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Advance Scheduling for Chronic Care Under Online or Offline Revisit Uncertainty
Shen, Xiaoxiao1; Du, Shi Chang1; Sun, Yan Ning2; Sun, Poly Z.H.1; Law, Rob3; Wu, Edmond Q.4
2023-09
Source PublicationIEEE Transactions on Automation Science and Engineering
ISSN1545-5955
Abstract

Chronic disease patients often require revisits for long-term care. Online medical services shift revisits to online, which can improve the access to chronic care and reduce the burden on offline medical services. However, whether Internet healthcare can truly match the medical supply and demand, one of the critical issues is the efficient advance scheduling of the integrated online and offline systems. This study investigates the advance scheduling problem for the first visit and revisit patients in chronic care. The uncertainty of revisit status (i.e., online or offline) and heterogeneity of online and offline revisits (i.e., revisit interval, continuity of care violation penalty) are considered. A stochastic mixed-integer programming model is formulated for assigning patients to a specific physician on a specific day over the course of a finite planning period. The aim is to minimize the expected sum of three cost components related to offline and online services: overtime and idle time, continuity of care violation penalty, and fixed setup. This study proposes a modified progressive hedging algorithm and applies a sequential decision-making framework to obtain rolling time advance schedules. Results of the numerical analysis demonstrate the effectiveness of our algorithm compared to both the published state-of-the-art Lagrangian decomposition embedded with surrogate subgradient method and the commercial solver Gurobi. The insight obtained from the experiments is that a capacity allocation scheme with all physicians assigned with both offline and online capacities would be a good choice for considerable cost savings. Note to Practitioners—Internet healthcare is becoming increasingly popular. Operation and management issues have arisen in the integrated online and offline appointment systems. A sequential decision-making method embedded with a stochastic programming model and a modified PHA is proposed to help decision-makers generate the first visit and revisit advance schedules for chronic care. The performance of this approach and the system is thoroughly verified. Results show that the developed decision technique can lessen the operational cost generated by scheduling and realize the goal of continuity of care. This study offers a useful tool to help with intelligent patient advance scheduling in an integrated management system of online and offline chronic care.

KeywordChronic Care Hospitals Medical Services Online And Offline Healthcare Optimal Scheduling Patient Advance Scheduling Programming Progressive Hedging Schedules Stochastic Processes Stochastic Programming Uncertainty
DOI10.1109/TASE.2023.3310116
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaAutomation & Control Systems
WOS SubjectAutomation & Control Systems
WOS IDWOS:001064556100001
PublisherIEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC, 445 HOES LANE, PISCATAWAY, NJ 08855-4141
Scopus ID2-s2.0-85171564611
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Citation statistics
Document TypeJournal article
CollectionASIA-PACIFIC ACADEMY OF ECONOMICS AND MANAGEMENT
Corresponding AuthorDu, Shi Chang
Affiliation1.School of Mechanical Engineering, Shanghai Jiao Tong University, Shanghai, China
2.School of Mechatronic Engineering and Automation, Shanghai University, Shanghai, China
3.Asia–Pacific Academy of Economics and Management, University of Macau, Taipa, China
4.Department of Automation, Shanghai Jiao Tong University, Shanghai, China
Recommended Citation
GB/T 7714
Shen, Xiaoxiao,Du, Shi Chang,Sun, Yan Ning,et al. Advance Scheduling for Chronic Care Under Online or Offline Revisit Uncertainty[J]. IEEE Transactions on Automation Science and Engineering, 2023.
APA Shen, Xiaoxiao., Du, Shi Chang., Sun, Yan Ning., Sun, Poly Z.H.., Law, Rob., & Wu, Edmond Q. (2023). Advance Scheduling for Chronic Care Under Online or Offline Revisit Uncertainty. IEEE Transactions on Automation Science and Engineering.
MLA Shen, Xiaoxiao,et al."Advance Scheduling for Chronic Care Under Online or Offline Revisit Uncertainty".IEEE Transactions on Automation Science and Engineering (2023).
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