The quality of service in healthcare is constantly challenged by outlier events such as pandemics (i.e. Covid-19) and natural disasters (such as hurricanes and earthquakes). In most cases, such events lead to critical uncertainties in decision making, as well as in multiple medical and economic aspects at a hospital. External (geographic) or internal factors (medical and managerial), lead to shifts in planning and budgeting, but most importantly, reduces confidence in conventional processes. In some cases, support from other hospitals proves necessary, which exacerbates the planning aspect. This manuscript presents three data-driven methods that provide data-driven indicators to help healthcare managers organize their economics and identify the most optimum plan for resources allocation and sharing. Conventional decision-making methods fall short in recommending validated policies for managers. Using reinforcement learning, genetic algorithms, traveling salesman, and clustering, we experimented with different healthcare variables and presented tools and outcomes that could be applied at health institutes. Experiments are performed; the results are recorded, evaluated, and presented.
翻译:保健服务的质量经常受到流行病(即Covid-19)和自然灾害(如飓风和地震)等极端事件的挑战,在多数情况下,这类事件导致在医院的决策以及多种医疗和经济方面出现严重的不确定性。外部(地理)或内部因素(医疗和管理)导致规划和预算编制的转变,但最重要的是降低了对传统过程的信心。在某些情况下,其他医院的支持证明是必要的,这加剧了规划方面的问题。本稿提出了三种由数据驱动的方法,提供数据驱动的指标,帮助保健管理人员组织经济学,并确定资源分配和分享的最优化计划。常规决策方法在为管理人员推荐经验证的政策方面做得不够。我们利用强化学习、遗传算法、旅行推销员和集群,试验了不同的保健变量,并提出了可以在保健机构应用的工具和结果。进行了实验;结果被记录、评估和介绍。