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The sustainable home health care process based on multi-criteria decision-support

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Summary:The increase in life expectancy has led to a growing demand for Home Health Care (HHC) services. However, some problems can arise in the management of these services, leading to high computational complexity and time-consuming to obtain an exact and/or optimal solution. This study intends to contribute to an automatic multi-criteria decision-support system that allows the optimization of several objective functions simultaneously, which are often conflicting, such as costs related to travel (distance and/or time) and available resources (health professionals and vehicles) to visit the patients. In this work, the HHC scheduling and routing problem is formulated as a multi objective approach, aiming to minimize the travel distance, the travel time and the number of vehicles, taking into account specific constraints, such as the needs of patients, allocation variables, the health professionals and the transport availability. Thus, the multi-objective genetic algorithm, based on the NSGA-II, is applied to a real-world problem of HHC visits from a Health Unit in Bragança (Portugal), to identify and examine the different compromises between the objectives using a Pareto-based approach to operational planning. Moreover, this work provides several efficient end-user solutions, which were standardized and evaluated in terms of the proposed policy and compared with current practice. The outcomes demonstrate the significance of a multi-criteria approach to HHC services.
Main Authors:Alves, Filipe
Other Authors:Costa, Lino; Rocha, Ana Maria A.C.; Pereira, Ana I.; Leitão, Paulo
Subject:Multi-criteria optimization Home health care Path planning Metaheuristic Decision-support system
Year:2023
Country:Portugal
Document type:article
Access type:open access
Associated institution:Instituto Politécnico de Bragança
Language:English
Origin:Biblioteca Digital do IPB
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author Alves, Filipe
author2 Costa, Lino
Rocha, Ana Maria A.C.
Pereira, Ana I.
Leitão, Paulo
author2_role author
author
author
author
author_facet Alves, Filipe
Costa, Lino
Rocha, Ana Maria A.C.
Pereira, Ana I.
Leitão, Paulo
author_role author
contributor_name_str_mv Biblioteca Digital do IPB
country_str PT
creators_json_txt [{\"Person.name\":\"Alves, Filipe\",\"Person.identifier.orcid\":\"0000-0002-8387-391X\"},{\"Person.name\":\"Costa, Lino\"},{\"Person.name\":\"Rocha, Ana Maria A.C.\"},{\"Person.name\":\"Pereira, Ana I.\",\"Person.identifier.orcid\":\"0000-0003-3803-2043\"},{\"Person.name\":\"Leitão, Paulo\",\"Person.identifier.orcid\":\"0000-0002-2151-7944\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Biblioteca Digital do IPB
datacite.creators.creator.creatorName.fl_str_mv Alves, Filipe
Costa, Lino
Rocha, Ana Maria A.C.
Pereira, Ana I.
Leitão, Paulo
datacite.date.Accepted.fl_str_mv 2023-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2023-02-24T11:38:28Z
datacite.date.embargoed.fl_str_mv 2023-02-24T11:38:28Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Multi-criteria optimization
Home health care
Path planning
Metaheuristic
Decision-support system
datacite.titles.title.fl_str_mv The sustainable home health care process based on multi-criteria decision-support
dc.contributor.none.fl_str_mv Biblioteca Digital do IPB
dc.creator.none.fl_str_mv Alves, Filipe
Costa, Lino
Rocha, Ana Maria A.C.
Pereira, Ana I.
Leitão, Paulo
dc.date.Accepted.fl_str_mv 2023-01-01T00:00:00Z
dc.date.available.fl_str_mv 2023-02-24T11:38:28Z
dc.date.embargoed.fl_str_mv 2023-02-24T11:38:28Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10198/27172
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv MDPI
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Multi-criteria optimization
Home health care
Path planning
Metaheuristic
Decision-support system
dc.title.fl_str_mv The sustainable home health care process based on multi-criteria decision-support
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description The increase in life expectancy has led to a growing demand for Home Health Care (HHC) services. However, some problems can arise in the management of these services, leading to high computational complexity and time-consuming to obtain an exact and/or optimal solution. This study intends to contribute to an automatic multi-criteria decision-support system that allows the optimization of several objective functions simultaneously, which are often conflicting, such as costs related to travel (distance and/or time) and available resources (health professionals and vehicles) to visit the patients. In this work, the HHC scheduling and routing problem is formulated as a multi objective approach, aiming to minimize the travel distance, the travel time and the number of vehicles, taking into account specific constraints, such as the needs of patients, allocation variables, the health professionals and the transport availability. Thus, the multi-objective genetic algorithm, based on the NSGA-II, is applied to a real-world problem of HHC visits from a Health Unit in Bragança (Portugal), to identify and examine the different compromises between the objectives using a Pareto-based approach to operational planning. Moreover, this work provides several efficient end-user solutions, which were standardized and evaluated in terms of the proposed policy and compared with current practice. The outcomes demonstrate the significance of a multi-criteria approach to HHC services.
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person_str_mv Alves, Filipe
Alves, Filipe
https://www.ciencia-id.pt/DF1B-F14B-A8BC
DF1B-F14B-A8BC
http://orcid.org/0000-0002-8387-391X
0000-0002-8387-391X
Costa, Lino
Rocha, Ana Maria A.C.
Pereira, Ana I.
Pereira, Ana I.
https://www.ciencia-id.pt/0716-B7C2-93E4
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http://orcid.org/0000-0003-3803-2043
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Leitão, Paulo
Leitão, Paulo
https://www.ciencia-id.pt/8316-8F13-DA71
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publishDate 2023
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spelling engMDPIpt_PTThe increase in life expectancy has led to a growing demand for Home Health Care (HHC) services. However, some problems can arise in the management of these services, leading to high computational complexity and time-consuming to obtain an exact and/or optimal solution. This study intends to contribute to an automatic multi-criteria decision-support system that allows the optimization of several objective functions simultaneously, which are often conflicting, such as costs related to travel (distance and/or time) and available resources (health professionals and vehicles) to visit the patients. In this work, the HHC scheduling and routing problem is formulated as a multi objective approach, aiming to minimize the travel distance, the travel time and the number of vehicles, taking into account specific constraints, such as the needs of patients, allocation variables, the health professionals and the transport availability. Thus, the multi-objective genetic algorithm, based on the NSGA-II, is applied to a real-world problem of HHC visits from a Health Unit in Bragança (Portugal), to identify and examine the different compromises between the objectives using a Pareto-based approach to operational planning. Moreover, this work provides several efficient end-user solutions, which were standardized and evaluated in terms of the proposed policy and compared with current practice. The outcomes demonstrate the significance of a multi-criteria approach to HHC services.application/pdfpt_PTThe sustainable home health care process based on multi-criteria decision-supportPersonalAlves, FilipeDSpacehttp://dspace.org/items/200d05f8-7834-47d4-872d-1b6b82a323d2DSpacehttp://dspace.org/items/200d05f8-7834-47d4-872d-1b6b82a323d2AlvesFilipeCiência IDhttps://www.ciencia-id.ptDF1B-F14B-A8BCORCIDhttp://orcid.org0000-0002-8387-391XResearcher IDhttps://www.researcherid.comV-5791-2017Scopus Author IDhttps://www.scopus.com57195267974Costa, LinoRocha, Ana Maria A.C.PersonalPereira, Ana I.DSpacehttp://dspace.org/items/e9981d62-2a2b-4fef-b75e-c2a14b0e7846DSpacehttp://dspace.org/items/e9981d62-2a2b-4fef-b75e-c2a14b0e7846PereiraAna I.Ciência IDhttps://www.ciencia-id.pt0716-B7C2-93E4ORCIDhttp://orcid.org0000-0003-3803-2043Researcher IDhttps://www.researcherid.comF-3168-2010Scopus Author IDhttps://www.scopus.com15071961600PersonalLeitão, PauloDSpacehttp://dspace.org/items/68d9eb25-ad4f-439b-aeb2-35e8708644ccDSpacehttp://dspace.org/items/68d9eb25-ad4f-439b-aeb2-35e8708644ccLeitãoPauloCiência IDhttps://www.ciencia-id.pt8316-8F13-DA71ORCIDhttp://orcid.org0000-0002-2151-7944Scopus Author IDhttps://www.scopus.com35584388900HostingInstitutionOrganizationalBiblioteca Digital do IPBe-mailmailto:dspace@ipb.ptdspace@ipb.ptDOIIsPartOf10.3390/math110100062023-02-24T11:38:28Z20232023-01-01T00:00:00ZHandlehttp://hdl.handle.net/10198/27172http://purl.org/coar/access_right/c_abf2open accessMulti-criteria optimizationHome health carePath planningMetaheuristicDecision-support system791942 bytesFundação para a Ciência e a TecnologiaResearch Centre in Digitalization and Intelligent Robotics6817 - DCRRNI IDCrossref Funder IDhttp://doi.org/10.13039/501100001871Fundação para a Ciência e a TecnologiaResearch Centre in Digitalization and Intelligent Robotics6817 - DCRRNI IDCrossref Funder IDhttp://doi.org/10.13039/501100001871Fundação para a Ciência e a TecnologiaALGORITMI Research Center6817 - DCRRNI IDCrossref Funder IDhttp://doi.org/10.13039/501100001871literaturehttp://purl.org/coar/resource_type/c_6501journal article2023http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://bibliotecadigital.ipb.pt/bitstreams/b0828112-7a55-41ae-8875-cb0023bbacd6/downloadMathematics
spellingShingle The sustainable home health care process based on multi-criteria decision-support
Alves, Filipe
Multi-criteria optimization
Home health care
Path planning
Metaheuristic
Decision-support system
status SINGLETON
subject.fl_str_mv Multi-criteria optimization
Home health care
Path planning
Metaheuristic
Decision-support system
title The sustainable home health care process based on multi-criteria decision-support
title_full The sustainable home health care process based on multi-criteria decision-support
title_fullStr The sustainable home health care process based on multi-criteria decision-support
title_full_unstemmed The sustainable home health care process based on multi-criteria decision-support
title_short The sustainable home health care process based on multi-criteria decision-support
title_sort The sustainable home health care process based on multi-criteria decision-support
topic Multi-criteria optimization
Home health care
Path planning
Metaheuristic
Decision-support system
topic_facet Multi-criteria optimization
Home health care
Path planning
Metaheuristic
Decision-support system
url http://hdl.handle.net/10198/27172
visible 1