IDEAS home Printed from https://ideas.repec.org/a/spr/orspec/v40y2018i3d10.1007_s00291-018-0519-1.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s00291-018-0519-1
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s00291-018-0519-1?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    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. 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.
    8. 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.
    9. 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.
    10. 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.
    11. 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.
    12. 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.
    13. 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.
    14. 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.
    15. 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.
    16. 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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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.
    2. Zarrinpoor, Naeme & Fallahnezhad, Mohammad Saber & Pishvaee, Mir Saman, 2018. "The design of a reliable and robust hierarchical health service network using an accelerated Benders decomposition algorithm," European Journal of Operational Research, Elsevier, vol. 265(3), pages 1013-1032.
    3. Soheil Davari, 2019. "The incremental cooperative design of preventive healthcare networks," Annals of Operations Research, Springer, vol. 272(1), pages 445-492, January.
    4. Ralf Krohn & Sven Müller & Knut Haase, 2021. "Preventive healthcare facility location planning with quality-conscious clients," OR Spectrum: Quantitative Approaches in Management, Springer;Gesellschaft für Operations Research e.V., vol. 43(1), pages 59-87, March.
    5. Marianov, Vladimir & Eiselt, H.A., 2024. "Fifty Years of Location Theory - A Selective Review," European Journal of Operational Research, Elsevier, vol. 318(3), pages 701-718.
    6. Mousazadeh, M. & Torabi, S. Ali & Pishvaee, M.S. & Abolhassani, F., 2018. "Accessible, stable, and equitable health service network redesign: A robust mixed possibilistic-flexible approach," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 111(C), pages 113-129.
    7. Kerim Dogan & Mumtaz Karatas & Ertan Yakici, 2020. "A model for locating preventive health care facilities," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 28(3), pages 1091-1121, September.
    8. Ouyang, Yanfeng & Wang, Zhaodong & Yang, Hai, 2015. "Facility location design under continuous traffic equilibrium," Transportation Research Part B: Methodological, Elsevier, vol. 81(P1), pages 18-33.
    9. An, Shi & Cui, Na & Bai, Yun & Xie, Weijun & Chen, Mingliu & Ouyang, Yanfeng, 2015. "Reliable emergency service facility location under facility disruption, en-route congestion and in-facility queuing," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 82(C), pages 199-216.
    10. Zhang, Yue & Liang, Liping & Liu, Emma & Chen, Chong & Atkins, Derek, 2016. "Patient choice analysis and demand prediction for a health care diagnostics company," European Journal of Operational Research, Elsevier, vol. 251(1), pages 198-205.
    11. S. Khodaparasti & H. R. Maleki & S. Jahedi & M. E. Bruni & P. Beraldi, 2017. "Enhancing community based health programs in Iran: a multi-objective location-allocation model," Health Care Management Science, Springer, vol. 20(4), pages 485-499, December.
    12. Vidyarthi, Navneet & Jayaswal, Sachin, 2013. "Efficient Solution of a Class of Location-Allocation Problems with Stochastic Demand and Congestion," IIMA Working Papers WP2013-11-03, Indian Institute of Management Ahmedabad, Research and Publication Department.
    13. Farahani, Reza Zanjirani & Fallah, Samira & Ruiz, Rubén & Hosseini, Sara & Asgari, Nasrin, 2019. "OR models in urban service facility location: A critical review of applications and future developments," European Journal of Operational Research, Elsevier, vol. 276(1), pages 1-27.
    14. Mestre, Ana Maria & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana Paula, 2015. "Location–allocation approaches for hospital network planning under uncertainty," European Journal of Operational Research, Elsevier, vol. 240(3), pages 791-806.
    15. Jalili Marand, Ata & Hoseinpour, Pooya, 2024. "A congested facility location problem with strategic customers," European Journal of Operational Research, Elsevier, vol. 318(2), pages 442-456.
    16. Soheil Davari & Kemal Kilic & Gurdal Ertek, 2015. "Fuzzy bi-objective preventive health care network design," Health Care Management Science, Springer, vol. 18(3), pages 303-317, September.
    17. Liu, Shaonan & Kong, Nan & Parikh, Pratik & Wang, Mingzheng, 2023. "Optimal trauma care network redesign with government subsidy: A bilevel integer programming approach," Omega, Elsevier, vol. 119(C).
    18. Jing Yao & Alan T. Murray, 2014. "Locational Effectiveness of Clinics Providing Sexual and Reproductive Health Services to Women in Rural Mozambique," International Regional Science Review, , vol. 37(2), pages 172-193, April.
    19. Hoseinpour, Pooya & Ahmadi-Javid, Amir, 2016. "A profit-maximization location-capacity model for designing a service system with risk of service interruptions," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 96(C), pages 113-134.
    20. 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.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:orspec:v:40:y:2018:i:3:d:10.1007_s00291-018-0519-1. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.