This paper addresses the problem of managing a waiting list for elective surgery to decide the number of patients selected from the waiting list and to schedule them in accordance with the operating room capacity in the next period. The waiting list prioritizes patients not only by their initial urgency level but also by their waiting time. Selecting elective surgery patients requires a balance between the waiting time for urgent patients and that for less urgent patients. The problem is formulated as an infinite horizon Markov Decision Process. Further, the study proposes a scheduling procedure based on structural properties of an optimal policy by taking a sampling-based finite horizon approximation approach. Finally, we examine the performance of the policy under various conditions.
Mots-clés : waiting list management, time-dependent priority, adverse events while waiting, Markov decision process
@article{RO_2014__48_1_53_0,
author = {Min, Daiki and Yih, Yuehwern},
title = {Managing a patient waiting list with time-dependent priority and adverse events},
journal = {RAIRO - Operations Research - Recherche Op\'erationnelle},
pages = {53--74},
publisher = {EDP-Sciences},
volume = {48},
number = {1},
year = {2014},
doi = {10.1051/ro/2013047},
mrnumber = {3143768},
zbl = {1288.90121},
language = {en},
url = {http://archive.numdam.org/articles/10.1051/ro/2013047/}
}
TY - JOUR AU - Min, Daiki AU - Yih, Yuehwern TI - Managing a patient waiting list with time-dependent priority and adverse events JO - RAIRO - Operations Research - Recherche Opérationnelle PY - 2014 SP - 53 EP - 74 VL - 48 IS - 1 PB - EDP-Sciences UR - http://archive.numdam.org/articles/10.1051/ro/2013047/ DO - 10.1051/ro/2013047 LA - en ID - RO_2014__48_1_53_0 ER -
%0 Journal Article %A Min, Daiki %A Yih, Yuehwern %T Managing a patient waiting list with time-dependent priority and adverse events %J RAIRO - Operations Research - Recherche Opérationnelle %D 2014 %P 53-74 %V 48 %N 1 %I EDP-Sciences %U http://archive.numdam.org/articles/10.1051/ro/2013047/ %R 10.1051/ro/2013047 %G en %F RO_2014__48_1_53_0
Min, Daiki; Yih, Yuehwern. Managing a patient waiting list with time-dependent priority and adverse events. RAIRO - Operations Research - Recherche Opérationnelle, Tome 48 (2014) no. 1, pp. 53-74. doi : 10.1051/ro/2013047. http://archive.numdam.org/articles/10.1051/ro/2013047/
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