Home healthcare in Spanish rural areas: applying vehicle routing algorithms to health transport management

Depopulation of rural areas poses a range of new challenges for the provision of public services. Access to primary care centres is essential for promoting and protecting quality of life, especially for the older population. However, many rural municipalities face abandonment from public administrat...

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Detalles Bibliográficos
Autores: Castillo, Cristian, Alvarez-Palau, Eduard J., Calvet Liñán, Laura, Panadero, Javier, Viu-Roig, Marta, Serena-Latre, Anna, Juan, Angel A.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universitat Oberta de Catalunya (UOC)
Repositorio:O2, repositorio institucional de la UOC
OAI Identifier:oai:openaccess.uoc.edu:10609/150468
Acceso en línea:http://hdl.handle.net/10609/150468
https://doi.org/10.1016/j.seps.2024.101828
Access Level:acceso abierto
Palabra clave:home healthcare logistics
vehicle routing problem (VRP)
heuristics
rural areas
Spain
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spelling Home healthcare in Spanish rural areas: applying vehicle routing algorithms to health transport managementCastillo, CristianAlvarez-Palau, Eduard J.Calvet Liñán, LauraPanadero, JavierViu-Roig, MartaSerena-Latre, AnnaJuan, Angel A.home healthcare logisticsvehicle routing problem (VRP)heuristicsrural areasSpainDepopulation of rural areas poses a range of new challenges for the provision of public services. Access to primary care centres is essential for promoting and protecting quality of life, especially for the older population. However, many rural municipalities face abandonment from public administrations by not even having a local clinic and forcing their dwellers to drive to the nearest facility. This research examines the adequacy of providing home healthcare (HHC) systems in such areas to avoid unnecessary trips. When designing routes to provide these services, decision-makers must take into account the following: (i) wide geographical spread of places to visit; (ii) difficulty in accessing some of these places with heavy medically equipped vehicles; and (iii) uncertainty regarding places to visit and availability of professionals. Our study identifies municipalities in which the travelling distance to the closest centre is above a desirable threshold, estimating the magnitude of the problem. Then, we provide an illustrative example in which an agile methodology is presented to design efficient routes that allow policymakers to offer HHC services of reasonable quality.Elsevier202420242024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10609/150468https://doi.org/10.1016/j.seps.2024.101828reponame:O2, repositorio institucional de la UOCinstname:Universitat Oberta de Catalunya (UOC)InglésSocio-Economic Planning Sciences, 2024, 92, 101828https://www.sciencedirect.com/science/article/pii/S0038012124000272?via%3Dihubinfo:eu-repo/grantAgreement/PID2019-111100RB-C21//info:eu-repo/grantAgreement/HORIZON-CL5-2021-D6-01-08//CC BY-NC-NDhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:openaccess.uoc.edu:10609/1504682026-05-28T12:42:01Z
dc.title.none.fl_str_mv Home healthcare in Spanish rural areas: applying vehicle routing algorithms to health transport management
title Home healthcare in Spanish rural areas: applying vehicle routing algorithms to health transport management
spellingShingle Home healthcare in Spanish rural areas: applying vehicle routing algorithms to health transport management
Castillo, Cristian
home healthcare logistics
vehicle routing problem (VRP)
heuristics
rural areas
Spain
title_short Home healthcare in Spanish rural areas: applying vehicle routing algorithms to health transport management
title_full Home healthcare in Spanish rural areas: applying vehicle routing algorithms to health transport management
title_fullStr Home healthcare in Spanish rural areas: applying vehicle routing algorithms to health transport management
title_full_unstemmed Home healthcare in Spanish rural areas: applying vehicle routing algorithms to health transport management
title_sort Home healthcare in Spanish rural areas: applying vehicle routing algorithms to health transport management
dc.creator.none.fl_str_mv Castillo, Cristian
Alvarez-Palau, Eduard J.
Calvet Liñán, Laura
Panadero, Javier
Viu-Roig, Marta
Serena-Latre, Anna
Juan, Angel A.
author Castillo, Cristian
author_facet Castillo, Cristian
Alvarez-Palau, Eduard J.
Calvet Liñán, Laura
Panadero, Javier
Viu-Roig, Marta
Serena-Latre, Anna
Juan, Angel A.
author_role author
author2 Alvarez-Palau, Eduard J.
Calvet Liñán, Laura
Panadero, Javier
Viu-Roig, Marta
Serena-Latre, Anna
Juan, Angel A.
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv home healthcare logistics
vehicle routing problem (VRP)
heuristics
rural areas
Spain
topic home healthcare logistics
vehicle routing problem (VRP)
heuristics
rural areas
Spain
description Depopulation of rural areas poses a range of new challenges for the provision of public services. Access to primary care centres is essential for promoting and protecting quality of life, especially for the older population. However, many rural municipalities face abandonment from public administrations by not even having a local clinic and forcing their dwellers to drive to the nearest facility. This research examines the adequacy of providing home healthcare (HHC) systems in such areas to avoid unnecessary trips. When designing routes to provide these services, decision-makers must take into account the following: (i) wide geographical spread of places to visit; (ii) difficulty in accessing some of these places with heavy medically equipped vehicles; and (iii) uncertainty regarding places to visit and availability of professionals. Our study identifies municipalities in which the travelling distance to the closest centre is above a desirable threshold, estimating the magnitude of the problem. Then, we provide an illustrative example in which an agile methodology is presented to design efficient routes that allow policymakers to offer HHC services of reasonable quality.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10609/150468
https://doi.org/10.1016/j.seps.2024.101828
url http://hdl.handle.net/10609/150468
https://doi.org/10.1016/j.seps.2024.101828
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Socio-Economic Planning Sciences, 2024, 92, 101828
https://www.sciencedirect.com/science/article/pii/S0038012124000272?via%3Dihub
info:eu-repo/grantAgreement/PID2019-111100RB-C21//
info:eu-repo/grantAgreement/HORIZON-CL5-2021-D6-01-08//
dc.rights.none.fl_str_mv CC BY-NC-ND
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv CC BY-NC-ND
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:O2, repositorio institucional de la UOC
instname:Universitat Oberta de Catalunya (UOC)
instname_str Universitat Oberta de Catalunya (UOC)
reponame_str O2, repositorio institucional de la UOC
collection O2, repositorio institucional de la UOC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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