应对新冠肺炎大流行的数据驱动优化模型:案例研究。

IF 4.4 3区 管理学 Q1 OPERATIONS RESEARCH & MANAGEMENT SCIENCE Annals of Operations Research Pub Date : 2023-06-09 DOI:10.1007/s10479-023-05320-7
Amin Eshkiti, Fatemeh Sabouhi, Ali Bozorgi-Amiri
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引用次数: 0

摘要

新冠肺炎是一种高度流行的疾病,已导致全球医疗系统陷入困境。由于病人大量涌入,卫生服务资源有限,病人住院治疗受到一些限制。由于缺乏适当的医疗服务,这些限制可能会导致COVID-19相关死亡率的增加。它们还会增加其他人群感染的风险。本研究旨在研究一种分两阶段的方法,以设计供应链网络,为现有医院和临时医院的患者提供住院服务,有效分配患者所需的药物和医疗用品,并管理医院产生的废物。由于未来患者的数量是不确定的,在第一阶段,使用历史数据训练的人工神经网络预测未来时期的患者数量并生成场景。通过使用K-Means方法,可以减少这些场景。在第二阶段,使用前一阶段中获得的关于设施不确定性和中断的场景,开发了一个多目标、多周期、数据驱动的两阶段随机规划。所提出的模型的目标包括最大化最小分配需求比,最小化疾病传播的总风险,以及最小化总运输时间。此外,在伊朗首都德黑兰进行了一项实际案例研究。结果表明,临时设施的位置选择了人口密度最高且附近没有设施的地区。在临时设施中,临时医院最多可分配总需求的2.6%,这给现有医院带来了拆除的压力。此外,研究结果表明,在考虑临时设施的情况下,当发生中断时,分配与需求的比率可以保持在理想水平。我们的分析重点是:(1)检查第一阶段的需求预测误差和生成的场景,(2)探索需求参数对分配需求比、总时间和总风险的影响,(3)研究利用临时医院应对需求突然变化的策略,(4)评估供应链网络中设施中断的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A data-driven optimization model to response to COVID-19 pandemic: a case study

COVID-19 is a highly prevalent disease that has led to numerous predicaments for healthcare systems worldwide. Owing to the significant influx of patients and limited resources of health services, there have been several limitations associated with patients' hospitalization. These limitations can cause an increment in the COVID-19-related mortality due to the lack of appropriate medical services. They can also elevate the risk of infection in the rest of the population. The present study aims to investigate a two-phase approach to designing a supply chain network for hospitalizing patients in the existing and temporary hospitals, efficiently distributing medications and medical items needed by patients, and managing the waste created in hospitals. Since the number of future patients is uncertain, in the first phase, trained Artificial Neural Networks with historical data forecast the number of patients in future periods and generate scenarios. Through the use of the K-Means method, these scenarios are reduced. In the second phase, a multi-objective, multi-period, data-driven two-stage stochastic programming is developed using the acquired scenarios in the previous phase concerning the uncertainty and disruption in facilities. The objectives of the proposed model include maximizing the minimum allocation-to-demand ratio, minimizing the total risk of disease spread, and minimizing the total transportation time. Furthermore, a real case study is investigated in Tehran, the capital of Iran. The results showed that the areas with the highest population density and no facilities near them have been selected for the location of temporary facilities. Among temporary facilities, temporary hospitals can allocate up to 2.6% of the total demand, which puts pressure on the existing hospitals to be removed. Furthermore, the results indicated that the allocation-to-demand ratio can remain at an ideal level when disruptions occur by considering temporary facilities. Our analyses focus on: (1) Examining demand forecasting error and generated scenarios in the first phase, (2) exploring the impact of demand parameters on the allocation-to-demand ratio, total time and total risk, (3) investigating the strategy of utilizing temporary hospitals to address sudden changes in demand, (4) evaluating the effect of disruption to facilities on the supply chain network.

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来源期刊
Annals of Operations Research
Annals of Operations Research 管理科学-运筹学与管理科学
CiteScore
7.90
自引率
16.70%
发文量
596
审稿时长
8.4 months
期刊介绍: The Annals of Operations Research publishes peer-reviewed original articles dealing with key aspects of operations research, including theory, practice, and computation. The journal publishes full-length research articles, short notes, expositions and surveys, reports on computational studies, and case studies that present new and innovative practical applications. In addition to regular issues, the journal publishes periodic special volumes that focus on defined fields of operations research, ranging from the highly theoretical to the algorithmic and the applied. These volumes have one or more Guest Editors who are responsible for collecting the papers and overseeing the refereeing process.
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