4.1 Article

An optimization and simulation approach to emergency stations relocation

Journal

CENTRAL EUROPEAN JOURNAL OF OPERATIONS RESEARCH
Volume 27, Issue 3, Pages 737-758

Publisher

SPRINGER
DOI: 10.1007/s10100-019-00612-5

Keywords

Emergency medical service; Ambulance location; p-median problem; Discrete optimization; Computer simulation

Funding

  1. Slovak Research and Development Agency [APVV-15-0179]
  2. Scientific Grant Agency of the Ministry of Education of the Slovak Republic
  3. Slovak Academy of Sciences [VEGA 1/0342/18]

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This paper suggests and compares three median-type location models to determine how to optimally relocate existing emergency medical stations. It also describes a detailed computer simulation model used to evaluate the locations proposed by each model in terms of several indicators of system performance. The simulation model was calibrated using real data from a health care provider in the Slovak Republic. The results of the computer simulation experiments suggest that the simple p-median model can significantly improve the accessibility of urgent health care to patients.

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