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A comprehensive multi-objective mixed integer nonlinear programming model for an integrated elderly care service districting problem

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Abstract

The integrated care service districting (ICSD) problem is an important logistics decision that the elderly care structures (ECS) face when designing service networks to deliver integrated care to the elderly. The ICSD problem, which aims to prepare enhanced care worker recruitment and training plans for all well-designed service districts, is formulated as a multi-objectives mixed integer nonlinear programming (MOMINLP) model. Several criteria are considered, such as balanced workload of care workers among districts, compactness, indivisibility of elderly locations, and the unknown number of districts to be designed. The model considers three objectives simultaneously, including minimizing the total cost of hiring care workers necessary in all service districts, balancing the workload among districts, and achieving as much compactness of district as possible. Results for analysis were obtained by nondominated sorting genetic algorithm II, a well-known multi-objective evolutionary algorithm for continuous multi-objective optimization, which was modified for our MOMINLP model and tested with actual case. Effects of key parameters, including district- and service-related parameters, on these three objectives were analyzed based on different concerns from decision-makers. Furthermore, different correlations among the deviation of service workload and policies for work encouragement were analyzed for ECS. It informs decision-makers about the performance of key factors of the ICSD problem and improves service quality with proper decisions on related parameters.

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Abbreviations

ICSD:

Integrated care service districting

ECS:

Elderly care structure

MOMINLP:

Multi-objective mixed integer nonlinear programming

MOEA:

Multi-objective evolutionary algorithm

NSGA-II:

Nondominated sorting genetic algorithm II

TSP:

Traveling salesman problem

SBX:

Simulated binary crossover

VRP:

Vehicle routing problem

PN :

Size of population in NSGA-II

GN :

Number of generations of NSGA-II

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Acknowledgements

We thank the guest editors and two anonymous referees for their helpful comments, which have greatly improved the exposition of this paper. This work was partially supported by the National Natural Science Foundation of China (Grant Nos. 71471118, 71871145, 71801158), the Major Project of National Natural Science Foundation of China (Grant No. 71790615), the Key Project of National Natural Science Foundation of China (Grant No. 71431006), the Humanities and Social Science Foundation of Ministry of Education of China (Grant Nos. 14YJC630096, 18YJC630088), Start-Up Funds of Shenzhen University (Grant No. 2018058), the Hong Kong RGC (Grant No. T32-102/14N).

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Correspondence to Lijun Ma.

Appendix

Appendix

See Tables 2, 3 and Fig. 11.

Table 2 Sample records of admission and discharge
Table 3 The daily schedule of a care worker

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Lin, M., Chin, K.S., Ma, L. et al. A comprehensive multi-objective mixed integer nonlinear programming model for an integrated elderly care service districting problem. Ann Oper Res 291, 499–529 (2020). https://doi.org/10.1007/s10479-018-3078-6

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