Multi-Objective Optimization of Home Healthcare with Working-Time Balancing and Care Continuity

The ageing population in most parts of the world becomes a grand challenge for healthcare decision-makers. The care of elderly persons and general hygienic care at patients’ homes are two main reasons to motivate an optimization problem, namely, home healthcare (HHC). A robust plan for caregivers to...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Amir M. Fathollahi-Fard, Abbas Ahmadi, Behrooz Karimi
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	home healthcare metaheuristics unemployment time care continuity heuristics Environmental effects of industries and plants TD194-195 Renewable energy sources TJ807-830 Environmental sciences GE1-350
Acceso en línea:	https://doaj.org/article/65a143a3f2c24d2a9e2a27a937edd257
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:65a143a3f2c24d2a9e2a27a937edd257
record_format	dspace
spelling	oai:doaj.org-article:65a143a3f2c24d2a9e2a27a937edd2572021-11-25T19:01:00ZMulti-Objective Optimization of Home Healthcare with Working-Time Balancing and Care Continuity10.3390/su1322124312071-1050https://doaj.org/article/65a143a3f2c24d2a9e2a27a937edd2572021-11-01T00:00:00Zhttps://www.mdpi.com/2071-1050/13/22/12431https://doaj.org/toc/2071-1050The ageing population in most parts of the world becomes a grand challenge for healthcare decision-makers. The care of elderly persons and general hygienic care at patients’ homes are two main reasons to motivate an optimization problem, namely, home healthcare (HHC). A robust plan for caregivers to have sustainable HHC operations management is to consider working-time balancing of caregivers, care continuity and uncertainties, e.g., the uncertainty of patients’ availability in addition to service and travel times as well as the regulations of companies to meet the standards of high-quality home care services. Based on these motivations and challenges to this field, this study firstly established a multi-objective robust optimization of the HHC which is multi-depot, multi-period and multi-service. The demand of each patient in each period may be different due to promptness of services. Each caregiver plays one of the roles of nurses, doctors, physiotherapists and nutritionists. The types of services are directly related to these roles. The objectives were optimizing the total cost of logistic activities as well as the total unemployment time of caregivers and care continuity. As a complicated optimization problem, this study innovated efficient heuristics and an enhanced nature-inspired metaheuristic. Finally, an extensive comparison with regards to the criteria of the multi-objective algorithms’ assessment was conducted. Some sensitivity analyses were conducted to conclude some practical insights.Amir M. Fathollahi-FardAbbas AhmadiBehrooz KarimiMDPI AGarticlehome healthcaremetaheuristicsunemployment timecare continuityheuristicsEnvironmental effects of industries and plantsTD194-195Renewable energy sourcesTJ807-830Environmental sciencesGE1-350ENSustainability, Vol 13, Iss 12431, p 12431 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	home healthcare metaheuristics unemployment time care continuity heuristics Environmental effects of industries and plants TD194-195 Renewable energy sources TJ807-830 Environmental sciences GE1-350
spellingShingle	home healthcare metaheuristics unemployment time care continuity heuristics Environmental effects of industries and plants TD194-195 Renewable energy sources TJ807-830 Environmental sciences GE1-350 Amir M. Fathollahi-Fard Abbas Ahmadi Behrooz Karimi Multi-Objective Optimization of Home Healthcare with Working-Time Balancing and Care Continuity
description	The ageing population in most parts of the world becomes a grand challenge for healthcare decision-makers. The care of elderly persons and general hygienic care at patients’ homes are two main reasons to motivate an optimization problem, namely, home healthcare (HHC). A robust plan for caregivers to have sustainable HHC operations management is to consider working-time balancing of caregivers, care continuity and uncertainties, e.g., the uncertainty of patients’ availability in addition to service and travel times as well as the regulations of companies to meet the standards of high-quality home care services. Based on these motivations and challenges to this field, this study firstly established a multi-objective robust optimization of the HHC which is multi-depot, multi-period and multi-service. The demand of each patient in each period may be different due to promptness of services. Each caregiver plays one of the roles of nurses, doctors, physiotherapists and nutritionists. The types of services are directly related to these roles. The objectives were optimizing the total cost of logistic activities as well as the total unemployment time of caregivers and care continuity. As a complicated optimization problem, this study innovated efficient heuristics and an enhanced nature-inspired metaheuristic. Finally, an extensive comparison with regards to the criteria of the multi-objective algorithms’ assessment was conducted. Some sensitivity analyses were conducted to conclude some practical insights.
format	article
author	Amir M. Fathollahi-Fard Abbas Ahmadi Behrooz Karimi
author_facet	Amir M. Fathollahi-Fard Abbas Ahmadi Behrooz Karimi
author_sort	Amir M. Fathollahi-Fard
title	Multi-Objective Optimization of Home Healthcare with Working-Time Balancing and Care Continuity
title_short	Multi-Objective Optimization of Home Healthcare with Working-Time Balancing and Care Continuity
title_full	Multi-Objective Optimization of Home Healthcare with Working-Time Balancing and Care Continuity
title_fullStr	Multi-Objective Optimization of Home Healthcare with Working-Time Balancing and Care Continuity
title_full_unstemmed	Multi-Objective Optimization of Home Healthcare with Working-Time Balancing and Care Continuity
title_sort	multi-objective optimization of home healthcare with working-time balancing and care continuity
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/65a143a3f2c24d2a9e2a27a937edd257
work_keys_str_mv	AT amirmfathollahifard multiobjectiveoptimizationofhomehealthcarewithworkingtimebalancingandcarecontinuity AT abbasahmadi multiobjectiveoptimizationofhomehealthcarewithworkingtimebalancingandcarecontinuity AT behroozkarimi multiobjectiveoptimizationofhomehealthcarewithworkingtimebalancingandcarecontinuity
_version_	1718410406103351296

Multi-Objective Optimization of Home Healthcare with Working-Time Balancing and Care Continuity

Ejemplares similares