第二阶段:每日路线导出,包括预处理步骤来定义治疗师服务区域.
- 目标函数包括分层加权的目标:护理连续性,降级,工作负载平衡,时间窗口,加班和里程成本.
主要成果:
- 在分配和路由阶段都迅速获得了最佳解决方案.
- 两阶段的方法产生了与拟议的综合模型相似的结果.
- 由拟议方法生成的时间表在所有指标上显著优于实际使用的时间表.
结论:
- 拟议的两阶段MILP方法有效地解决了每周的家庭医疗保健安排和路由问题.
- 这种方法提供了一种实用而有效的方法来改善家庭医疗保健业务.
- 与目前的做法相比,优化的时间表导致更好的服务质量和更低的运营成本.
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