Optimization of inpatient care unit resources during COVID-19 pandemic

被引:2
作者
Ghosh, Manas [1 ]
Hassini, Elkafi [2 ]
机构
[1] McMaster Univ, Sch Computat Sci & Engn, Hamilton, ON, Canada
[2] McMaster Univ, DeGroote Sch Business, Hamilton, ON, Canada
基金
加拿大自然科学与工程研究理事会;
关键词
COVID-19; Resource allocation; Optimization; EMERGENCY; QUALITY;
D O I
10.1007/s10479-023-05814-4
中图分类号
C93 [管理学]; O22 [运筹学];
学科分类号
070105 ; 12 ; 1201 ; 1202 ; 120202 ;
摘要
Hospitals and the health care system faced an unprecedented challenge during the Covid-19 pandemic. Health care managers needed to develop optimal resource utilization plans to serve the maximum number of patients. The pandemic conditions resulted in increasing demand that has put additional pressures on the health care systems' budgets and capacity. This has lead to more challenging resource allocation and wait time management problems. In this paper, we will investigate optimal resource utilization under a given budget where patients are allowed to be transferred among hospitals in a health care system. We will also investigate a policy where a hospital may be designated as a dedicated COVID-19 facility. We carried numerical experiments investigated the effect of patient arrivals, waiting time and unmet demand during the COVID-19 pandemic. We find that patient transfer will reduce the waiting time, unmet demand and also would help the policymaker/ health care leader to set the budget for hospitals to meet the surge in demand for intensive care unit caused by COVID-19.
引用
收藏
页数:24
相关论文
共 37 条
[1]   Experience of the Coronavirus Disease (COVID-19) Patient Care in the Amsterdam Region: Optimization of Acute Care Organization [J].
Berkeveld, Eva ;
Mikdad, Sarah ;
Zandbergen, Harmen R. ;
Kraal, Adriaan ;
Terra, Maartje ;
Kramer, Mark H. H. ;
Bloemers, Frank W. .
DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS, 2022, 16 (03) :1194-1198
[2]   COMPUTATIONAL-COMPLEXITY OF THE CAPACITATED LOT SIZE PROBLEM [J].
BITRAN, GR ;
YANASSE, HH .
MANAGEMENT SCIENCE, 1982, 28 (10) :1174-1186
[3]  
Cabrera E, 2012, WINT SIMUL C PROC
[4]  
Carriere Gisele., 2020, Overtime work among professional nurses during the COVID-19 pandemic
[5]   Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units [J].
Cho, Sung-Hyun ;
June, Kyung Ja ;
Kim, Yun Mi ;
Cho, Yong Ae ;
Yoo, Cheong Suk ;
Yun, Sung-Cheol ;
Sung, Young Hee .
JOURNAL OF CLINICAL NURSING, 2009, 18 (12) :1729-1737
[6]   Age, comorbidity, frailty status: effects on disposition and resource allocation during the COVID-19 pandemic [J].
Christian, Nickel H. ;
Marco, Ruegg ;
Hans, Pargger ;
Roland, Bingisser .
SWISS MEDICAL WEEKLY, 2020, 150
[7]   A multi-class queuing network analysis methodology for improving hospital emergency department performance [J].
Cochran, Jeffery K. ;
Roche, Kevin T. .
COMPUTERS & OPERATIONS RESEARCH, 2009, 36 (05) :1497-1512
[8]  
Crawley M., 2020, CBC news
[9]   Overcrowding in the nation's emergency departments: Complex causes and disturbing effects [J].
Derlet, RW ;
Richards, JR .
ANNALS OF EMERGENCY MEDICINE, 2000, 35 (01) :63-68
[10]  
Dragan I, 2017, E-HEALTH BIOENG CONF, P113, DOI 10.1109/EHB.2017.7995374