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Considération de la dimension humaine dans l'optimisation de tournées de soins et services à domicile soumises à des perturbations

Cléa Martinez 1
1 G-SCOP_GCSP - Gestion et Conduite des Systèmes de Production
G-SCOP - Laboratoire des sciences pour la conception, l'optimisation et la production
Abstract : Due to the aging of western populations and the will of decreasing the number of admissions in hospitals and nursing homes, the Home Health Care (HHC) sector expanded in the last decades, as well as the research in this field. HHC agencies face new management issues. They have to modify their inner workings to deal with increasing demands. The routing and scheduling process, mostly done by hand, must be automatized to become faster and more efficient. What's more, the continuous changes within the pool of patients and in the staff make it difficult to plan the tours of the workers. As a result, it is unlikely to complete a schedule without undergoing some adjustments, or a full re-optimization. It directly impacts the satisfaction of the patients, which is one of our main concerns. To limit the turnover, the satisfaction of careworkers must also be encouraged in the routing and scheduling process. We are specifically interested in this last aspect, which received little attention in the literature.Firstly, we study a classic routing and scheduling problem with an unusual objective of preserving the continuity of care, which is a crucial topic in public health problems. Secondly, we suggest an exact method to re-optimize the planning whenever the variations within the pool of patients and careworkers made the current planning obsolete. Then, we develop a heuristic to address the punctual absences of careworkers. Finally, we present a case study. We highlight and analyze the difficulties of applying theoretical methods to real problems.
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Submitted on : Thursday, January 28, 2021 - 2:03:21 PM
Last modification on : Monday, February 1, 2021 - 3:14:11 AM
Long-term archiving on: : Thursday, April 29, 2021 - 7:22:45 PM


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  • HAL Id : tel-03124120, version 1



Cléa Martinez. Considération de la dimension humaine dans l'optimisation de tournées de soins et services à domicile soumises à des perturbations. Ordinateur et société [cs.CY]. Université Grenoble Alpes [2020-..], 2020. Français. ⟨NNT : 2020GRALI060⟩. ⟨tel-03124120⟩



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