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

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Resumo: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.
Autores principais:Alves, Filipe
Outros Autores:Costa, Lino; Rocha, Ana Maria A.C.; Pereira, Ana I.; Leitão, Paulo
Assunto:Multi-criteria optimization Home health care Path planning Metaheuristic Decision-support system
Ano:2023
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Instituto Politécnico de Bragança
Idioma:inglês
Origem:Biblioteca Digital do IPB

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