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基于随机规划模型的不准时门诊治疗预约实践研究

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目前许多门诊治疗预约安排均假设病人准时到达.然而,不准时是一个常见现象,导致部分病人无法及时更换伤口敷料,促使病人伤口持续发炎.因此,通过建立一个随机规划模型解决不准时门诊治疗预约调度不准时问题(OS-U).进一步比较OS-U系统和严格准时(OS-P)系统的性能,通过使用Benders分解结合样本平均近似(BD-SAA)技术解决OS-U问题.试验结果表明,在考虑不准时的情况下,预约规则会发生变化,OS-P系统在一个疗程开始时将前两名病人安排在一起,而OS-U系统则将他们安排在不同的预约时间,且OS-U系统可以有效降低Ⅰ型错误和Ⅱ型错误.研究结果可为不准时门诊治疗预约实践提供参考依据.
Practice Research on Unpunctual Outpatient Treatment Appointment Based on Stochastic Programming Model
Currently,many outpatient treatment appointment arrangements assume that patients arrive on time.However,not being on time is a random factor that causes some patients to be unable to replace wound dressings in a timely manner,leading to sustained inflammation of the patient's wound.Therefore,a stochastic programming model is established to solve the outpa-tient treatment appointment scheduling problem(OS-U)considering non punctuality.Further comparison is made between the performance of the OS-U system and the strictly on time(OS-P)system.The OS-U problem is solved by Benders decomposi-tion combined with sample average approximation(BD-SAA)technology.The experimental results indicate that when consid-ering non punctuality,the appointment rules will change.The OS-P system arranges the first two patients together at the be-ginning of a treatment course,while the OS-U system arranges them at different appointment times.The OS-U system can ef-fectively reduce Type Ⅰ and Type Ⅱ errors.The research results can provide a reference basis for the practice of delayed outpa-tient appointments.

stochastic programming modelnot punctualityoutpatient treatment appointment

沈颖洁、彭红、刘钊

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上海市胸科医院/上海交通大学附属胸科医院,上海 200030

上海交通大学,设计学院,上海 200030

随机规划模型 不准时 门诊治疗预约

2021年上海高校教师产学研践习计划

20210812

2024

微型电脑应用
上海市微型电脑应用学会

微型电脑应用

CSTPCD
影响因子:0.359
ISSN:1007-757X
年,卷(期):2024.40(1)
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