Reorganization of a medical service network to manage pandemic waves : a real case study / Sajjad Ahadian, Mir Saman Pishvaee, Hamed Jahani
Medienart: |
Artikel |
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Erscheinungsjahr: |
2023 |
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Erschienen: |
2023 |
Enthalten in: |
Zur Gesamtaufnahme - volume:39 |
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Enthalten in: |
Operations research for health care - 39(2023) vom: Dez., Seite 1-15 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Ahadian, Sajjad [VerfasserIn] |
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Themen: |
Fuzzy approach |
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doi: |
10.1016/j.orhc.2023.100410 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
1882948734 |
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245 | 1 | 0 | |a Reorganization of a medical service network to manage pandemic waves |b a real case study |c Sajjad Ahadian, Mir Saman Pishvaee, Hamed Jahani |
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650 | 4 | |a Medical service network |7 (dpeaa)DE-206 | |
650 | 4 | |a Mixed-integer linear programming |7 (dpeaa)DE-206 | |
650 | 4 | |a Pandemic control |7 (dpeaa)DE-206 | |
650 | 4 | |a Post-disaster casualty management |7 (dpeaa)DE-206 | |
650 | 4 | |a Staff management |7 (dpeaa)DE-206 | |
700 | 1 | |a Pishvaee, Mir Saman |e verfasserin |0 (DE-588)139080570 |0 (DE-627)607921161 |0 (DE-576)31018326X |4 aut | |
700 | 1 | |a Jahani, Hamed |e verfasserin |4 aut | |
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982 | |2 26 |1 00 |x DE-206 |b During Covid-19, medical service networks (MSNs) faced new challenges, such as an impressive increase in hospital visits, a shortage of hospital beds and staff, and insufficient information to estimate the number of mild and critical cases. In addition, governments were encountered to implement appropriate quarantine policies. Dealing with these problems became more complex and challenging when a new wave of disease occurred. This study develops a mixed-integer linear programming model for reorganizing an MSN to manage future pandemic waves. The model aims at reallocation medical staff to prevent a shortage of hospital beds. A fuzzy approach is employed to estimate the uncertain number of patients in each period. As a result, direct hospital visits are decreased by 60% on average, and shortages of beds are avoided by adding the fewest beds possible in each period. The model can also optimize several performance ratios, e.g., the ratio of hospitalized patients to the specialized personnel assigned to each hospital, which is decreased by approximately 40% in our case. |