Health care logistics: mapping and optimization of patients logistics
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Abstract
Healthcare logistics play an important role in management, being attributed the activities of acquisition, distribution and movement of materials, professionals and patients. This work aims to develop a study, using the healthcare logistics in the movement of patients in the third health region of Paraná, proposing a linear programming problem that will pass through a computational simulation, considering the existing demands and constraints in the system, aiming to optimize the flow of patients from this region. The present study developed four mathematical models, based on demands and constraints followed by linear programming in order to find the best possible solution for the flow of patients from the third health region of the state of Paraná. The study developed reached its goal of optimization, generating an economy in the transportation of patients. Through the analysis of the results, it is concluded that the model that best suits the presented problem is the one of costs minimization, since the one of vehicles presented higher costs. Possibly the model that minimizes the vehicles would bring better results if the vehicles were not outsourced, but of the Ponta Grossa City Hall (PMPG). Was possible to verify the importance of the theme, especially when referring to the flow of patients in the health services due to the lack of studies with this specific approach. Even with the scarcity of data, it is possible to notice the potential for improvements on this patient transport system.
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References
Aragão, F. V., Zola, F. C., Marinho, L. H. N., De Genaro Chiroli, D. M., Junior, A. B., & Colmenero, J. C. (2020). Choice of unmanned aerial vehicles for identification of mosquito breeding sites. Geospatial Health, 15(1).
Babazadeh, R., Jolai, F., Razmi, J., & Pishvaee, M. S. (2014). Developing a robust programming approach for the responsive logistics network design under uncertainity. International Journal of Industrial Engineering, 21(1), 1-17.
Ballou, R. H. (2001). Supply Chain Management: Business Planning, Organization, and Logistics. 4. ed. Porto Alegre: Bookman.
Ballou, R. H. (1993). Business logistics. São Paulo: Atlas.
Barbosa, K. S. S. (2015). Hospital pharmacy management: optimization of quality, productivity and financial resources. Journal Health and Development, 7(4).
Bergquist, R., & Stensgaard, A. S. (2020). Covid 19: End of the beginning? Geospatial Health, 15(897), 6-10.
Bindman, A. B. (2013) The evolution of health services research. Editorial. Health Services Research, 48(2), 349-353.
Brasil. (2006). Ministry of health. Solidarity and cooperative regionalization. Available at: <http://bvsms.saude.gov.br/bvs/publicacoes/regionalizacao2006.pdf>. Acess mai 2017.
Careta, C. B. (2013). Performance measurement of logistics activities: multiple case study in university teaching hospitals. 2013, p. 184 Thesis (Doctorate in Production Engineering). Sao Carlos School of Engineering, University of Sao Paulo, Sao Carlos.
Chiroli, D. M. G., Rodrigues, H. F., & Mayerle, S. F. (2016). Problem Truck driver scheduling and routing HOS: A study of scientific production. Espacios. 37(04), 17. Available at: https://www.revistaespacios.com/a16v37n04/16370418.html
Coêlho, E. P. F. (2010). Dispensing logistics in the public health network. In: III Congresso Consad de Gestão Pública, 2010, Curitiba. Painel. Curitiba: Escola de Gestão, 2010. 3-4. Available at: <http://www.escoladegestao.pr.gov.br/arquivos/File/Material_CONSAD/paineis_III_congresso_consad/painel_8/logistica_de_dispensacao_n a_rede_de_saude_publica.pdf>. Acesso em: 20 maio 2017.
Dussault, G. (1992). The Management of Public Health Services: Characteristics and Requirements. Public Administration Magazine, Rio de Janeiro, 26(2), 01-19.
Fitzsimmons, J. A., & Fitzsimmons, M. J. (2010). Service administration: operations, strategy and information technology. Ponto Alegre: Bookman.
Gao, X., Zhou, Y., Amir, M. I. H., Rosyidah, F. A., & Lee, G. M. (2017). A hybrid genetic algorithm for multi-emergency medical service center location-allocation problem in disaster response. International Journal of Industrial Engineering, 24(6).
Gul, M., & Guneri, A. F. (2016). Planning the future of emergency departments: Forecasting ED patient arrivals by using regression and neural network models. International Journal of Industrial Engineering, 23(2).
He, Y., & Liu, N. (2015). Methodology of emergency medical logistics for public health emergencies. Transportation Research, 178-200.
Infante, M., & Santos, M. A. B. (2007). The organization of public hospital supply from the production chain: a logistical approach to health. Science and Public Health, 12(4).
Landry, S., Beaulieu, M., & Roy, J. (2016). Strategy deployment in healthcare services: A case study approach. Technological Forecasting & Social Change.
Lapierre, S. D., & Ruiz, A. B. (2007). Scheduling logistic activities to improve hospital supply systems. Computers & Operations Research, 34, 624-641.
Lent, W. A. V., Sanders, E. M., & Harten, W. H. V. (2012). Exploring improvements in patient logistics in Dutch hospitals with a survey. BMC Health Services Research, 12(232).
Liew, M. F., Siow, W. T., Ying, W. Y., & See, K. S. (2020). Safe patient transport for COVID-19. Critical Care, 24(94), 1-3.
Liu, R., Xie, X., & Garaix, T. (2014). Hybridization of tabu search with feasible and infeasible local searches for periodic home health care logistics. Omega, (47), 17-32.
Lunz, J., Hinsdale, L., King, C., Pastush, R., Buenvenida, M., & Hamon, M. (2016). The coordination of allocation: Logistics of kidney organ allocation to highly sensitized patients. Human Immunology.
Masmoudi, M., Chalgham, M., & Houria, Z. B. (2018). Fuzzy decision making for inpatient boarding: case of a tunisian hospital. International Journal of Industrial Engineering: Theory, Applications and Practice, 25(3).
Mathias, R. V., Azevedo, B. M., & Campos, F. L. S. (2015). Health services logistics: concepts, definitions and challenges. In: National Meeting of Production Engineering, 35, 2015. Fortaleza, CE. Anais... Fortaleza, CE: Abepro. p. 2 - 5. Available at: <http://www.abepro.org.br/biblioteca/TN_STO_206_222_27865.pdf>. Acess mai 2017.
Paraná (2015). Secretaria de Estado da Saúde do Paraná. Plano Diretor de Regionalização. Disponível em <http://www.saude.pr.gov.br/arquivos/File/00_-_NDS/PDR_2015.pdf>. Acess: mai 2017.
Piccirillo, I. N., Chiroli, D. M. D. G., & De Mello, L. T. C. (2016). Routing with sweeping method: a proposal to improve the formatting loads, reduce costs and meet customer. Revista ESPACIOS, 37(4).
Raimundo, E. A., Dias, C. N., & Guerra, M. (2014). Logistics of Medicines and Materials in a Public Hospital of the Federal District. Journal of Hospital Administration and Health Innovations.
Rodrigues, S. L., & Sousa, J. V. O. (2014). Hospital logistics: an exploratory study on processes in drug purchasing management. Article Proceedings of the X National Congress of Excellence in Management. August. Rio de Janeiro, 2014.
Scarpin, C. T., Steiner, M. T. A., Dias, G. J. C., & Neto, P. J. S. (2007). Health service optimization in the state of Paraná: patient flow and new hierarchical configurations. Journal Management and Production, 15(2), 275-290, maio-ago.
UN. United Nations, (2015). Sustainable Development Goals. Available at: https://www.un.org/sustainabledevelopment/sustainable-development-goals/. Acess mar. 2018.
Vanvactor, J. D. (2011). Strategic health care logistics planning in emergency management. Disaster Prevention and Management, 21(3), 299-309.
Villa, S., Prenestini, A., & Giusepi, I. (2014). A framework to analyze hospital-wide patient flow logistics: Evidence from an Italian comparative study. Health Policy, 20(115), 196-205.
Ying, K-C., & Kittipittayakorn, C. (2018). Combining discrete event and agent-based simulation for reducing draftees waiting time in physical examination centers. International Journal of Industrial Engineering, 25(2).
Yousuf, B., Sujatha, K. S., Alfoudri, H., & Mansurov, H. (2020). Transport of critically ill COVID 19 patients. Intensive Care Med, 46(5), 1-3.