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Efficient frontiers in a frontier state: Viability of mobile dentistry services in rural areas

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  • Thorsen, Andreas
  • McGarvey, Ronald G.

Abstract

This study investigates the implications of adding mobile dentistry services to a community health center (CHC) in a rural area. CHCs are not-for-profit healthcare organizations which provide comprehensive primary care services to patients in the US, primarily for under-served and uninsured populations. We estimate the demand for the service in a five-county region in southwestern Montana, USA and work with stakeholders to determine a set of potential service locations. A mixed-integer optimization model is formulated to determine the frequency of stops in each location over a finite (six month) planning horizon with the goal of improving accessibility and availability of dental services while maintaining financial sustainability of the CHC. The financial considerations and social impact of offering a mobile dentistry service in southwestern Montana are assessed. Computational results based on a case study demonstrate the challenges facing mobile dentistry operations to increase access to under-served populations in a financially viable manner. Hybrid solutions, in which care is offered at a mix of fixed locations and mobile locations, appear to best balance the objectives of financial sustainability and expanded access to care.

Suggested Citation

  • Thorsen, Andreas & McGarvey, Ronald G., 2018. "Efficient frontiers in a frontier state: Viability of mobile dentistry services in rural areas," European Journal of Operational Research, Elsevier, vol. 268(3), pages 1062-1076.
    • Handle: RePEc:eee:ejores:v:268:y:2018:i:3:p:1062-1076
    DOI: 10.1016/j.ejor.2017.07.062
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    References listed on IDEAS

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    1. Lei, Chao & Lin, Wei-Hua & Miao, Lixin, 2014. "A multicut L-shaped based algorithm to solve a stochastic programming model for the mobile facility routing and scheduling problem," European Journal of Operational Research, Elsevier, vol. 238(3), pages 699-710.
    2. Midgley, Gerald & Johnson, Michael P. & Chichirau, George, 2018. "What is Community Operational Research?," European Journal of Operational Research, Elsevier, vol. 268(3), pages 771-783.
    3. Francis de Véricourt & Miguel Sousa Lobo, 2009. "Resource and Revenue Management in Nonprofit Operations," Operations Research, INFORMS, vol. 57(5), pages 1114-1128, October.
    4. Doerner, Karl & Focke, Axel & Gutjahr, Walter J., 2007. "Multicriteria tour planning for mobile healthcare facilities in a developing country," European Journal of Operational Research, Elsevier, vol. 179(3), pages 1078-1096, June.
    5. Hindle, Giles A. & Vidgen, Richard, 2018. "Developing a business analytics methodology: A case study in the foodbank sector," European Journal of Operational Research, Elsevier, vol. 268(3), pages 836-851.
    6. Johnson, Michael P. & Midgley, Gerald & Chichirau, George, 2018. "Emerging trends and new frontiers in community operational research," European Journal of Operational Research, Elsevier, vol. 268(3), pages 1178-1191.
    7. Jorge A. Sefair & Adriana Molano & Andrés L. Medaglia & Olga L. Sarmiento, 2012. "Locating Neighborhood Parks with a Lexicographic Multiobjective Optimization Method," International Series in Operations Research & Management Science, in: Michael P. Johnson (ed.), Community-Based Operations Research, chapter 0, pages 143-171, Springer.
    8. Michael P Johnson, 2006. "Decision Models for the Location of Community Corrections Centers," Environment and Planning B, , vol. 33(3), pages 393-412, June.
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    Cited by:

    1. Hindle, Giles A. & Vidgen, Richard, 2018. "Developing a business analytics methodology: A case study in the foodbank sector," European Journal of Operational Research, Elsevier, vol. 268(3), pages 836-851.
    2. McKenna, R. & Bertsch, V. & Mainzer, K. & Fichtner, W., 2018. "Combining local preferences with multi-criteria decision analysis and linear optimization to develop feasible energy concepts in small communities," European Journal of Operational Research, Elsevier, vol. 268(3), pages 1092-1110.
    3. Imran Ali & Devika Kannan, 2022. "Mapping research on healthcare operations and supply chain management: a topic modelling-based literature review," Annals of Operations Research, Springer, vol. 315(1), pages 29-55, August.
    4. Büsing, Christina & Comis, Martin & Schmidt, Eva & Streicher, Manuel, 2021. "Robust strategic planning for mobile medical units with steerable and unsteerable demands," European Journal of Operational Research, Elsevier, vol. 295(1), pages 34-50.

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