Читать книгу Healthcare Systems - Группа авторов - Страница 30

Home healthcare (HHC) is a field of research which, due to its complexity in terms of organization and diversity of players, not to mention in the medical and social specificities of patients, opens up several fields of investigation. We can identify the optimization challenges inherent to the management of the HHC structure, which in turn leads to significant research activity on problems concerning nurse rostering and drug deliveries. The optimization problem in HHC must take into account several constraints related to the organization of the structure, the patient, road traffic, emergencies, etc. The purpose is to ensure visits to patients according to their care plans. One of the major constraints in the organization of care is taking into account emergencies as well as uncertainties such as changes in the duration of care and also the disturbances caused by the external environment (road traffic, for example).

In this chapter, we present a solution for the HHC planning problem by integrating uncertainties and dynamic rescheduling. We first present a literature review with recent works that have focused on HHC planning. Section 2.3 focus on the proposed approach, which is based on a genetic algorithm with the consideration of real-time disturbances and uncertainties. Section 2.4 presents the experiments and the obtained results. We finish this chapter with a conclusion and some perspectives.