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Dissertation
Allocation-routing problem for home healthcare
Authors: --- --- ---
Year: 2019 Publisher: Liège Université de Liège (ULiège)

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Abstract

The healthcare system in Europe as it is known today is not sustainable. The changes in the demographics and family patterns make it difficult to sustain the needed long term for specific illnesses and age groups at conventional hospitals. The home healthcare concept is portrayed as the solution, and the commercial home healthcare sector is growing rapidly in Belgium. This study aims to give insights to hospitals on the specifications like location, vehicle routing, pathologies, and medical staff for making the strategic decision of establishing a home healthcare center.
Building on the review of previous research both on location-routing problems and home healthcare in Europe, a location routing problem that is divided into two subproblems, facility-location allocation problem (FLAP) and vehicle routing problem (VRP), is defined and modeled. Analysis of the result obtained shows that the location of the home healthcare center is closely related to the vehicle routing aspects. Based on the results, it is recommended that the facilities are established in a location where the demand is closer to the center, and each medical staff should be specialized in treating a single illness. Further research with real-life data is needed to see how other specifications of the home healthcare centers could affect this strategic decision.


Dissertation
Aspects logistiques de la chimiothérapie à domicile: Application au Centre Hospitalier Régional de Verviers
Authors: --- --- --- ---
Year: 2018 Publisher: Liège Université de Liège (ULiège)

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Abstract

A new trend currently appears in Belgium in the healthcare sector: the development of the home healthcare. This evolution reflects the changes currently occurring in the society, such as the increase in chronic diseases as well as the fact that the patients are increasingly demanding. The current Public Health Minister realises that the home healthcare is a potential solution to this transformation and launched several pilot projects in order to test and encourage this new form of healthcare. The hospital of Verviers is the member of one of these pilot projects, in collaboration with 5 other hospitals in the Liège area. This pilot-project is focused on the administration of chemotherapy and intravenous antibiotic therapy.
To be able to implement this new form of hospitalisation, the CHR Verviers needs to overcome the different logistic challenges that are brought by the home healthcare. The objective of this paper is then to study the operational aspects of the problem and to provide potential solutions to these challenges.
Three dimensions have been studied throughout the paper. First, the aim was to determine selection criteria for patients in order to make this service as efficient as possible. The analysis was conducted at an operational level by comparing the efficiency of different routes. Secondly, the impact of the inclusion of the patients’ desires concerning the time of the visit has been studied. To do so, random time windows have been assigned to patients. The final attention point is related to the inter-hospital situation. We attempted to determine whether it was advantageous for the different institutions to collaborate and to share patients, and if that is the case, to determine a methodology that can be used to allocate patients to the different hospitals.
The analysis conducted stayed focus on the operational facet of the problem, and so, was based on the routing and scheduling problem.

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