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Designing a multi-service healthcare network based on the impact of patients’ flow among medical services

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  • Maryam Radman

    (Sharif University of Technology)

  • Kourosh Eshghi

    (Sharif University of Technology)

Abstract

Efficient location of medical services is an issue of paramount importance in healthcare strategic planning. In this research, a mathematical model is developed for the location of multi-service health centers, assuming probabilistic demand and service time. Since patients may be shifted to another service after receiving a service by doctors’ order, health system is considered a Jackson queueing network. We assume that patients have “probabilistic choice behavior” and the primary factors contributing to their choice of one center over another are their proximity to the center and the number of medical services offered by the center. The proposed mixed integer nonlinear programming model seeks to minimize the demand weighted total distance travelled by patients among their residential areas and health centers and also among health centers on the one hand, and the weighted sum of undesired deviations from standard arrival rates at service stations on the other hand. The location of health centers as well as the type of services they offer and the number of servers at each service station are the main determinants of the proposed model. Using the proposed model, we can predict patients’ choice patterns and their arrival rates at current or newly provided medical stations. Two heuristics are developed to solve medium and large instances of the proposed model. The computational results obtained from benchmark instances show that the GA-based heuristic is somewhat better than the heuristic based on remove–add-–exchange procedures.

Suggested Citation

  • Maryam Radman & Kourosh Eshghi, 2018. "Designing a multi-service healthcare network based on the impact of patients’ flow among medical services," OR Spectrum: Quantitative Approaches in Management, Springer;Gesellschaft für Operations Research e.V., vol. 40(3), pages 637-678, July.
    • Handle: RePEc:spr:orspec:v:40:y:2018:i:3:d:10.1007_s00291-018-0519-1
    DOI: 10.1007/s00291-018-0519-1
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    References listed on IDEAS

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    1. Harper, P. R. & Shahani, A. K. & Gallagher, J. E. & Bowie, C., 2005. "Planning health services with explicit geographical considerations: a stochastic location-allocation approach," Omega, Elsevier, vol. 33(2), pages 141-152, April.
    2. Galvao, Roberto D. & Acosta Espejo, Luis Gonzalo & Boffey, Brian, 2002. "A hierarchical model for the location of perinatal facilities in the municipality of Rio de Janeiro," European Journal of Operational Research, Elsevier, vol. 138(3), pages 495-517, May.
    3. Yue Zhang & Oded Berman & Patrice Marcotte & Vedat Verter, 2010. "A bilevel model for preventive healthcare facility network design with congestion," IISE Transactions, Taylor & Francis Journals, vol. 42(12), pages 865-880.
    4. Boffey, Brian & Galvao, Roberto & Espejo, Luis, 2007. "A review of congestion models in the location of facilities with immobile servers," European Journal of Operational Research, Elsevier, vol. 178(3), pages 643-662, May.
    5. Zhang, Yue & Berman, Oded & Verter, Vedat, 2009. "Incorporating congestion in preventive healthcare facility network design," European Journal of Operational Research, Elsevier, vol. 198(3), pages 922-935, November.
    6. David L. Huff, 1963. "A Probabilistic Analysis of Shopping Center Trade Areas," Land Economics, University of Wisconsin Press, vol. 39(1), pages 81-90.
    7. Maria Bruni & Domenico Conforti & Nicola Sicilia & Sandro Trotta, 2006. "A new organ transplantation location–allocation policy: a case study of Italy," Health Care Management Science, Springer, vol. 9(2), pages 125-142, May.
    8. Marianov, Vladimir & Rí­os, Miguel & Icaza, Manuel José, 2008. "Facility location for market capture when users rank facilities by shorter travel and waiting times," European Journal of Operational Research, Elsevier, vol. 191(1), pages 32-44, November.
    9. Teixeira, Joao C. & Antunes, Antonio P., 2008. "A hierarchical location model for public facility planning," European Journal of Operational Research, Elsevier, vol. 185(1), pages 92-104, February.
    10. M Batty, 1978. "Reilly's Challenge: New Laws of Retail Gravitation Which Define Systems of Central Places," Environment and Planning A, , vol. 10(2), pages 185-219, February.
    11. Evrim Didem Güneş & Stefan Nickel, 2015. "Location Problems in Healthcare," Springer Books, in: Gilbert Laporte & Stefan Nickel & Francisco Saldanha da Gama (ed.), Location Science, edition 127, chapter 0, pages 555-579, Springer.
    12. Vladimir Marianov & Daniel Serra, 2002. "Location–Allocation of Multiple-Server Service Centers with Constrained Queues or Waiting Times," Annals of Operations Research, Springer, vol. 111(1), pages 35-50, March.
    13. Syam, Siddhartha S. & Côté, Murray J., 2010. "A location-allocation model for service providers with application to not-for-profit health care organizations," Omega, Elsevier, vol. 38(3-4), pages 157-166, June.
    14. Dong-Guen Kim & Yeong-Dae Kim, 2013. "A Lagrangian heuristic algorithm for a public healthcare facility location problem," Annals of Operations Research, Springer, vol. 206(1), pages 221-240, July.
    15. Navneet Vidyarthi & Onur Kuzgunkaya, 2015. "The impact of directed choice on the design of preventive healthcare facility network under congestion," Health Care Management Science, Springer, vol. 18(4), pages 459-474, December.
    16. Benneyan, James C. & Musdal, Hande & Ceyhan, Mehmet Erkan & Shiner, Brian & Watts, Bradley V., 2012. "Specialty care single and multi-period location–allocation models within the Veterans Health Administration," Socio-Economic Planning Sciences, Elsevier, vol. 46(2), pages 136-148.
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