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An innovative patient clustering method using data envelopment Analysis–Discriminant analysis and artificial neural networks: A case study in healthcare systems 使用数据包络分析-判别分析和人工神经网络的创新病人聚类方法:医疗系统案例研究
IF 6.2 2区 经济学 Q1 ECONOMICS Pub Date : 2024-09-02 DOI: 10.1016/j.seps.2024.102054
Saeed Yousefi , Reza Farzipoor Saen , Hadi Shabanpour , Kian Ghods

A major lesson healthcare managers learned from the COVID-19 outbreak is the need for more effective patient classification and medical resource allocation for future pandemics. In their view, hospitalization mortality could be greatly reduced if more effective systems for patient classification were in place before the outbreak to evaluate and assign treatment facilities. This study presents a scalable patient clustering approach using a Self-Organizing Map (SOM) of the Artificial Neural Network (ANN) to cluster patients for appropriate treatment allocation. The patients’ membership is forecasted using Data Envelopment Analysis–Discriminant Analysis (DEA-DA). The objectives of this research are to develop a flexible framework that healthcare systems can adopt to cluster patients based on specific testing criteria from medical records and to assign them to suitable medical centers with appropriate treatment resources. This method aims to enhance healthcare system efficiency by ensuring patients with severe illnesses receive care at well-equipped centers, while those with milder symptoms are directed to other suitable facilities. The approach is scalable and adaptable to any type of widespread illness and aims to increase recovery rates and decrease mortality rates, as confirmed by the case study results.

医疗管理人员从 COVID-19 爆发中学到的一个重要经验是,需要为未来的大流行病进行更有效的病人分类和医疗资源分配。他们认为,如果在疫情爆发前就建立起更有效的病人分类系统来评估和分配治疗设施,那么住院死亡率就会大大降低。本研究提出了一种可扩展的病人聚类方法,利用人工神经网络(ANN)的自组织图(SOM)对病人进行聚类,以分配适当的治疗。使用数据包络分析-判别分析(DEA-DA)对患者的成员资格进行预测。本研究的目标是开发一个灵活的框架,供医疗系统根据医疗记录中的特定测试标准对患者进行聚类,并将他们分配到拥有适当治疗资源的合适医疗中心。这种方法旨在提高医疗系统的效率,确保重症患者在设备齐全的中心接受治疗,而症状较轻的患者则被引导到其他合适的机构。正如案例研究结果所证实的那样,该方法具有可扩展性,适用于任何类型的广泛疾病,旨在提高康复率和降低死亡率。
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引用次数: 0
An ellipse-based locating method for flexible deployment of emergency UAVs 用于灵活部署应急无人机的基于椭圆的定位方法
IF 6.2 2区 经济学 Q1 ECONOMICS Pub Date : 2024-08-31 DOI: 10.1016/j.seps.2024.102049
Jinqiu Zhao , Le Yu , Binglei Xie

Unmanned Aerial Vehicles (UAVs), or drones, are gaining attention in emergency response for their rapid mobility in dynamic scenarios. Constrained by limited endurance and payload, UAVs typically operate in a ”depot-customer-depot” paradigm. Thus, optimally locating multiple depots is critical to achieving operational efficiency and flexibility. Traditional location models, which rely on circular coverage, fail to capture the actual reachable area for UAV round-trips between multiple depots within a given endurance range. This drawback restricts deployment flexibility or results in excessive redundancy, even making it impractical. To address this limitation, we introduce an ellipse-based locating method for flexible UAV deployment, inspired by UAV reachability and process flexibility in manufacturing. This approach attempts to optimize the redundancy of multi-depot coverage for demand points to achieve a better balance between deployment flexibility and resource requirements. To tackle the model’s computational challenge, we present an improved Benders decomposition algorithm that speeds up the solution process by analytically addressing subproblems and implementing dominance rules to manage the master problem’s size. Simulations show that the proposed model greatly improves the ability to handle uncertainties by incorporating slight redundancy in emergency resources, and the fulfillment rate of demand fluctuations is increased by 5%–20%, which shows the superiority of enhancing the mobility and flexibility of UAV deployment.

无人驾驶飞行器(UAV)或无人机因其在动态场景中的快速机动性,在应急响应中日益受到关注。受限于有限的续航时间和有效载荷,无人机通常以 "仓库-客户-仓库 "的模式运行。因此,对多个仓库进行优化定位对于实现运营效率和灵活性至关重要。传统的定位模型依赖于圆形覆盖范围,无法捕捉到无人机在给定续航时间范围内往返多个仓库的实际可达区域。这一缺点限制了部署的灵活性,或导致过多的冗余,甚至使部署变得不切实际。为了解决这一局限性,我们从无人机的可达性和制造过程的灵活性中汲取灵感,为无人机的灵活部署引入了一种基于椭圆的定位方法。这种方法试图优化需求点的多点覆盖冗余度,从而在部署灵活性和资源需求之间实现更好的平衡。为了解决该模型的计算难题,我们提出了一种改进的本德斯分解算法,通过分析处理子问题和实施支配规则来管理主问题的规模,从而加快求解过程。仿真结果表明,所提出的模型通过在应急资源中加入轻微冗余,极大地提高了处理不确定性的能力,需求波动的满足率提高了 5%-20%,显示了增强无人机部署的机动性和灵活性的优越性。
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引用次数: 0
Efficiency analysis of the innovation-driven sustainable logistics industry 创新驱动型可持续物流业的效率分析
IF 6.2 2区 经济学 Q1 ECONOMICS Pub Date : 2024-08-31 DOI: 10.1016/j.seps.2024.102050
Mustapha D. Ibrahim , Miguel Alves Pereira , Paulo Caldas

The logistics industry is at the heart of socio-economic development. Disruption in the logistics and supply chain industry grounded many sectors to a halt at the height of COVID-19 with economic and environmental implications. This study examines the efficiency and interconnections among innovation, energy, infrastructure, and logistics performance as the logistics industry strives to attain a green supply chain while maintaining economic growth and environmental sustainability. To capture these relationships, a network data envelopment analysis model is designed for efficiency analysis. 36 % of the evaluated countries had below-average efficiency. Results also indicate innovation and energy sustainability as drivers of efficiency and sustainability in the logistics industry. This implies the need for innovation in logistics energy infrastructure by decarbonizing the logistics industry. Regional and national partnerships in the technological development of green energy to power the logistics industry are recommended.

物流业是社会经济发展的核心。在 COVID-19 高峰期,物流和供应链行业的混乱导致许多行业停滞不前,对经济和环境造成了影响。本研究探讨了创新、能源、基础设施和物流绩效之间的效率和相互联系,因为物流业正努力实现绿色供应链,同时保持经济增长和环境的可持续发展。为了捕捉这些关系,设计了一个网络数据包络分析模型来进行效率分析。36% 的受评估国家的效率低于平均水平。结果还表明,创新和能源可持续性是物流业效率和可持续性的驱动力。这意味着需要通过物流业的去碳化来实现物流能源基础设施的创新。建议在绿色能源技术发展方面建立区域和国家伙伴关系,为物流业提供动力。
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引用次数: 0
Strategic socioeconomic planning to address ecological footprints in an uncertain economic landscape 在不确定的经济环境中解决生态足迹问题的战略性社会经济规划
IF 6.2 2区 经济学 Q1 ECONOMICS Pub Date : 2024-08-30 DOI: 10.1016/j.seps.2024.102048
Juan Ma , Jubao Zhang , Sajid Ali , Raima Nazar , Muhammad Khalid Anser

The flux of economic policy uncertainty casts a long shadow over the ecological footprint, amplifying the risk and the urgency for strategic planning that harmonizes economic stability with environmental stewardship. This complex interplay necessitates a reassessment of how economic strategies can be sculpted to mitigate environmental risks and foster sustainability. This research evaluates the asymmetric impact of economic policy uncertainty on the ecological footprints in the top 10 polluted nations (China, USA, India, Russia, Japan, Brazil, Germany, Indonesia, France, and Mexico) from 2001 to 2022. Prior studies relied on panel data methods without accounting for the unique features of individual economies. Conversely, the present investigation implements the Quantile-on-Quantile methodology to delve into the interconnection between the variables within each country. This sophisticated methodology enriches the exactness of our evaluation, providing a thorough worldwide standpoint and uncovering precise insights tailored to the distinctive attributes of each particular country. The outcomes disclose that economic policy uncertainties reduce ecological footprints across diverse quantiles in the selected economies. Additionally, the findings underscore multiple behaviors in these correlations across several quantiles. These results highlight the need for policymakers to take extensive measures to address the deviating impacts of economic policy uncertainty on ecological sustainability.

经济政策的不确定性给生态足迹蒙上了一层长长的阴影,加大了战略规划的风险和紧迫性,使经济稳定与环境管理相协调。这种复杂的相互作用要求我们重新评估如何制定经济战略,以降低环境风险并促进可持续发展。本研究评估了 2001 年至 2022 年经济政策不确定性对十大污染国家(中国、美国、印度、俄罗斯、日本、巴西、德国、印度尼西亚、法国和墨西哥)生态足迹的非对称影响。之前的研究依赖于面板数据方法,没有考虑各个经济体的独特性。与此相反,本研究采用了 "量化对量化 "方法来深入研究各国内部变量之间的相互联系。这一复杂的方法丰富了我们评估的精确性,提供了一个全面的全球视角,并针对每个特定国家的独特属性揭示了精确的见解。结果表明,经济政策的不确定性减少了选定经济体中不同数量级的生态足迹。此外,研究结果还强调了这些相关性在多个量级中的多种行为。这些结果突出表明,政策制定者需要采取广泛措施,应对经济政策不确定性对生态可持续性的偏差影响。
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引用次数: 0
Workload balancing for the nurse scheduling problem: A real-world case study from a French hospital 护士排班问题的工作量平衡:法国一家医院的实际案例研究
IF 6.2 2区 经济学 Q1 ECONOMICS Pub Date : 2024-08-30 DOI: 10.1016/j.seps.2024.102046
Alaouchiche Yasmine , Ouazene Yassine , Yalaoui Farouk , Chehade Hicham

To improve the efficiency and viability of healthcare organizations, it is crucial to enhance both the quality of patient care and the well-being of healthcare staff, particularly nurses. They play a vital role as a key human resource in healthcare, and their well-being and job satisfaction are significantly influenced by effective scheduling. Improved scheduling practices not only enhance the quality of care provided but also contribute to better job satisfaction and overall well-being of the nursing staff. Despite the importance of this task, nurse scheduling is often conducted manually by head nurses, which is both challenging and time-consuming. This study proposes a mathematical model that addresses the nurse scheduling problem, with a specific application in a French hospital department. The objectives of the model are to accommodate a wide range of constraints flexibly, ensure balanced workloads and shifts, and align with the preferences of the nursing staff. A significant contribution of this research is the theoretical investigation and comparison of various workload balancing criteria tailored to the specific context of the problem. The study analyzes different workload balancing criteria to formulate an efficient scheduling solution. The effectiveness of the proposed approach is demonstrated through large experiments and practice feedback, confirming its potential to enhance both healthcare efficiency and nurses’ well-being.

为了提高医疗机构的效率和生存能力,提高病人护理质量和医护人员(尤其是护士)的福利至关重要。作为医疗保健领域的关键人力资源,他们发挥着至关重要的作用,而有效的排班对他们的幸福感和工作满意度有着重大影响。改进排班方法不仅能提高护理质量,还能提高护理人员的工作满意度和整体幸福感。尽管这项任务非常重要,但护士排班通常由护士长手工操作,既具有挑战性又耗费时间。本研究针对护士排班问题提出了一个数学模型,具体应用于法国一家医院的科室。该模型的目标是灵活地适应各种约束条件,确保工作量和班次的平衡,并符合护理人员的偏好。本研究的一个重要贡献是对各种工作量平衡标准进行了理论研究和比较,以适应问题的具体情况。该研究分析了不同的工作量平衡标准,以制定有效的排班解决方案。通过大型实验和实践反馈,证明了所提方法的有效性,证实了其在提高医疗效率和护士福利方面的潜力。
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引用次数: 0
Matrix-based network data envelopment analysis: A common set of weights approach 基于矩阵的网络数据包络分析:共同权重集方法
IF 6.2 2区 经济学 Q1 ECONOMICS Pub Date : 2024-08-29 DOI: 10.1016/j.seps.2024.102044
Pejman Peykani , Fatemeh Sadat Seyed Esmaeili , Mir Saman Pishvaee , Mohsen Rostamy-Malkhalifeh , Farhad Hosseinzadeh Lotfi

Performance measurement of decision-making units (DMUs) with network structure is one of the main challenges in data envelopment analysis (DEA) field. The main purpose of this paper is to propose a novel network data envelopment analysis (NDEA) approach based on matrix of efficiency, common set of weights (CSW), multi-objective programming (MOP), and goal programming (GP) technique for performance measurement of peer DMUs in two-stage network structure. The advantages of the proposed NDEA approach can be summarized as follows: comparing all DMUs and sub-DMUs on the same base, considering all internal structures and relations and capability to extending this for all network structures, linearity of the proposed models, unique efficiency decomposing without any need to consider multiplicative, additive or leader-follower relations between overall and stages efficiency. To illustrate the usefulness and applicability of the proposed approach we applied it to a real application of non-life insurance companies in Taiwan.

对具有网络结构的决策单元(DMU)进行绩效衡量是数据包络分析(DEA)领域的主要挑战之一。本文的主要目的是提出一种基于效率矩阵、共同权重集(CSW)、多目标编程(MOP)和目标编程(GP)技术的新型网络数据包络分析(NDEA)方法,用于两级网络结构中同级 DMU 的绩效测量。所建议的 NDEA 方法的优点可归纳如下:在同一基础上比较所有 DMU 和子 DMU,考虑所有内部结构和关系,并能将其扩展到所有网络结构,所建议模型的线性,独特的效率分解,无需考虑整体效率和阶段效率之间的乘法、加法或领导者-追随者关系。为了说明所提方法的实用性和适用性,我们将其应用于台湾非寿险公司的实际应用中。
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引用次数: 0
Sample selection bias in non-traditional lending: A copula-based approach for imbalanced data 非传统贷款中的样本选择偏差:基于 copula 的不平衡数据处理方法
IF 6.2 2区 经济学 Q1 ECONOMICS Pub Date : 2024-08-29 DOI: 10.1016/j.seps.2024.102045
Raffaella Calabrese , Silvia Angela Osmetti , Luca Zanin

Credit scoring models for non-traditional lending channels, such as peer-to-peer (P2P) lending platforms, are usually estimated only on the sample of accepted applicants. This may lead to biased estimates of the risk drivers. This issue can be addressed using a reject inference technique that includes the characteristics of rejected applicants in the model. Due to the low numbers of accepted applicants and default records, credit scoring models usually face a class imbalance problem. However, previous literature on sample selection models for credit scoring does not address the class imbalance issue. To fill this gap, we extend the Generalised Extreme Value (GEV) regression model for binary data to the sample selection framework. We consider the quantile function of the GEV distribution as a link function in both the selection and outcome equations. We use the copula function to model the dependence structure between the two equations for its flexibility. This proposal is called the Sample Selection Generalised Extreme Value (SSGEV) model and it is implemented in the R package BivGEV. We apply this model to a comprehensive dataset provided by Lending Club, and we show that parameter estimates obtained only on accepted P2P applicants are biased and coherently with the literature. The SSGEV model achieves a higher predictive accuracy than those obtained using univariate approaches or a sample selection probit model. Our proposal also provides more conservative estimates of the Value-at-Risk and the Expected Shortfall.

针对非传统借贷渠道(如点对点(P2P)借贷平台)的信用评分模型通常只对已接受的申请人样本进行估算。这可能导致对风险驱动因素的估计存在偏差。使用拒绝推断技术可以解决这一问题,该技术将被拒绝的申请人的特征纳入模型中。由于被接受的申请人和违约记录的数量较少,信用评分模型通常会面临类别不平衡的问题。然而,以往关于信用评分样本选择模型的文献并没有解决类别不平衡问题。为了填补这一空白,我们将二元数据的广义极值回归模型(GEV)扩展到了样本选择框架。我们将 GEV 分布的量化函数视为选择方程和结果方程中的链接函数。我们使用 copula 函数对两个方程之间的依赖结构进行建模,以提高其灵活性。这一建议被称为样本选择广义极值(SSGEV)模型,并在 R 软件包 BivGEV 中实现。我们将该模型应用于 Lending Club 提供的综合数据集,结果表明,仅从被接受的 P2P 申请人身上获得的参数估计是有偏差的,且与文献一致。SSGEV 模型比使用单变量方法或样本选择概率模型获得的预测准确性更高。我们的建议还提供了更保守的风险价值和预期缺口估计值。
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引用次数: 0
WHO non-communicable diseases Global Monitoring Framework: Pandemic resilience in sub-Saharan Africa and Low-income Countries 世卫组织非传染性疾病全球监测框架:撒哈拉以南非洲和低收入国家抗击大流行病的能力
IF 6.2 2区 经济学 Q1 ECONOMICS Pub Date : 2024-08-24 DOI: 10.1016/j.seps.2024.102043
Shimaa Elkomy, Tim Jackson
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引用次数: 0
Assessing tourism sustainability in European Union countries: A multi-directional benefit of the doubt composite indicator 评估欧盟国家旅游业的可持续性:多向疑点效益综合指标
IF 6.2 2区 经济学 Q1 ECONOMICS Pub Date : 2024-08-22 DOI: 10.1016/j.seps.2024.102042
Francesca Giambona, Alessandro Magrini, Elisa Fusco

We propose a composite indicator for the assessment of tourism sustainability in European Union (EU) countries relatively to years 2019 and 2021. Our proposal is a revisitation of the Travel & Tourism Development Index (TTDI), which is based on a uniform weighting scheme, by means of the Multi-Directional Benefit of the Doubt (MD-BoD) model, an innovative non-compensatory method able to derive a country-specific preference structure from the data. Thanks to the MD-BoD model, each pillar and elementary indicator receives a score that reflects the potential improvement of the country relatively to an empirical benchmark, therefore it is possible to objectively identify weak and strong dimensions of tourism sustainability before and after the Covid-19 pandemic. As such, our composite indicator represents a valuable support for the design of policies aimed at increasing the resilience of the European tourism ecosystem.

我们提出了一个综合指标,用于评估欧盟(EU)国家 2019 年和 2021 年旅游业的可持续性。我们的建议是通过 "多向疑点收益"(MD-BoD)模型,对基于统一加权方案的 "旅行与采样;旅游发展指数"(TTDI)进行重新审视。该模型是一种创新的非补偿性方法,能够从数据中得出特定国家的偏好结构。由于采用了 MD-BoD 模型,每个支柱和基本指标都会得到一个分数,该分数反映了该国相对于经验基准的潜在改善程度,因此可以客观地确定旅游业可持续性在 Covid-19 大流行前后的强弱维度。因此,我们的综合指标为制定旨在提高欧洲旅游生态系统复原力的政策提供了宝贵的支持。
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引用次数: 0
Exploring the nexus between ESG risk variations and investment preferences: Insights from sustainable ETFs during the COVID-19 era 探索环境、社会和公司治理风险变化与投资偏好之间的关系:从 COVID-19 时代的可持续 ETF 中获得的启示
IF 6.2 2区 经济学 Q1 ECONOMICS Pub Date : 2024-08-22 DOI: 10.1016/j.seps.2024.102039
Giovanni Catello Landi, Lorenzo Turriziani, Valerio Muto, Irene Ricciardi

This study analyzes the impact of Environmental, Social, and Governance (ESG) risk metrics on the financial performance of ETFs in the US and Europe from January 2020 to December 2023, particularly during the COVID-19 pandemic. It explores the influence of ESG investment trends on ETF performance and investor preferences between equities and bonds in response to ESG risk profiles. Results show a positive correlation between higher ESG standards and financial performance, measured by the Sharpe ratio, with a marked preference for bonds amidst increased ESG risks. This highlights the critical role of ESG considerations in investment strategies and risk management, providing insights for sustainable finance.

本研究分析了 2020 年 1 月至 2023 年 12 月期间环境、社会和治理(ESG)风险指标对美国和欧洲 ETF 财务业绩的影响,尤其是在 COVID-19 大流行期间。该研究探讨了 ESG 投资趋势对 ETF 业绩的影响,以及投资者根据 ESG 风险状况对股票和债券的偏好。结果显示,较高的环境、社会和治理标准与以夏普比率衡量的财务业绩之间存在正相关关系,在环境、社会和治理风险增加的情况下,投资者明显偏好债券。这凸显了环境、社会和公司治理因素在投资战略和风险管理中的关键作用,为可持续金融提供了启示。
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引用次数: 0
期刊
Socio-economic Planning Sciences
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