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Operational research applied to decisions in home health care: A systematic literature review

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  • Luca Grieco
  • Martin Utley
  • Sonya Crowe

Abstract

The efficient deployment of resources in home-based care is considered crucial for the sustainability of health and social care systems worldwide. The aim of this study was to identify and review operational research approaches to support decision-making in home health care. We identified a set of linked decisions at different planning levels (strategic, tactical, operational) and conducted a systematic review of operational research approaches used to address these decisions. We also sampled OR literature applied to analogous decisions in other settings. The 77 papers selected focused predominantly on solutions for staff-to-patient allocation, visit scheduling and staff routing, few of which were adopted by organisations. Few studies dealt with tactical decisions of team size and composition or strategic decisions of districting, and we found no studies on contract design for commissioning home health care, on staff role definitions or on reassessment of patient need. Integrative work is scarce and the aspects of system performance considered are variable and diverse. For these reasons the literature does not provide guidance for home health care services aspiring to effective and coherent decisions across planning levels. OR approaches from other areas of application provide some insights for future research aimed at addressing this shortfall.

Suggested Citation

  • Luca Grieco & Martin Utley & Sonya Crowe, 2021. "Operational research applied to decisions in home health care: A systematic literature review," Journal of the Operational Research Society, Taylor & Francis Journals, vol. 72(9), pages 1960-1991, September.
    • Handle: RePEc:taf:tjorxx:v:72:y:2021:i:9:p:1960-1991
    DOI: 10.1080/01605682.2020.1750311
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    Cited by:

    1. Marija Milavec Kapun & Rok Drnovšek & Vladislav Rajkovič & Uroš Rajkovič, 2023. "A multi-criteria decision model for assessing health and self-care ability," 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. 31(3), pages 911-926, September.
    2. Naderi, Bahman & Begen, Mehmet A. & Zaric, Gregory S. & Roshanaei, Vahid, 2023. "A novel and efficient exact technique for integrated staffing, assignment, routing, and scheduling of home care services under uncertainty," Omega, Elsevier, vol. 116(C).
    3. Vahid Akbari & İhsan Sadati & F. Sibel Salman & Davood Shiri, 2023. "Minimizing total weighted latency in home healthcare routing and scheduling with patient prioritization," OR Spectrum: Quantitative Approaches in Management, Springer;Gesellschaft für Operations Research e.V., vol. 45(3), pages 807-852, September.
    4. Tsang, Man Yiu & Shehadeh, Karmel S., 2023. "Stochastic optimization models for a home service routing and appointment scheduling problem with random travel and service times," European Journal of Operational Research, Elsevier, vol. 307(1), pages 48-63.

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