Home healthcare in Spanish rural areas

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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Autores: Castillo, Cristian, Álvarez Palau, Eduard|||0000-0003-0368-9344, Calvet, Laura|||0000-0001-8425-1381, Panadero, Javier|||0000-0002-3793-3328, Viu-Roig, Marta|||0000-0003-4173-808X, Serena-Latre, Anna, Juan, Ángel A.|||0000-0003-1392-1776
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:296740
Acceso en línea:https://ddd.uab.cat/record/296740
https://dx.doi.org/urn:doi:10.1016/j.seps.2024.101828
Access Level:acceso abierto
Palabra clave:Heuristics
Home healthcare logistics
Rural areas
Spain
Vehicle routing problem (VRP)
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spelling Home healthcare in Spanish rural areasapplying vehicle routing algorithms to health transport managementCastillo, CristianÁlvarez Palau, Eduard|||0000-0003-0368-9344Calvet, Laura|||0000-0001-8425-1381Panadero, Javier|||0000-0002-3793-3328Viu-Roig, Marta|||0000-0003-4173-808XSerena-Latre, AnnaJuan, Ángel A.|||0000-0003-1392-1776HeuristicsHome healthcare logisticsRural areasSpainVehicle routing problem (VRP)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. 22024-01-0120242024-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/296740https://dx.doi.org/urn:doi:10.1016/j.seps.2024.101828reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengAgencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2019-111100RB-C21open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2967402026-06-06T12:50:31Z
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
spellingShingle Home healthcare in Spanish rural areas
Castillo, Cristian
Heuristics
Home healthcare logistics
Rural areas
Spain
Vehicle routing problem (VRP)
title_short Home healthcare in Spanish rural areas
title_full Home healthcare in Spanish rural areas
title_fullStr Home healthcare in Spanish rural areas
title_full_unstemmed Home healthcare in Spanish rural areas
title_sort Home healthcare in Spanish rural areas
dc.creator.none.fl_str_mv Castillo, Cristian
Álvarez Palau, Eduard|||0000-0003-0368-9344
Calvet, Laura|||0000-0001-8425-1381
Panadero, Javier|||0000-0002-3793-3328
Viu-Roig, Marta|||0000-0003-4173-808X
Serena-Latre, Anna
Juan, Ángel A.|||0000-0003-1392-1776
author Castillo, Cristian
author_facet Castillo, Cristian
Álvarez Palau, Eduard|||0000-0003-0368-9344
Calvet, Laura|||0000-0001-8425-1381
Panadero, Javier|||0000-0002-3793-3328
Viu-Roig, Marta|||0000-0003-4173-808X
Serena-Latre, Anna
Juan, Ángel A.|||0000-0003-1392-1776
author_role author
author2 Álvarez Palau, Eduard|||0000-0003-0368-9344
Calvet, Laura|||0000-0001-8425-1381
Panadero, Javier|||0000-0002-3793-3328
Viu-Roig, Marta|||0000-0003-4173-808X
Serena-Latre, Anna
Juan, Ángel A.|||0000-0003-1392-1776
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Heuristics
Home healthcare logistics
Rural areas
Spain
Vehicle routing problem (VRP)
topic Heuristics
Home healthcare logistics
Rural areas
Spain
Vehicle routing problem (VRP)
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 2
2024-01-01
2024
2024-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/296740
https://dx.doi.org/urn:doi:10.1016/j.seps.2024.101828
url https://ddd.uab.cat/record/296740
https://dx.doi.org/urn:doi:10.1016/j.seps.2024.101828
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2019-111100RB-C21
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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