Journal article
Optimization of hospital ward resources with patient relocation using Markov chain modeling
Department of Management Engineering, Technical University of Denmark1
Management Science, Department of Management Engineering, Technical University of Denmark2
Operations Research, Management Science, Department of Management Engineering, Technical University of Denmark3
Department of Applied Mathematics and Computer Science, Technical University of Denmark4
Statistics and Data Analysis, Department of Applied Mathematics and Computer Science, Technical University of Denmark5
Aalborg University6
Overcrowding of hospital wards is a well-known and often revisited problem in the literature, yet it appears in many different variations. In this study, we present a mathematical model to solve the problem of ensuring sufficient beds to hospital wards by re-distributing beds that are already available to the hospital.
Patient flow is modeled using a homogeneous continuous-time Markov chain and optimization is conducted using a local search heuristic. Our model accounts for patient relocation, which has not been done analytically in literature with similar scope. The study objective is to ensure that patient occupancy is reflected by our Markov chain model, and that a local optimum can be derived within a reasonable runtime.Using a Danish hospital as our case study, the Markov chain model is statistically found to reflect occupancy of hospital beds by patients as a function of how hospital beds are distributed.
Furthermore, our heuristic is found to efficiently derive the optimal solution. Applying our model to the hospital case, we found that relocation of daily arrivals can be reduced by 11.7% by re-distributing beds that are already available to the hospital.
Language: | English |
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Year: | 2017 |
Pages: | 1152-1163 |
ISSN: | 18726860 and 03772217 |
Types: | Journal article |
DOI: | 10.1016/j.ejor.2017.01.026 |
ORCIDs: | Andersen, Anders Reenberg and Nielsen, Bo Friis |