Hospitals are huge and complex systems. However, for many years, the management was commonly focused on improving the quality of the medical care, while less attention was usually devoted to operation management. In recent years, the need of containing the costs while increasing the competitiveness along with the new policies of National Health Service hospital financing forced hospitals to necessarily improve their operational efficiency. In this paper, we focus on a management problem usually arising in health care. In particular, we deal with optimal resource allocation of a ward of a big hospital. To this aim, we propose a simulation-based optimization approach that makes use of a discrete-event simulation model, reproducing the hospital services and combined with a derivative-free multiobjective optimization method. The results obtained on the obstetrics ward of an Italian hospital are reported, showing the effectiveness of the new approach proposed.

Lucidi, S., Maurici, M., Paulon, L., Rinaldi, F., Roma, M. (2016). A Simulation-Based Multiobjective Optimization Approach for Health Care Service Management. IEEE TRANSACTIONS ON AUTOMATION SCIENCE AND ENGINEERING, 13(4), 1480-1491 [10.1109/TASE.2016.2574950].

A Simulation-Based Multiobjective Optimization Approach for Health Care Service Management

Maurici M.;
2016-01-01

Abstract

Hospitals are huge and complex systems. However, for many years, the management was commonly focused on improving the quality of the medical care, while less attention was usually devoted to operation management. In recent years, the need of containing the costs while increasing the competitiveness along with the new policies of National Health Service hospital financing forced hospitals to necessarily improve their operational efficiency. In this paper, we focus on a management problem usually arising in health care. In particular, we deal with optimal resource allocation of a ward of a big hospital. To this aim, we propose a simulation-based optimization approach that makes use of a discrete-event simulation model, reproducing the hospital services and combined with a derivative-free multiobjective optimization method. The results obtained on the obstetrics ward of an Italian hospital are reported, showing the effectiveness of the new approach proposed.
2016
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/42 - IGIENE GENERALE E APPLICATA
Settore MAT/09 - RICERCA OPERATIVA
English
Derivative-free multiobjective optimization methods; discrete-event simulation; health care operations management; logistics of hospital services; simulation-based optimization
Supported by the Project entitled Business Simulation for Healthcare funded by FILAS s.p.a. under Grant CR-2011-1137 - ending 15-04-2014
https://ieeexplore.ieee.org/document/7498670
Lucidi, S., Maurici, M., Paulon, L., Rinaldi, F., Roma, M. (2016). A Simulation-Based Multiobjective Optimization Approach for Health Care Service Management. IEEE TRANSACTIONS ON AUTOMATION SCIENCE AND ENGINEERING, 13(4), 1480-1491 [10.1109/TASE.2016.2574950].
Lucidi, S; Maurici, M; Paulon, L; Rinaldi, F; Roma, M
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/232427
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