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 ambulan...

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Main Authors: Maziar Yazdani, Milad Haghani
Format: Article
Language:English
Published: Elsevier 2023-04-01
Series:Progress in Disaster Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590061723000157
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author Maziar Yazdani
Milad Haghani
author_facet Maziar Yazdani
Milad Haghani
author_sort Maziar Yazdani
collection DOAJ
description 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.
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spelling doaj.art-edcc12399e5e489e9e73aa5c2a87963d2023-06-17T05:20:28ZengElsevierProgress in Disaster Science2590-06172023-04-0118100288Optimisation-based integrated decision model for ambulance routing in response to pandemic outbreaksMaziar Yazdani0Milad Haghani1Corresponding author.; Research Centre for Integrated Transport Innovation (rCITI), School of Civil and Environmental Engineering, The University of New South Wales, UNSW, Sydney, AustraliaResearch Centre for Integrated Transport Innovation (rCITI), School of Civil and Environmental Engineering, The University of New South Wales, UNSW, Sydney, AustraliaPandemics 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.http://www.sciencedirect.com/science/article/pii/S2590061723000157COVID-19Genetic algorithmDisasterTransportationOptimisation approach
spellingShingle Maziar Yazdani
Milad Haghani
Optimisation-based integrated decision model for ambulance routing in response to pandemic outbreaks
Progress in Disaster Science
COVID-19
Genetic algorithm
Disaster
Transportation
Optimisation approach
title Optimisation-based integrated decision model for ambulance routing in response to pandemic outbreaks
title_full Optimisation-based integrated decision model for ambulance routing in response to pandemic outbreaks
title_fullStr Optimisation-based integrated decision model for ambulance routing in response to pandemic outbreaks
title_full_unstemmed Optimisation-based integrated decision model for ambulance routing in response to pandemic outbreaks
title_short Optimisation-based integrated decision model for ambulance routing in response to pandemic outbreaks
title_sort optimisation based integrated decision model for ambulance routing in response to pandemic outbreaks
topic COVID-19
Genetic algorithm
Disaster
Transportation
Optimisation approach
url http://www.sciencedirect.com/science/article/pii/S2590061723000157
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