门诊病人当日转诊调度优化研究  

Same-day Referral Scheduling Optimization Research for Outpatients

作　　者：秦圣坤 郑小金[1] 张艳霞[1] QIN Shengkun;ZHENG Xiaojin;ZHANG Yanxia(School of Economics and Management,Tongji University,Shanghai 200092,China)

机构地区：[1]同济大学经济与管理学院,上海200092

出　　处：《工业工程与管理》2024年第6期37-42,共6页Industrial Engineering and Management

基　　金：国家自然科学基金资助项目(12371310,M-310)。

摘　　要：我国综合医院就诊病人众多,当治疗室、恢复室等部门出现较长等待队列时,部分门诊病人会因无法在就诊当日得到治疗而需要再次入院。在医联体模式和转诊制度下,当医院医疗资源紧张无法为全部病患提供治疗时,部分病人可以被转诊到医联体内合作医院进行治疗。结合病人对转诊的接受意愿,提出了考虑病人就医公平性的转诊调度策略,以优化医疗系统。研究问题被建模为混合流水车间,建立了基于场景的随机规划模型并设计求解算法。最后,数值实验验证了模型和算法的有效性。The general hospitals in China have a large number of patients,and when there are long waiting queues in the treatment rooms,recovery rooms and other departments,some of the outpatients need to be readmitted to the hospital because they cannot be treated on their visit day.Under the medical consortium mode and the referral system,some patients can be referred to the partner hospitals within the medical consortium for treatment when the hospitals are unable to provide treatment for all patients due to resource constraints.In conjunction with acceptance of patients to accept referrals,a referral scheduling strategy that took into account the fainess of patient treatment was proposed to optimize the performance of the healthcare system.The research problem was modeled as a hybrid flow shop.A scenario-based stochastic programming model was developed and a solving algorithm was designed.Finally,numerical experiments were conducted to verify the effectiveness of the model and the solving algorithm.

关 键 词：转诊调度 混合流水车间 混合整数规划 启发式算法 

分 类 号：O221[理学—运筹学与控制论]