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Location of trauma care resources with inter-facility patient transfers

Author

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  • DuBois, Eric
  • Schmidt, Adam
  • Albert, Laura A.

Abstract

Traumatic injury is the third leading cause of death in the United States and is the leading cause of death among people aged 1–44. Regional trauma care systems can significantly reduce this mortality rate if resources are located and used appropriately. Trauma centers are categorized as able to either provide total care (Level I or II) or prompt care (Level III and IV). We study trauma system planning by introducing an integer programming model to optimally relocate existing air ambulances, locate new air ambulances, and upgrade Level III and IV trauma centers to Level I or II trauma centers within a mature trauma system. The goal of these models to improve timely access to care and ensure the appropriate level of care is provided to severely injured patients. A novel aspect of the modeling approach is the inclusion of patient transfers from Level III/IV trauma centers to Level I/II trauma centers. Patient transfers are of particular importance after mass casualty events when a surge of trauma patients can overwhelm local trauma center capacity. As a result, we introduce a mass casualty incident response stochastic programming model to optimally relocate air ambulances within the trauma system following a mass casualty incident but before patient demand is known with certainty. The two models inform planning decisions by considering the interrelated response decisions. We construct case studies for both models based on the Wisconsin, USA trauma care system. The results highlight the importance of relocating air ambulances for increasing the number of patients transported directly to a Level I/II trauma center. The results also indicate that considering patient transfers within the model can significantly alter the optimal locations of trauma care resources compared to when transfers are not considered.

Suggested Citation

  • DuBois, Eric & Schmidt, Adam & Albert, Laura A., 2021. "Location of trauma care resources with inter-facility patient transfers," Operations Research Perspectives, Elsevier, vol. 8(C).
  • Handle: RePEc:eee:oprepe:v:8:y:2021:i:c:s2214716021000233
    DOI: 10.1016/j.orp.2021.100206
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    References listed on IDEAS

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    1. Erdemir, Elif Tokar & Batta, Rajan & Rogerson, Peter A. & Blatt, Alan & Flanigan, Marie, 2010. "Joint ground and air emergency medical services coverage models: A greedy heuristic solution approach," European Journal of Operational Research, Elsevier, vol. 207(2), pages 736-749, December.
    2. Mark S. Daskin, 1983. "A Maximum Expected Covering Location Model: Formulation, Properties and Heuristic Solution," Transportation Science, INFORMS, vol. 17(1), pages 48-70, February.
    3. Constantine Toregas & Ralph Swain & Charles ReVelle & Lawrence Bergman, 1971. "The Location of Emergency Service Facilities," Operations Research, INFORMS, vol. 19(6), pages 1363-1373, October.
    4. Jeffrey Goldberg & Luis Paz, 1991. "Locating Emergency Vehicle Bases When Service Time Depends on Call Location," Transportation Science, INFORMS, vol. 25(4), pages 264-280, November.
    5. Soo-Haeng Cho & Hoon Jang & Taesik Lee & John Turner, 2014. "Simultaneous Location of Trauma Centers and Helicopters for Emergency Medical Service Planning," Operations Research, INFORMS, vol. 62(4), pages 751-771, August.
    6. Kathleen Hogan & Charles ReVelle, 1986. "Concepts and Applications of Backup Coverage," Management Science, INFORMS, vol. 32(11), pages 1434-1444, November.
    7. Richard Church & Charles R. Velle, 1974. "The Maximal Covering Location Problem," Papers in Regional Science, Wiley Blackwell, vol. 32(1), pages 101-118, January.
    8. Susan Budge & Armann Ingolfsson & Dawit Zerom, 2010. "Empirical Analysis of Ambulance Travel Times: The Case of Calgary Emergency Medical Services," Management Science, INFORMS, vol. 56(4), pages 716-723, April.
    Full references (including those not matched with items on IDEAS)

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