考虑疫情期间感染与非感染患者动态随机需求的紧急医疗服务规划

Emergency medical service planning considering dynamic and stochastic demands of infected and non-infected patients during epidemics

Journal of the Operational Research Society · 2023
被引 12
ABS 3

中文导读

提出两阶段随机规划模型,在疫情前部署多种紧急医疗设施,动态服务感染与非感染患者,最小化运营与公平成本,以成都案例验证有效性。

Abstract

During a large-scale epidemic, a local healthcare system can be overwhelmed by a large number of infected and non-infected patients. To serve the infected and non-infected patients well with limited medical resources, effective emergency medical service planning should be conducted before the epidemic. In this study, we propose a two-stage stochastic programming model, which integrally deploys various types of emergency healthcare facilities before an epidemic and serves infected and non-infected patients dynamically at the deployed healthcare facilities during the epidemic. With the service equity of infected patients and various practical requirements of emergency medical services being explicitly considered, our model minimizes a weighted sum of the expected operation cost and the equity cost. We develop two comparison models and conduct a case study on Chengdu, a Chinese city influenced by the COVID-19 epidemic, to show the effectiveness and benefits of our proposed model. Sensitivity analyses are conducted to generate managerial insights and suggestions. Our study not only extends the existing emergency supply planning models but also can facilitate better practices of emergency medical service planning for large-scale epidemics.

应急管理医疗服务规划运筹学流行病应对