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Recent planning approaches and mobility concepts for home health care services in Austria – A review

   | 09 mars 2018
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Figure 1

Publications of the author on HHC planning and their contents and interrelationsAbbildung 1. Publikationen des Autors über die Planung von mobilen Pflegediensten sowie deren Inhalte und Zusammenhänge
Publications of the author on HHC planning and their contents and interrelationsAbbildung 1. Publikationen des Autors über die Planung von mobilen Pflegediensten sowie deren Inhalte und Zusammenhänge

Figure 2

Simplified example for time-dependent travel times in a public transport networkAbbildung 2. Vereinfachtes Beispiel für zeitabhängige Reisezeiten in einem öffentlichen Verkehrsnetzwerk
Simplified example for time-dependent travel times in a public transport networkAbbildung 2. Vereinfachtes Beispiel für zeitabhängige Reisezeiten in einem öffentlichen Verkehrsnetzwerk

Figure 3

Extract of tours during a normal day (Rest et al., 2012)Abbildung 3. Auswahl von Touren während eines normalen Tages (Rest et al., 2012)
Extract of tours during a normal day (Rest et al., 2012)Abbildung 3. Auswahl von Touren während eines normalen Tages (Rest et al., 2012)

Figure 4

Extract of tours during an HQ200 flood (Rest et al., 2012)Abbildung 4. Auswahl von Touren während eines HQ200 Hochwassers (Rest et al., 2012)
Extract of tours during an HQ200 flood (Rest et al., 2012)Abbildung 4. Auswahl von Touren während eines HQ200 Hochwassers (Rest et al., 2012)

Average solution values for each instance set (cf. Fikar and Hirsch, 2015)Tabelle 8. Durchschnittliche Lösungswerte für jede Testdatenmenge (vgl. Fikar und Hirsch, 2015)

Instance setAverage number of scheduled HHC workersAverage vehicle reductionAverage number of pickupsAverage portion of drivingAverage portion of walkingAverage time HHC workers on board or waiting
U-75-2415.2-86.8%37.645.6%27.2%27.2%
U-100-3223.2-91.4%45.044.1%28.5%27.4%
U-125-4026.4-92.4%53.043.8%28.8%27.4%
S-75-2418.2-89.0%50.655.2%14.3%30.4%
S-100-3224.8-91.9%63.454.3%15.3%30.4%
S-125-4028.0-92.9%74.853.1%17.3%29.5%

Mobility concepts in HHC and their underlying basic logistical problems (cf. Voegl and Hirsch, 2015)Tabelle 3. Mobilitätskonzepte in der mobilen Pflege und ihre grundlegenden logistischen Problemformulierungen (vgl. Voegl und Hirsch, 2015)

Mobility conceptDARPBasic logistical problem VRPSynchronization
carindividual useX
car sharingXX
trip sharingXX
(e-)bikeindividual useX
(e-)bike sharingXX
walkingX
taxi useX
bus serviceXX
public transportno combinationX
with shared (e-)bikes or carsXX
with individual (e-)bikes or scootersX

Solution values [min] for r1, r2, and r3 for different scenarios and the objective functions Λ1 and Λ2 (cf. Trautsamwieser and Hirsch, 2011)Tabelle 5. Lösungswerte [min] für r1, r2, und r3 für unterschiedliche Szenarien und Zielfunktionen Λ1 und Λ2 (vgl. Trautsamwieser und Hirsch, 2011)

RegionD(Λ1) [min]D(Λ2) [min]H11) [min]H12) [min]H21) [min]H22) [min]C(Λ1) [min]C(Λ2) [min]
r1171211201255114164155198
r22,0561,9411,9821,8891,1271,4091,6851,743
r33,0212,5052,9442,7591,8361,9812,3832,332

Weighting of Λ1 and Λ2 (cf. Trautsamwieser and Hirsch, 2011)Tabelle 6. Gewichtung von Λ1 und Λ2 (vgl. Trautsamwieser und Hirsch, 2011)

Weighting
Part of the objective functionΛ1Λ2
total travel time10.5
overtime00.2
preferences00
soft time window violations (job)00.05
soft time window violations (HHC worker)00.05
overqualification00.15
unpaid driving times00.05

Commercial logistics versus humanitarian logistics (cf. Larson, 2014)Tabelle 1. Vergleich von kommerzieller und humanitärer Logistik (vgl. Larson, 2014)

Logistics Context
AspectCommercialHumanitarian
PurposeEconomic profitSocial impact/Cost recovery
ContextUninterruptedInterrupted/Uninterrupted
Perspective on time“Time is money”“Time is human health”
People servedPaying customersBeneficiaries
Source of fundsPaying customersDonors/Public agencies
WorkforcePaid staffVolunteers/Paid staff

Savings in travel time of HHC workers obtained by TS, TSAS, and TSDYN when compared to the actual planning of the ARC (cf. Rest and Hirsch, 2016)Tabelle 9. Einsparungen in der Reisezeit von mobilen Pflegekräften bei Anwendung von TS, TSAS und TSDYN im Vergleich zur aktuellen Planung des Österreichischen Roten Kreuzes (vgl. Rest und Hirsch, 2016)

Predefined rosterFlexible working time
InstanceTSTSASTSDYNTSTSASTSDYN
I0837.8%37.0%34.7%50.9%50.7%51.1%
I0929.8%29.1%28.7%46.2%46.8%46.2%
I1040.7%38.2%40.9%56.2%55.9%57.4%
I1151.5%51.1%47.8%59.2%58.2%59.9%
I1240.8%34.8%38.0%52.0%52.6%52.5%
I1349.3%48.8%48.9%54.2%53.9%54.5%
I1448.9%47.5%48.5%57.8%56.3%57.9%
I1561.1%60.8%59.6%65.3%64.0%65.2%
I1637.7%34.6%37.4%40.6%39.9%40.0%
I1745.7%41.7%45.9%51.9%51.7%52.5%
I1834.9%33.5%34.8%38.7%37.6%38.7%
I1935.3%35.3%34.1%44.0%42.0%44.2%
I2026.6%23.8%23.0%40.0%43.6%44.1%
Mean41.5%39.7%40.2%50.5%50.3%51.1%

Categorization of the author’s publications on HHCTabelle 4. Kategorisierung der Publikationen des Autors über mobile Pflege

PublicationPlanning horizonTime-dependent travel timesSolution methodConsideration of disastersMode of transport
Trautsamwieser and Hirsch (2011)dailynometaheuristic (VNS)noindividual transport mode
Trautsamwieser et al. (2011)dailynometaheuristic (VNS)yesindividual transport mode
Rest et al. (2012)dailynometaheuristic (VNS)yesindividual transport mode
Trautsamwieser and Hirsch (2014)weeklynoexact (Branch-Price-and-Cut) metaheuristic (VNS)noindividual transport mode
Fikar and Hirsch (2015)dailynoMatheuristicnobus service
Rest and Hirsch (2015)dailyyesmetaheuristic (TS)yespublic transport
Fikar and Hirsch (2016)dailynometaheuristic (BR) matheuristicnoindividual car use car sharing trip sharing
Fikar et al. (2016)dailynometaheuristic (BR)notrip sharing
Rest and Hirsch (2016)dailyyesmetaheuristic (TS)nopublic transport
Fikar and Hirsch (2017)Review

Solution values for an extreme day in three regions with different flood disaster scenarios (cf. Trautsamwieser et al., 2011)Tabelle 7. Lösungswerte für einen Extremtag in den drei Regionen mit verschiedenen Flutszenarien (vgl. Trautsamwieser et al., 2011)

RegionScenario# Jobs# Clients# HHC workersSolution value [min]
θ1no flood14014013282.70
flood 200214014013283.20
HQ200888810144.00
θ2no flood351291392,435.40
flood 2002299248361,920.00
HQ200263218332,774.10
θ3no flood512411753,497.50
flood 2002504403723,756.00
HQ20038530764no feasible solution

Impact of disaster events on HHC (cf. Rest et al., 2012)Tabelle 2. Auswirkungen von Katastrophen auf die mobile Pflege (vgl. Rest et al., 2012)

Disaster eventHHC staffClientstransportCommunication
NumberNumberService timeTrafficabilityDriving timeAvailability
Earthquake
Volcano action
Mass movement
Storm
Flood
Heat wave
Cold wave
Epidemic
Blackout
eISSN:
0006-5471
Langue:
Anglais
Périodicité:
4 fois par an
Sujets de la revue:
Life Sciences, Ecology, other