Optimisation-based integrated decision model for ambulance routing in response to pandemic outbreaks

Pandemics and sudden disease outbreaks place considerable stress on hospital resources. Their increasing numbers in recent years has necessitated investment in disaster risk management strategies, particularly in the healthcare sector. The sudden surge of patients, particularly in requesting ambulance services, overwhelms hospital systems and compromises health service delivery. Failure of health planners to respond immediately to a sudden disease outbreak can result in insufficient distribution of healthcare services and can thereby exacerbate the death toll dramatically. The current research aims to develop an optimisation-based integrated decision model to assist healthcare decision-makers with immediate and effective planning for ambulances to move critical patients from their residences to hospitals, considering the available capacities of each hospital. Several lemmas for the problem are proposed, and based on these; several local search methods are developed to improve the performance of the proposed optimisation method. To confirm the efficacy of the proposed approach, a comprehensive comparison is conducted. In conclusion, sensitivity analyses are performed to discuss some practical insights. The proposed models can be adopted to develop decision tools that enable hospital system managers to optimize their resources to changing healthcare needs in disease outbreaks.