与合作服务提供商合作的家庭医疗保健服务的多目标动态优先路由和安排

Mert Parçaoğlu¹, F Sibel Salman², Ozgur M Araz³

¹Industrial Engineering Department, Koc University, Istanbul, Türkiye.

Health care management science

|October 18, 2025

概括

这项研究通过制定患者访问计划来优化家庭医疗保健物流. 合作方式显著减少了旅行时间和推迟的访问,超过了个人规划.

科学领域:

运营研究运营研究
医疗保健管理的管理
计算机科学计算机科学

背景情况:

家庭医疗保健服务系统需要有效的每日患者访问计划.
优化路线和患者选择对于医疗保健服务提供者 (HSP) 来说至关重要.
处理意想不到的紧急患者访问是一个重大的后勤挑战.

研究的目的:

开发和比较在家庭医疗保健中生成每日患者访问计划的方法.
为应对将紧急患者请求纳入现有时间表中的挑战.
评估多个HSP之间合作规划的好处.

主要方法:

使用词典优化框架制定一个多目标优化问题.
实施了两种方法:一个时间有限的混合整数编程模型 (TL-MIP) 和一个贪的随机自适应搜索程序与可变邻里搜索 (GRASP+VNS).
广泛的模拟实验和性能指标分析.

主要成果:

与TL-MIP相比,GRASP+VNS启发式方法减少了约85%的运行时间.
启发式方法产生了解决方案,最多在患者总优先级中偏离了2%.
集中规划与合作使总旅行时间减少了30-45%,并将访问推迟了50%.

结论:

GRASP+VNS启发式为家庭医疗保健路由提供了TL-MIP的计算效率高的替代方案.
高质量服务提供商之间的合作规划显著提高了效率,并减少了服务中断.
开发的优化框架有效地平衡了患者的优先事项,位置和紧急要求.

关键词:

贪的随机自适应搜索.家庭医疗保健在家医疗保健词典学优化优化词典学优化运营管理是运营管理.运营研究运营研究路由和时间表编制.服务提供商合作服务提供商合作可变的邻里搜索搜索.

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