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Vers un outil d'aide à la planification et à l'ordonnacement des ressources dans les services de soins

Abstract : In this thesis we are interested with the planif ication and scheduling problem in healthcare systems. First,
we have attempted to review different works dealing with the resource planning and scheduling problem in
healthcare systems. This literature review permit us to opt for an approach based on the concept of
healthcare process. The aim is to minimize patient length of stay as well as healthcare process costs while
maintaining a good quality of service. This approach was particularly illustrated in the case of a healthcare
process including a surgical stage.
In order to take into account perturbations, one of the important characteristics of the hospital environment,
we propose to treat the planification and scheduling problem following a hierarchical structure comprising
four decision-making levels. The first level is carried out by admission planning which consists in fixing
patient hospitalization dates. However, the admission date given to a patient risks not being very reliable
because of the occurrence of various perturbations. Henceforth, hospitalization dates are confirmed
according to the operating planning contructed on the horizon of T days. The third decision-making level
consists in constructing a daily operating schedule. This decision-making level has double objectives: (1)
update the operating planning established on the horizon of T days while integrating various perturbations
which occur in the healthcare system; (2) determine the order of intervention achievement by considering
the critical resources used in the operating process. Then, we propose an approach for real-time piloting aid
of operating theatre in front of the occurrence of perturbations requiring to rethink the daily operating
schedule. Among the various types of perturbations, here we treat closely emergency admissions in the
block.
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Aïda Jebali. Vers un outil d'aide à la planification et à l'ordonnacement des ressources dans les services de soins. Sciences de l'ingénieur [physics]. Institut National Polytechnique de Grenoble - INPG, 2004. Français. ⟨tel-00169958⟩

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