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We consider the case of a home care organization that employs careworkers characterized by different levels of qualifications, specific time availability and a contractual and individualized monthly work volume. The organization plans its routes to provide a set of services required by a set of beneficiaries who need careworkers with different qualifications.

We assume that a schedule has already been established but has become obsolete due to changes in staff or beneficiaries. We consider the cases where one or more beneficiaries and/or careworkers leave the organization and where new beneficiaries and/or careworkers must instead be integrated into the schedules.