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Multi-objective admission planning problem: a two-stage stochastic approach

Author

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  • Ana Batista

    (Pontificia Universidad Católica de Chile
    Skolkovo Institute of Science and Technology)

  • Jorge Vera

    (Pontificia Universidad Católica de Chile
    Pontificia Universidad Católica de Chile)

  • David Pozo

    (Skolkovo Institute of Science and Technology)

Abstract

Effective admission planning can improve inpatient throughput and waiting times, resulting in better quality of service. The uncertainty in the patient arrival and the availability of resources makes the patient’s allocation difficult to manage. Thus, in the admission process hospitals aim to accomplish targets of resource utilization and to lower the cost of service. Both objectives are related and in conflict. In this paper, we present a bi-objective stochastic optimization model to study the trade-off between the resource utilization and the cost of service, taking into account demand and capacity uncertainties. Real data from the surgery and medical areas of a Chilean public hospital are used to illustrate the approach. The results show that the solutions of our approach outperform the actual practice in the Chilean hospital.

Suggested Citation

  • Ana Batista & Jorge Vera & David Pozo, 2020. "Multi-objective admission planning problem: a two-stage stochastic approach," Health Care Management Science, Springer, vol. 23(1), pages 51-65, March.
  • Handle: RePEc:kap:hcarem:v:23:y:2020:i:1:d:10.1007_s10729-018-9464-4
    DOI: 10.1007/s10729-018-9464-4
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    1. Angela Testi & Elena Tànfani, 2009. "Tactical and operational decisions for operating room planning: Efficiency and welfare implications," Health Care Management Science, Springer, vol. 12(4), pages 363-373, December.
    2. Adan, Ivo & Bekkers, Jos & Dellaert, Nico & Jeunet, Jully & Vissers, Jan, 2011. "Improving operational effectiveness of tactical master plans for emergency and elective patients under stochastic demand and capacitated resources," European Journal of Operational Research, Elsevier, vol. 213(1), pages 290-308, August.
    3. Peter Hulshof & Richard Boucherie & Erwin Hans & Johann Hurink, 2013. "Tactical resource allocation and elective patient admission planning in care processes," Health Care Management Science, Springer, vol. 16(2), pages 152-166, June.
    4. Lamiri, Mehdi & Xie, Xiaolan & Dolgui, Alexandre & Grimaud, Frederic, 2008. "A stochastic model for operating room planning with elective and emergency demand for surgery," European Journal of Operational Research, Elsevier, vol. 185(3), pages 1026-1037, March.
    5. Pamela Alvarez & Jorge Vera, 2014. "Application of Robust Optimization to the Sawmill Planning Problem," Annals of Operations Research, Springer, vol. 219(1), pages 457-475, August.
    6. Tamiz, M. & Mirrazavi, S. K. & Jones, D. F., 1999. "Extensions of Pareto efficiency analysis to integer goal programming," Omega, Elsevier, vol. 27(2), pages 179-188, April.
    7. Antonio J. Conejo & Miguel Carrión & Juan M. Morales, 2010. "Decision Making Under Uncertainty in Electricity Markets," International Series in Operations Research and Management Science, Springer, number 978-1-4419-7421-1, April.
    8. Guillermo Durán & Pablo A. Rey & Patricio Wolff, 2017. "Solving the operating room scheduling problem with prioritized lists of patients," Annals of Operations Research, Springer, vol. 258(2), pages 395-414, November.
    9. Mullen, Penelope M., 2003. "Prioritising waiting lists: how and why?," European Journal of Operational Research, Elsevier, vol. 150(1), pages 32-45, October.
    10. Ivo Adan & Jos Bekkers & Nico Dellaert & Jan Vissers & Xiaoting Yu, 2009. "Patient mix optimisation and stochastic resource requirements: A case study in cardiothoracic surgery planning," Health Care Management Science, Springer, vol. 12(2), pages 129-141, June.
    11. Kusters, Rob J. & Groot, Petra M. A., 1996. "Modelling resource availability in general hospitals design and implementation of a decision support model," European Journal of Operational Research, Elsevier, vol. 88(3), pages 428-445, February.
    12. Kortbeek, N. & Braaksma, A. & Burger, C.A.J. & Bakker, P.J.M. & Boucherie, R.J., 2015. "Flexible nurse staffing based on hourly bed census predictions," International Journal of Production Economics, Elsevier, vol. 161(C), pages 167-180.
    13. Steven Thompson & Manuel Nunez & Robert Garfinkel & Matthew D. Dean, 2009. "OR Practice---Efficient Short-Term Allocation and Reallocation of Patients to Floors of a Hospital During Demand Surges," Operations Research, INFORMS, vol. 57(2), pages 261-273, April.
    14. René Bekker & Paulien Koeleman, 2011. "Scheduling admissions and reducing variability in bed demand," Health Care Management Science, Springer, vol. 14(3), pages 237-249, September.
    15. Michael Samudra & Carla Van Riet & Erik Demeulemeester & Brecht Cardoen & Nancy Vansteenkiste & Frank E. Rademakers, 2016. "Scheduling operating rooms: achievements, challenges and pitfalls," Journal of Scheduling, Springer, vol. 19(5), pages 493-525, October.
    16. Gregory Dobson & Hsiao-Hui Lee & Edieal Pinker, 2010. "A Model of ICU Bumping," Operations Research, INFORMS, vol. 58(6), pages 1564-1576, December.
    17. Peter J. H. Hulshof & Martijn R. K. Mes & Richard J. Boucherie & Erwin W. Hans, 2016. "Patient admission planning using Approximate Dynamic Programming," Flexible Services and Manufacturing Journal, Springer, vol. 28(1), pages 30-61, June.
    18. Francesca Guerriero & Rosita Guido, 2011. "Operational research in the management of the operating theatre: a survey," Health Care Management Science, Springer, vol. 14(1), pages 89-114, March.
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