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Article
Publication date: 1 July 2022

Jingkuang Liu, Yuqing Li, Ying Li, Chen Zibo, Xiaotong Lian and Yingyi Zhang

The purpose of this study is to discuss the principles and factors that influence the site selection of emergency medical facilities for public health emergencies. This paper…

389

Abstract

Purpose

The purpose of this study is to discuss the principles and factors that influence the site selection of emergency medical facilities for public health emergencies. This paper discusses the selection of the best facilities from the available facilities, proposes the capacity of new facilities, presents a logistic regression model and establishes a site selection model for emergency medical facilities for public health emergencies in megacities.

Design/methodology/approach

Using Guangzhou City as the research object, seven alternative facility points and the points' capacities were preset. Nine demand points were determined, and two facility locations were selected using genetic algorithms (GAs) in MATLAB for programing simulation and operational analysis.

Findings

Comparing the results of the improved GA, the results show that the improved model has fewer evolutionary generations and a faster operation speed, and that the model outperforms the traditional P-center model. The GA provides a theoretical foundation for determining the construction location of emergency medical facilities in megacities in the event of a public health emergency.

Research limitations/implications

First, in this case study, there is no scientific assessment of the establishment of the capacity of the facility point, but that is a subjective method based on the assumption of the capacity of the surrounding existing hospitals. Second, because this is a theoretical analysis, the model developed in this study does not consider the actual driving speed and driving distance, but the speed of the unified average driving distance and the driving distance to take the average of multiple distances.

Practical implications

The results show that the method increases the selection space of decision-makers, provides them with stable technical support, helps them quickly determine the location of emergency medical facilities to respond to disaster relief work and provides better action plans for decision makers.

Social implications

The results show that the algorithm performs well, which verifies the applicability of this model. When the solution results of the improved GA are compared, the results show that the improved model has fewer evolutionary generations, faster operation speed and better model than the intermediate model GA. This model can more successfully find the optimal location decision scheme, making that more suitable for the location problem of megacities in the case of public health emergencies.

Originality/value

The research findings provide a theoretical and decision-making basis for the location of government emergency medical facilities, as well as guidance for enterprises constructing emergency medical facilities.

Details

Engineering, Construction and Architectural Management, vol. 30 no. 8
Type: Research Article
ISSN: 0969-9988

Keywords

Open Access
Article
Publication date: 26 December 2023

Mehmet Kursat Oksuz and Sule Itir Satoglu

Disaster management and humanitarian logistics (HT) play crucial roles in large-scale events such as earthquakes, floods, hurricanes and tsunamis. Well-organized disaster response…

Abstract

Purpose

Disaster management and humanitarian logistics (HT) play crucial roles in large-scale events such as earthquakes, floods, hurricanes and tsunamis. Well-organized disaster response is crucial for effectively managing medical centres, staff allocation and casualty distribution during emergencies. To address this issue, this study aims to introduce a multi-objective stochastic programming model to enhance disaster preparedness and response, focusing on the critical first 72 h after earthquakes. The purpose is to optimize the allocation of resources, temporary medical centres and medical staff to save lives effectively.

Design/methodology/approach

This study uses stochastic programming-based dynamic modelling and a discrete-time Markov Chain to address uncertainty. The model considers potential road and hospital damage and distance limits and introduces an a-reliability level for untreated casualties. It divides the initial 72 h into four periods to capture earthquake dynamics.

Findings

Using a real case study in Istanbul’s Kartal district, the model’s effectiveness is demonstrated for earthquake scenarios. Key insights include optimal medical centre locations, required capacities, necessary medical staff and casualty allocation strategies, all vital for efficient disaster response within the critical first 72 h.

Originality/value

This study innovates by integrating stochastic programming and dynamic modelling to tackle post-disaster medical response. The use of a Markov Chain for uncertain health conditions and focus on the immediate aftermath of earthquakes offer practical value. By optimizing resource allocation amid uncertainties, the study contributes significantly to disaster management and HT research.

Details

Journal of Humanitarian Logistics and Supply Chain Management, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-6747

Keywords

Article
Publication date: 6 December 2022

Yufeng Zhou, Ying Gong, Xiaoqing Hu and Changshi Liu

The purpose of this paper is to propose a new casualty scheduling optimisation problem and to effectively treat casualties in the early stage of post-earthquake relief.

Abstract

Purpose

The purpose of this paper is to propose a new casualty scheduling optimisation problem and to effectively treat casualties in the early stage of post-earthquake relief.

Design/methodology/approach

Different from previous studies, some new characteristics of this stage are considered, such as the grey uncertainty information of casualty numbers, the injury deterioration and the facility disruption scenarios. Considering these new characteristics, we propose a novel casualty scheduling optimisation model based on grey chance-constrained programming (GCCP). The model is formulated as a 0–1 mixed-integer nonlinear programming (MINP) model. An improved particle swarm optimisation (PSO) algorithm embedded in a grey simulation technique is proposed to solve the model.

Findings

A case study of the Lushan earthquake in China is given to verify the effectiveness of the model and algorithm. The results show that (1) considering the facility disruption in advance can improve the system reliability, (2) the grey simulation technology is more suitable for dealing with the grey uncertain information with a wider fluctuation than the equal-weight whitening method and (3) the authors' proposed PSO is superior to the genetic algorithm and immune algorithm.

Research limitations/implications

The casualty scheduling problem in the emergency recovery stage of post-earthquake relief could be integrated with our study to further enhance the research value of this paper.

Practical implications

Considering the facility disruption in advance is beneficial to treat more patients. Considering the facility disruption in the design stage of the emergency logistics network can improve the reliability of the system.

Originality/value

(1) The authors propose a new casualty scheduling optimisation problem based on GCCP in the early stage of post-earthquake relief. The proposed problem considers many new characteristics in this stage. To the best of the authors' knowledge, the authors are the first to use the GCCP to study the casualty scheduling problem under the grey information. (2) A MINP model is established to formulate the proposed problem. (3) An improved integer-encoded particle swarm optimisation (PSO) algorithm embedded grey simulation technique is designed in this paper.

Article
Publication date: 12 July 2013

Elizabeth L. Walters, Tamara L. Thomas, Stephen W. Corbett, Karla Lavin Williams, Todd Williams and William A. Wittlake

The general population relies on the healthcare system for needed care during disasters. Unfortunately, the system is already operating at capacity. Healthcare facilities must…

Abstract

Purpose

The general population relies on the healthcare system for needed care during disasters. Unfortunately, the system is already operating at capacity. Healthcare facilities must develop plans to accommodate the surge of patients generated during disasters. The purpose of this paper is to examine a concept for providing independent, technologically advanced medical surge capacity via a Convertible Use Rapidly Expandable (CURE) Center.

Design/methodology/approach

To develop this concept, a site was chosen to work through a scenario involving a large earthquake. Although the study‐affiliated hospital was built with then state‐of‐the‐art technologies, there is still concern for its continued functioning should a large earthquake occur. Working within these parameters, the planning team applied the concepts to a specific educational complex. Because this complex was in the initial building stages, required attributes could be incorporated, making the concept a potential reality. Challenges with operations, communications, and technologies were identified and addressed in the context of planning for delivery of quality healthcare.

Findings

The process highlighted several requirements. Planning must include community leaders, enhanced by agencies or individuals experienced in disaster response. Analyzing regional threats in the context of available resources comes first, and reaching a consensus on the scope of operation is required. This leads to an operational plan, and in turn to understanding the needs for a specific site. Use of computer modeling and virtual deployment of the center indicates where additional planning is needed.

Originality/value

Previous strategies for increasing surge capacity rely on continued availability of hospital resources, alternative care sites with minimal medical capability, or, costly hospital expansions. Development of a site‐specific CURE Center can allow communities to provide fiscally responsible solutions for sustained medical care during disasters.

Details

International Journal of Disaster Resilience in the Built Environment, vol. 4 no. 2
Type: Research Article
ISSN: 1759-5908

Keywords

Article
Publication date: 25 October 2022

Wenping Xu, Jitao Xu, David Proverbs and Yuwan Zhang

In modern urban governance, rescue materials storage points (RMSP) are a vital role to be considered in responding to public emergencies and improving a city's emergency

Abstract

Purpose

In modern urban governance, rescue materials storage points (RMSP) are a vital role to be considered in responding to public emergencies and improving a city's emergency management. This study analyzes the siting of community-centered relief supply facilities.

Design/methodology/approach

Combining grey relational analysis, complex network and relative entropy, a new multi criteria method is proposed. It pays more attention to the needs of the community, taking into account the use of community hospitals, fire centers and neighborhood offices to establish small RMSP.

Findings

The research results firstly found suitable areas for RMSP site selection, including Hanyang, Qiaokou, Jiangan and Wuchang. The top 10 nodes in each region are found as the location of emergency facilities, and the network parameters are higher than ordinary nodes in traffic networks. The proposed method was applied in Wuhan, China and the method was verified by us-ing a complex network model combined with multi-criteria decision-making for emergency facility location.

Practical implications

This method solves the problem of how to choose the optimal solution and reduces the difficulty for decision makers. This method will help emergency managers to locate and plan RMSP more simply, especially in improving emergency siting modeling techniques and additionally in providing a reference for future research.

Originality/value

The method proposed in this study is beneficial to improve the decision-making ability of urban emergency departments. Using complex networks and comprehensive evaluation techniques, RMSP is incorporated into the urban community emergency network as a critical rescue force. More importantly, the findings highlight a new direction for further research on urban emergency facilities site selection based on a combination of sound theoretical basis as well as empirical evidence gained from real life case-based analysis.

Highlights:

  1. Material reserve points are incorporated into the emergency supply network to maintain the advantage of quantity.

  2. Build emergency site selection facilities centered on urban communities.

  3. Use a complex network model to select the location of emergency supplies storage sites.

Material reserve points are incorporated into the emergency supply network to maintain the advantage of quantity.

Build emergency site selection facilities centered on urban communities.

Use a complex network model to select the location of emergency supplies storage sites.

Details

Kybernetes, vol. 53 no. 1
Type: Research Article
ISSN: 0368-492X

Keywords

Article
Publication date: 7 June 2022

Yue Teng, Zhongfu Li, Jin Cai and Min Ju

This study aims to focus on the sustainability of prefabricated medical emergency buildings (PMEBs) renovation after the epidemic, to address the problem that large numbers of…

Abstract

Purpose

This study aims to focus on the sustainability of prefabricated medical emergency buildings (PMEBs) renovation after the epidemic, to address the problem that large numbers of PMEBs may be abandoned for losing their original architectural functions. This study develops an evaluation system to identify and measure sustainable factors for PMEBs’ renovation schemes. Qualitative and quantitative analysis of PMEBs’ renovation scheme was conducted based on cloud model evaluation method and selected the renovation scheme in line with sustainable development. The study promotes evaluation methods and decision-making basis for the renovation design of global PMEBs and realizes the use-value of building functions again.

Design/methodology/approach

By referring to the existing literature, design standards and expert visiting a set of evaluation index systems which combines the renovation of the PMEBs and the sustainability concept has been established, which calculates the balanced optimal comprehensive weight of each indicator utilizing combination weighting method, and quantifies the qualitative language of different PMEBs’ renovation schemes by experts through characteristics of the cloud model. This paper takes Huoshenshan hospital a representative PMEB during the epidemic period as an example, to verify the feasibility of the cloud model evaluation method.

Findings

The research results of this paper are that in the PMEBs’ renovation scheme structural reformative (T11) and corresponding nature with the original building (T13) have the most important influence; the continuity of architectural cultural value (T22) and regional development coherence (T23) are the key factors affecting the social dimension; the profitability of renovated buildings (T34) is the key factor affecting the economic dimension; the environmental impact (T41), resource utilization (T42) and ecological technology (T43) are the key factors in the environmental dimension.

Originality/value

This study contributes to the existing body of knowledge by supplementing a set of scientific evaluation methods to make up for the sustainability measurement of PMEBs’ renovation scheme. The main objective was to make renovated PMEBs meet the needs of urban sustainable development, retain the original cultural value of the buildings, meanwhile enhance their social and economic value and realize the renovation with the least impact on the environment.

Details

Engineering, Construction and Architectural Management, vol. 30 no. 8
Type: Research Article
ISSN: 0969-9988

Keywords

Article
Publication date: 9 December 2022

Ying Zhou, Yu Wang, Chenshuang Li, Lieyun Ding and Cong Wang

This study aimed to propose a performance-oriented approach of automatically generative design and optimization of hospital building layouts in consideration of public health…

586

Abstract

Purpose

This study aimed to propose a performance-oriented approach of automatically generative design and optimization of hospital building layouts in consideration of public health emergency, which intended to conduct reasonable layout design of hospital building to meet different performance requirements for both high efficiency during normal periods and low risk in the pandemic.

Design/methodology/approach

The research design follows a sequential mixed methodology. First, key points and parameters of hospital building layout design (HBLD) are analyzed. Then, to meet the requirements of high efficiency and low risk, adjacent preference score and infection risk coefficient are constructed as constraints. On this basis, automatic generative design is conducted to generate building layout schemes. Finally, multi-objective deviation analysis is carried out to obtain the optimal scheme of hospital building layouts.

Findings

Automatic generative design of building layouts that integrates adjacent preferences and infection risks enables hospitals to achieve rapid transitions between normal (high efficiency) and pandemic (low risk) periods, which can effectively respond to public health emergencies. The proposed approach has been verified in an actual project, which can help systematically explore the solution for better decision-making.

Research limitations/implications

The form of building layouts is limited to rectangles, and future work can explore conducting irregular layouts into optimization for the framework of generative design.

Originality/value

The contribution of this paper is the developed approach that can quickly and effectively generate more hospital layout alternatives satisfying high operational efficiency and low infection risk by formulating space design rules, which is of great significance in response to public health emergency.

Details

Engineering, Construction and Architectural Management, vol. 31 no. 4
Type: Research Article
ISSN: 0969-9988

Keywords

Article
Publication date: 5 June 2018

Shengbin Wang, Feng Liu, Lian Lian, Yuan Hong and Haozhe Chen

The purpose of this paper is to solve a post-disaster humanitarian logistics problem in which medical assistance teams are dispatched and the relief supplies are distributed among…

Abstract

Purpose

The purpose of this paper is to solve a post-disaster humanitarian logistics problem in which medical assistance teams are dispatched and the relief supplies are distributed among demand points.

Design/methodology/approach

A mixed integer-programming model and a two-stage hybrid metaheuristic method are developed to solve the problem. Problem instances of various sizes as well as a numerical example based on the 2016 Kyushu Earthquake in Japan are used to test the proposed model and algorithm.

Findings

Computational results based on comparisons with the state-of-the-art commercial software show that the proposed approach can quickly find near-optimal solutions, which is highly desirable in emergency situations.

Research limitations/implications

Real data of the parameters of the model are difficult to obtain. Future collaborations with organizations such as Red Cross and Federal Emergency Management Agency can be extremely helpful in collecting data in humanitarian logistics research.

Practical implications

The proposed model and algorithm can help governments and non-governmental organizations (NGOs) to effectively and efficiently allocate and coordinate different types of humanitarian relief resources, especially when these resources are limited.

Originality/value

This paper is among the first ones to consider both medical team scheduling (routing) and relief aid distribution as decision variables in the humanitarian logistics field. The contributions include developing a mathematical model and a heuristic algorithm, illustrating the model and algorithm using a numerical example, and providing a decision support tool for governments and NGOs to manage the relief resources in disasters.

Details

The International Journal of Logistics Management, vol. 29 no. 4
Type: Research Article
ISSN: 0957-4093

Keywords

Article
Publication date: 25 August 2021

Nadide Çağlayan and Sule Itir Satoglu

The purpose of this paper is to statistically assess the effects of the design factors including usage of data-driven decision support tool (DST), classification of patients…

Abstract

Purpose

The purpose of this paper is to statistically assess the effects of the design factors including usage of data-driven decision support tool (DST), classification of patients (triage), prioritization based on vital scores of patients, number of ambulances and hospital selection rules, on the casualty transportation system’s performance in large-scale disasters. Besides, a data-driven DST for casualty transportation is proposed to enhance the casualty survival and ambulance transportation times during the disaster response stage.

Design/methodology/approach

In this study, the authors applied simulation and statistical analysis to evaluate the effects of usage of data-driven DST, classification of patients (triage), prioritization of the patients based on vital scores, number of ambulances and hospital selection rules, on the patient survival and transportation time of the casualty transportation system. An experimental design was made, and 16 scenarios were formulated. Simulation models were developed for all scenarios. The number of unrecoverable casualties and time-spent by the casualties until arriving at the hospital was observed. Then, a statistical analysis was applied to the simulation results, and significant factors were determined.

Findings

Utilization of the proposed DST was found to improve the casualty transportation and coordination performance. All main effects of the design factors were found statistically significant for the number of unrecoverable casualties. Besides, for the Time spent Until Arrival of T1-Type Casualty at the Hospital, all of the main factors are significant except the number of ambulances. Respiratory rate, pulse rate, motor response score priority and hospital selection rule based on available hospital capacities must be considered to reduce the number of unrecoverable casualties and time spent until arrival of the casualties at the hospitals.

Originality/value

In this study, the factors that significantly affect the performance of the casualty transportation system were revealed, by simulation and statistical analysis, based on an expected earthquake case, in a metropolitan city. Besides, it was shown that using a data-driven DST that tracks victims and intends to support disaster coordination centers and medical staff performing casualty transportation significantly improves survival rate of the victims and time to deliver the casualties. This research considers the whole systems’ components, contributes to developing the response stage operations by filling gaps between using the data-driven DST and casualty transportation processes.

Details

International Journal of Disaster Resilience in the Built Environment, vol. 13 no. 5
Type: Research Article
ISSN: 1759-5908

Keywords

Article
Publication date: 1 October 2004

Alan D. Smith and Dean R. Manna

The increasing presence of the Internet in the medicine market is making it necessary to examine the ethics and privacy issues related to dispensing medical advice and information…

2999

Abstract

The increasing presence of the Internet in the medicine market is making it necessary to examine the ethics and privacy issues related to dispensing medical advice and information on the Web. In order to successfully regulate e‐medicine practices, a comprehensive set of regulations must be established to supplement existing corporate attempts at self‐regulation. This paper details some of major factors that must be present to achieve acceptable levels of e‐privacy/e‐security at the B2C (business‐to‐customer) level and manage the confidentially and trust afforded to e‐clinicians. One of the most important issues among Web‐enabled medicine providers is how to secure trust and loyalty among customers. This can be accomplished by providing reliable and accurate information, while safeguarding an individual's private information from third‐party collaboration and loss of integrity. Various examples and a conceptual model using basic concepts of reliability theory and the resource‐based view of the firm were used to identify the factors necessary to achieve privacy and ethics in an e‐medicine environment.

Details

Online Information Review, vol. 28 no. 5
Type: Research Article
ISSN: 1468-4527

Keywords

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