Online scheduling using a fixed template: the case of outpatient chemotherapy drug administration.

IF 2.3 3区 医学 Q2 HEALTH POLICY & SERVICES Health Care Management Science Pub Date : 2023-03-01 DOI:10.1007/s10729-022-09616-1
Alireza F Hesaraki, Nico P Dellaert, Ton de Kok
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引用次数: 1

Abstract

In this paper, we use a fixed template of slots for the online scheduling of appointments. The template is a link between planning the service capacity at a tactical level and online scheduling at an operational level. We develop a detailed heuristic for the case of drug administration appointments in outpatient chemotherapy. However, the approach can be applied to online scheduling in other application areas as well. The desired scheduling principles are incorporated into the cost coefficients of the objective function of a binary integer program for booking appointments in the template, as requests arrive. The day and time of appointments are decided simultaneously, rather than sequentially, where optimal solutions may be eliminated from the search. The service that we consider in this paper is an example to show the versatility of a fixed template online scheduling model. It requires two types of resource, one of which is exclusively assigned for the whole appointment duration, and the other is shared among multiple appointments after setting up the service. There is high heterogeneity among appointments on a day of this service. The appointments may range from fifteen minutes to more than eight hours. A fixed template gives a pattern for the scheduling of possibly required steps before the service. Instead of maximizing the fill-rate of the template, the objective of our heuristic is to have high performance in multiple indicators pertaining to various stakeholders (patients, nurses, and the clinic). By simulation, we illustrate the performance of the fixed template model for the key indicators.

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在线调度采用固定模板:门诊化疗给药的案例。
在本文中,我们使用固定的插槽模板进行在线预约调度。模板是在战术层面规划服务能力和在操作层面在线调度之间的纽带。我们开发了一个详细的启发式的情况下,药物管理预约门诊化疗。然而,该方法也可以应用于其他应用领域的在线调度。当请求到达时,期望的调度原则被合并到模板中预订预约的二进制整数程序的目标函数的成本系数中。约会的日期和时间是同时决定的,而不是顺序决定的,这样可能会从搜索中排除最优解决方案。本文所考虑的服务是一个例子,说明了固定模板在线调度模型的通用性。它需要两种类型的资源,一种是在整个约会期间独家分配的,另一种是在建立服务后在多个约会中共享的。这项服务一天的预约之间存在很大的异质性。预约时间从15分钟到8个多小时不等。固定模板提供了在服务之前可能需要的步骤的调度模式。我们的启发式的目标不是最大化模板的填充率,而是在与各种利益相关者(患者、护士和诊所)相关的多个指标中具有高性能。通过仿真,我们说明了固定模板模型对关键指标的性能。
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来源期刊
Health Care Management Science
Health Care Management Science HEALTH POLICY & SERVICES-
CiteScore
7.20
自引率
5.60%
发文量
40
期刊介绍: Health Care Management Science publishes papers dealing with health care delivery, health care management, and health care policy. Papers should have a decision focus and make use of quantitative methods including management science, operations research, analytics, machine learning, and other emerging areas. Articles must clearly articulate the relevance and the realized or potential impact of the work. Applied research will be considered and is of particular interest if there is evidence that it was implemented or informed a decision-making process. Papers describing routine applications of known methods are discouraged. Authors are encouraged to disclose all data and analyses thereof, and to provide computational code when appropriate. Editorial statements for the individual departments are provided below. Health Care Analytics Departmental Editors: Margrét Bjarnadóttir, University of Maryland Nan Kong, Purdue University With the explosion in computing power and available data, we have seen fast changes in the analytics applied in the healthcare space. The Health Care Analytics department welcomes papers applying a broad range of analytical approaches, including those rooted in machine learning, survival analysis, and complex event analysis, that allow healthcare professionals to find opportunities for improvement in health system management, patient engagement, spending, and diagnosis. We especially encourage papers that combine predictive and prescriptive analytics to improve decision making and health care outcomes. The contribution of papers can be across multiple dimensions including new methodology, novel modeling techniques and health care through real-world cohort studies. Papers that are methodologically focused need in addition to show practical relevance. Similarly papers that are application focused should clearly demonstrate improvements over the status quo and available approaches by applying rigorous analytics. Health Care Operations Management Departmental Editors: Nilay Tanik Argon, University of North Carolina at Chapel Hill Bob Batt, University of Wisconsin The department invites high-quality papers on the design, control, and analysis of operations at healthcare systems. We seek papers on classical operations management issues (such as scheduling, routing, queuing, transportation, patient flow, and quality) as well as non-traditional problems driven by everchanging healthcare practice. Empirical, experimental, and analytical (model based) methodologies are all welcome. Papers may draw theory from across disciplines, and should provide insight into improving operations from the perspective of patients, service providers, organizations (municipal/government/industry), and/or society. Health Care Management Science Practice Departmental Editor: Vikram Tiwari, Vanderbilt University Medical Center The department seeks research from academicians and practitioners that highlights Management Science based solutions directly relevant to the practice of healthcare. Relevance is judged by the impact on practice, as well as the degree to which researchers engaged with practitioners in understanding the problem context and in developing the solution. Validity, that is, the extent to which the results presented do or would apply in practice is a key evaluation criterion. In addition to meeting the journal’s standards of originality and substantial contribution to knowledge creation, research that can be replicated in other organizations is encouraged. Papers describing unsuccessful applied research projects may be considered if there are generalizable learning points addressing why the project was unsuccessful. Health Care Productivity Analysis Departmental Editor: Jonas Schreyögg, University of Hamburg The department invites papers with rigorous methods and significant impact for policy and practice. Papers typically apply theory and techniques to measuring productivity in health care organizations and systems. The journal welcomes state-of-the-art parametric as well as non-parametric techniques such as data envelopment analysis, stochastic frontier analysis or partial frontier analysis. The contribution of papers can be manifold including new methodology, novel combination of existing methods or application of existing methods to new contexts. Empirical papers should produce results generalizable beyond a selected set of health care organizations. All papers should include a section on implications for management or policy to enhance productivity. Public Health Policy and Medical Decision Making Departmental Editors: Ebru Bish, University of Alabama Julie L. Higle, University of Southern California The department invites high quality papers that use data-driven methods to address important problems that arise in public health policy and medical decision-making domains. We welcome submissions that develop and apply mathematical and computational models in support of data-driven and model-based analyses for these problems. The Public Health Policy and Medical Decision-Making Department is particularly interested in papers that: Study high-impact problems involving health policy, treatment planning and design, and clinical applications; Develop original data-driven models, including those that integrate disease modeling with screening and/or treatment guidelines; Use model-based analyses as decision making-tools to identify optimal solutions, insights, recommendations. Articles must clearly articulate the relevance of the work to decision and/or policy makers and the potential impact on patients and/or society. Papers will include articulated contributions within the methodological domain, which may include modeling, analytical, or computational methodologies. Emerging Topics Departmental Editor: Alec Morton, University of Strathclyde Emerging Topics will handle papers which use innovative quantitative methods to shed light on frontier issues in healthcare management and policy. Such papers may deal with analytic challenges arising from novel health technologies or new organizational forms. Papers falling under this department may also deal with the analysis of new forms of data which are increasingly captured as health systems become more and more digitized.
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