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Learning Resource Centre Monthly Bulletin |
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Learning Resource Centre Monthly Bulletin |
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| Articles |
| Allocation‐routing problem in a multi‐hospital home hospitalization system: the case of a healthcare provider in Portugal. By Bonomi, Valentina;Lopes, Maria;Santos, Daniel Rebelo;Mansini, Renata;Barbosa‐Pòvoa, Ana Paula International Transactions in Operational Research. Nov2026, Vol. 33 Issue 6, p4110-4141. 32p. Abstract :Home hospitalization (HH) represents a paradigm shift in healthcare delivery, providing vital patient‐centered services that enhance care quality and significantly reduce the burden on conventional healthcare facilities. Given the complexity of HH systems, where specialized nurses and doctors allocate their time between inpatient and outpatient systems, efficiently managing their time and workload becomes critical. For this purpose, we develop the multi‐hospital home hospitalization allocation‐routing problem as a mixed‐integer linear programming formulation. We define three different objective functions: minimizing routing costs, workload balancing among nurses, and the minimization of employed doctors. The model is solved by optimizing each objective function individually and then analyzing the trade‐offs by combining the functions in pairs, generating a series of two‐objective Pareto frontiers as part of a comprehensive multi‐objective framework. The model is validated using benchmark instances derived from HH historical data. Through a single‐objective perspective, we provide an economic analysis that assesses the cost implications and the benefits of opening new HH units. Furthermore, the bi‐objective results are analyzed presenting Pareto frontiers to facilitate the provider`s decision‐making process regarding the trade‐offs between different objectives. A technique for order of preference by similarity to ideal solution (TOPSIS) analysis is subsequently applied to identify the most promising solution according to varying objectives weights. Finally, useful managerial insights are developed to assess the impact of prioritizing one objective function over the other and the economi implications on different strategic options. | |||
| DISCHARGED PATIENTS` ADHERENCE TO MEDICATION INTERVENTIONS IN ONLINE HEALTHCARE PLATFORMS: EXPLORING THE COMPLEX ONLINE-OFFLINE DILEMMAS. By Guo, Huijing;Shen, Kathy Ning;Wang, Le;Kong, Yi;Mo, Jiahui Journal of Electronic Commerce Research. 2026, Vol. 27 Issue 4, p373-395. 23p. Abstract :Adherence to medication interventions is a critical factor in achieving desired health outcomes and reducing healthcare costs, particularly among discharged patients. However, discharged patients usually exhibit high nonadherence rates. Motivated by exploring the potential unintended consequences of online health platforms, when patients distrust their attending doctors, this study aims to identify and formulate the factors influencing discharged patients` medication adherence. We conducted a sequential analysis. Phase I involved an exploratory investigation through in-depth semi-structured interviews with ten discharged patients. Inspired by Phase I findings, Phase II empirically validate a theoretical model using an online survey with 309 participants. Results showed that patients` distrust in doctors` competence emerged as crucial in harming medication adherence. Meanwhile, the study uncovered the potential pitfalls of online health platforms with professionals` assistance in patients` medication behaviors. The study also revealed the complex online-offline dilemmas from hospitalization to self-management phases faced by discharged patients. This study contributes to the existing literature by uncovering potential challenges in online platforms when the complex online-offline dilemma exists. Practically, this study can benefit related stakeholders to pay attention to the potential conflicts and explore opportunities to integrate online medical services and traditional clinical systems. | |||
| Subordination vs. subcontracting: the impact on downstream referral of integrated healthcare systems. By Gan, Yanhong;Zhou, Wenhui;Dai, Yingying;Dang, Yuanyuan International Journal of Production Research. Aug2026, Vol. 64 Issue 15, p6591-6606. 16p. Abstract :Downstream healthcare referral, where patients undergoing surgery in a tertiary hospital are transferred to a community hospital for follow-up rehabilitation care, has been widely promoted in China but little progress has been made. The implementation of bundled payment (BP) and integrated healthcare systems may turn things around. In practice, there are mainly two types: subordination and subcontracting. By using a three-stage game model, we find: (i) When the budget is sufficient, BP can coordinate both systems. However, when the budget is limited, BP can only coordinate the subordination system, and below a certain budget threshold, no integration is possible. (ii) From the regulator`s perspective, the bundled price under subordination does not exceed that under subcontracting, making subordination the preferred choice. (iii) As far as hospitals, subcontracting is better in most cases, but subordination also brings more profits in some cases. (iv) Subcontracting results in Pareto improvements (PI) in most scenarios. Subordination can be a PI when both the budget and potential arrival rate are within a certain range. | |||
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