Chemotherapy appointment scheduling and daily outpatient–nurse assignment

Chemotherapy planning and patient–nurse assignment problems are complex multiobjective decision problems. Schedulers must make upstream decisions that affect daily operations. To improve productivity, we propose a two-stage procedure to schedule treatments for new patients, to plan nurse requirement...

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Bibliographic Details
Published in:Health care management science 2020-03, Vol.23 (1), p.34-50
Main Authors: Benzaid, Menel, Lahrichi, Nadia, Rousseau, Louis-Martin
Format: Article
Language:English
Subjects:
Business and Management
Chemotherapy
Econometrics
Health Administration
Health care management
Health Informatics
Management
Nurses
Operations Research/Decision Theory
Patients
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Summary:Chemotherapy planning and patient–nurse assignment problems are complex multiobjective decision problems. Schedulers must make upstream decisions that affect daily operations. To improve productivity, we propose a two-stage procedure to schedule treatments for new patients, to plan nurse requirements, and to assign the daily patient mix to available nurses. We develop a mathematical formulation that uses a waiting list to take advantage of last-minute cancellations. In the first stage, we assign appointments to the new patients at the end of each day, we estimate the daily requirement for nurses, and we generate the waiting list. The second stage assigns patients to nurses while minimizing the number of nurses required. We test the procedure on realistically sized problems to demonstrate the impact on the cost effectiveness of the clinic.
ISSN:1386-9620
1572-9389
DOI:10.1007/s10729-018-9462-6