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基于近似动态规划的COVID-19不确定性下医院资源动态容量规划

Dynamic capacity planning of hospital resources under COVID-19 uncertainty using approximate dynamic programming

Journal of the Operational Research Society · 2023
被引 8
ABS 3

中文导读

针对COVID-19导致医院资源紧张的问题,提出一种前瞻性随机动态模型,利用近似动态规划确定关键资源的最优扩容方案,实验表明该方法优于短视启发式策略。

Abstract

COVID-19 pandemic has resulted in an inflow of patients into the hospitals and overcrowding of healthcare resources. Healthcare managers increased the capacities reactively by utilizing expensive but quick methods. Instead of this reactive capacity expansion approach, we propose a proactive approach considering different realizations of demand uncertainties in the future due to COVID-19. For this purpose, a stochastic and dynamic model is developed to find the right amount of capacity increase in the most critical hospital resources. Due to the problem size, the model is solved with Approximate Dynamic Programming. Based on the data collected in a large tertiary hospital in Turkey, the experiments show that ADP performs better than a benchmark myopic heuristic. Finally, sensitivity analysis is performed to explore the impact of different epidemic dynamics and cost parameters on the results.

运筹学医疗资源管理动态规划流行病应对