长期护理设施的最佳容量规划,考虑到患者的性别,语言和年龄组
Ghazal Khalili1, Mohsen Zargoush1, Kai Huang2
1Computational Science and Engineering, McMaster University, Hamilton, L8S 4K1, ON, Canada.
Health care management science
|October 6, 2025
概括
这项研究优化了加拿大的长期护理设施规划,使用混合整数线性编程模型. 该模型有效地安置设施并分配患者,每年满足超过88%的需求.
科学领域:
- 运营研究 运营研究
- 医疗保健管理的管理
- 公共政策 公共政策
背景情况:
- 加拿大的长期护理 (LTC) 部门因人口老龄化而面临着日益增长的需求.
- 在LTC网络中平衡需求和容量存在重大运营挑战.
研究的目的:
- 开发和验证混合整数线性编程 (MILP) 模型,以优化LTC设施建设,容量和患者分配.
- 在LTC网络中解决患者分配的包容性和公平性.
主要方法:
- 制定一个MILP模型,以优化设施的时间,位置,容量 (床位,人力资源) 和患者分配.
- 纳入患者特异性约束 (性别,语言,年龄) 和地理公平.
- 使用安大略省汉密尔顿LTC网络进行案例研究验证.
主要成果:
- 该模型有效地优化了设施安置和患者分配,显著降低了非分配和错误分配率.
- 超过88%的患者需求可以在五年内每年满足.
- 基于语言和性别的患者分配是可行的,成本增加最小.
结论:
- 拟议的MILP模型为长期护理网络的战略规划提供了一个有效的框架.
- 优化设施和患者分配可以改善服务提供和解决医疗保健中的人口变化.
- 运营成本是主要的支出,错误分配成本是最小的.
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