多元利益主体目标下的可重入层流手术绿色调度  

Reentrant Green Scheduling of Laminar Flow Surgery under Multi-stakeholder Objectives

作　　者：黄丽 叶春明[1] 耿凯峰[3] HUANG Li;YE Chunming;GENG Kaifeng(School of Business,University of Shanghai for Science and Technology,Shanghai 200093,China;Economics and Management School,Panzhihua University,Panzhihua 617000,China;Information Construction and Management Center,Nanyang Institute of Technology,Nanyang 473004,China)

机构地区：[1]上海理工大学管理学院,上海200093 [2]攀枝花学院经济管理学院,四川攀枝花617000 [3]南阳理工学院信息化建设与管理中心,河南南阳473004

出　　处：《运筹与管理》2024年第2期78-85,共8页Operations Research and Management Science

基　　金：上海市哲学社会科学一般项目(2022BGL010);国家社会科学基金后期资助项目(22FGLB109);攀枝花市指导性科技计划资助项目(2021ZD-G-1-33);攀枝花学院博士基金资助项目(2020DOC011)。

摘　　要：针对考虑患者、医院、社会多方利益下的可重入层流手术绿色调度问题,提出了混合优化算法INSGAII-LS以同时最小化三个目标:平均患者术前等待感知时长、层流手术中心使用时长和层流手术中心碳排放。首先,算法创新设计了合作搜索策略、种群初始化策略、变尺度交叉与变异策略,LS深度搜索迭代策略,以增强解空间的搜索能力;然后,根据问题特点设计了数据驱动解码策略,并通过三种解码策略对比实验,验证了本文提出的解码策略的有效性;最后,通过不同规模数值实验和仿真案例测试了本文算法相比于其他有效算法(IMSSA,IMOGWO,NSGA-II)的优越性和稳定性。案例仿真发现,决定手术中心使用时长的关键因素是对患者的排序;而手术中心使用时长的缩短并不直接导致碳排放量的减少,还需关注手术室的累积碳排放量。因此,层流手术室的调度在层流手术规划中至关重要。研究结果可为层流手术绿色调度多目标优化提供方法借鉴和决策参考。With the prevalence of laminar flow operating rooms in hospitals,scheduling for such operating rooms has become a critical concern in hospital operations management.Compared to conventional operating rooms,laminar flow operating rooms consume a significant amount of energy while providing a cleaner,more comfortable,and safer surgical environment for patients.Faced with the challenge of high energy consumption in laminar flow operating rooms,hospitals often implement technological,managerial,and behavioral energy-saving measures.The generation of energy consumption is primarily driven by the demand for medical activities.As a pivotal department in hospitals,operating rooms involve extensive medical activities and costs.Therefore,from the perspective of energy-efficient management,this paper proposes research on the green scheduling problem of laminar flow surgery centers,focusing on optimizing scheduling to assist hospitals in providing higher-quality surgical medical services to patients with reduced energy consumption and lower costs.In the context of pursuing environmental sustainability and low-carbon initiatives,this paper proposes research on the green scheduling of laminar flow surgery centers,considering the interests of multiple stakeholders,including patients,hospitals,and society.Firstly,we employ“perceived preoperative wait time”as a metric for patient satisfaction to improve the preoperative waiting process,and address the most frequent patient complaints.Secondly,we use“laminar flow operating center usage duration”as an indicator for hospital surgical system operations to offer patients services with fewer overtime hours,reduced costs,and increased efficiency.Finally,we take“carbon emissions”as a green indicator to reflect the hospital’s green initiatives and social responsibility.For the multi-objective laminar flow surgery green scheduling problem,this study develops a reentrant laminar flow surgery green scheduling model with objectives including patient preoperative waiting time,sur

关 键 词：层流手术调度 可重入 多目标 绿色调度 NSGA-II算法 

分 类 号：R197.3[医药卫生—卫生事业管理]