Fast Approximation Methods for Online Scheduling of Outpatient Procedure Centers
研究了门诊手术中心动态分配患者到手术室的在线随机可扩展装箱问题，目标是最小化手术室开放和加班成本，提出了基于列表的近似方法并给出理论保证，数值实验表明该方法优于常见的提前预留手术室策略。
This paper presents a new model for online decision making. Motivated by the healthcare delivery application of dynamically allocating patients to procedure rooms in outpatient procedure centers, the online stochastic extensible bin-packing problem is described. The objective is to minimize the combined costs of opening procedure rooms and utilizing overtime to complete a day’s procedures. The dynamic patient-allocation decisions are made in an uncertain environment where the number of patients scheduled and the procedure durations are not known in advance. The resulting optimization model’s tractability focuses the paper’s attention on approximation methods and a special case that is amenable to decomposition-based solution methods. Theoretical performance guarantees are presented for list-based approximation methods as well as an approximation that is common in practice, where procedure rooms are reserved for patient groups in advance. Numerical results based on a real outpatient procedure center demonstrate the favorable results of the list-based approximations based on their average and worst case performances, as well as their computational requirements. Further, the numerical experiments show that the policy of reserving procedure rooms for patient groups in advance can perform poorly. These results are contrary to common practice and favor alternative, and still easy-to-implement, policies. The online supplement is available at https://doi.org/10.1287/ijoc.2017.0750 .