The Surgical Patient Routing Problem: A Central Planner Approach

dc.citation.firstpage657
dc.citation.issueNumber4
dc.citation.journalTitleINFORMS Journal on Computing
dc.citation.lastpage673
dc.citation.volumeNumber28
dc.contributor.authorNemati, S.
dc.contributor.authorShylo, O.A.
dc.contributor.authorProkopyev, O.A.
dc.contributor.authorSchaefer, A.J.
dc.date.accessioned2017-02-23T16:13:25Z
dc.date.available2017-02-23T16:13:25Z
dc.date.issued2016
dc.description.abstractMany patients face difficulties when accessing medical facilities, particularly in rural areas. To alleviate these concerns, medical centers may offer transportation to eligible patients. However, the operation of such services is typically not tightly coordinated with the scheduling of medical appointments. Motivated by our collaborations with the U.S. Veterans Health Administration, we propose an integrated approach that simultaneously considers patient routing and operating room scheduling decisions. We model this problem as a mixed-integer program. Unfortunately, realistically sized instances of this problem are intractable, so we focus on a special case of the problem that captures the needs of low-volume (e.g., rural) hospitals. We establish structural properties that are exploited to develop a branch-and-price algorithm, which greatly outperforms a commercial solver on the original formulation. We discuss several algorithmic strategies to improve the overall solution efficiency. We evaluate the performance of the proposed approach through an extensive computational study calibrated with clinical data. Our results demonstrate that there exist opportunities for healthcare providers to significantly improve the quality of their services by integrating scheduling and routing decisions.
dc.identifier.citationNemati, S., Shylo, O.A., Prokopyev, O.A., et al.. "The Surgical Patient Routing Problem: A Central Planner Approach." <i>INFORMS Journal on Computing,</i> 28, no. 4 (2016) INFORMS (Institute for Operations Research and Management Sciences): 657-673. http://dx.doi.org/10.1287/ijoc.2016.0706.
dc.identifier.doihttp://dx.doi.org/10.1287/ijoc.2016.0706
dc.identifier.urihttps://hdl.handle.net/1911/93972
dc.language.isoeng
dc.publisherINFORMS (Institute for Operations Research and Management Sciences)
dc.rightsArticle is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use.
dc.subject.keywordoperation room scheduling
dc.subject.keywordoutpatient elective surgeries
dc.subject.keywordmixed-integer programming
dc.subject.keywordbranch and price
dc.subject.keywordvehicle routing
dc.titleThe Surgical Patient Routing Problem: A Central Planner Approach
dc.typeJournal article
dc.type.dcmiText
dc.type.publicationpublisher version
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