By Brant E. Fries
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Ion into ui~tri(:ts ... 11e! "id. l in a ~anncr du~h aR to Mini~ize the 0bjuctive ioften denoted the "R-mcdiiln problem"). ::lill structure 0: the: problem can ofte~ be ubed to facilitate solution. he ~pecifi~ation of the "level of facility" (regionill, district. tnls, for example) as well as the location. linill'lum travel time to the facility. An integer prograr''lming hlo~ej is also suggested by SIlUl-lJ\N ET AL. :\l location of liealth Haintenance Organizations. lttend the facility nearest th~m, the model locates the facilities such that enrollment, a function of travel time, is ma~imize~ subject to constraints on expense, and on the Minimum and maximum enrollment at the clinic.
Or restrictions of race, a~~lity to pay, and religious preferences. The system repro~u::es the de~and o~ th~ hospitals satisfactorily (MORRILL A~~ ~ELL~~ (i970)) and alternative hospital locations that youl~ reduce the total trave~ tin~ are evaluated. ty location 1) (see also the revielol in REVELLE :::T AL. n7)) and the same dichotomy of models exist: location over a net~ork and location over 3 plane. A ~ariety of objoctive fc~crions ce~ be used. -l ET AL. (1973)). :lg. Sci. 16:692-717 (1970).
Golitt~~. The assumption need not be made that service requests aloe 9rouped at a centroid of a region and th~t amb~lances are situat~d only at fixed locations. " Configurations with various lvcation ~eltterns and with various numbers of vehicles arc shown to imp~ove l~sponse time, necessitate fewer ambulances, and reduce the total system cost, as demonstrated by a cost analysis. The articl~ cont"inc a complete case study of the problem, includin~ prop~sed chd~g~s and the details of serving calls and of dispatching vehicles.
Applications of Operations Research to Health Care Delivery Systems: A Complete Review of Periodical Literature by Brant E. Fries