Longer Quality-Adjusted Life Years with Less Cost?--Yes,the Mobile Clinic Operation can Help

摘要：

　　We consider a discrete-time mobile clinic(MC)delivery model and study the optimal MC implementation from the viewpoint of the government.Specifically,we consider the following three objectives:(1)cost reduction,(2)improving the quality of the adjusted life years(QALYs)of the remote population,and(3)a bi-objective optimization defined as a weighted average of the above two performance measures.Under the first objective,we characterize the optimal MC delivery policy that minimizes the long run average cost of the local public healthcare system consisting of a mobile clinic and a hospital.We show that only when the setup cost is below a threshold shall the MC service be delivered.Interestingly,the MC service is only delivered every or every other period when the disease is fast progressive.

关键词： Mobile clinic service Disease progression Delivery cycle Stochastic model Public healthcare

作者: Pengfei Guo Fang Liu Yulan Wang

作者单位: Faculty of Business,the Hong Kong Polytechnic University,Hong Kong Nanyang Business School,Nanyang Technological University,639798 Singapore

会议类型: 国际会议

会议名称: The 12th International Conference on Queueing Theory and Network Applications(第十二届排序理论与网络应用国际会议)(QTNA 2017)

会议地点: 河北秦皇岛

会议语种:英文

页码: 25-28

在线出版日期: 2017-08-21（万方平台首次上网日期，不代表论文的发表时间）