中国管理科学 ›› 2023, Vol. 31 ›› Issue (3): 177-185.doi: 10.16381/j.cnki.issn1003-207x.2022.0280cstr: 32146.14.j.cnki.issn1003-207x.2022.0280
张玲玲1, 王明征2
收稿日期:2022-02-16
修回日期:2022-08-12
出版日期:2023-03-20
发布日期:2023-04-03
通讯作者:
王明征(1973-),男(汉族),山东枣庄人,浙江大学管理学院,教授,博士,研究方向:数据驱动决策、物流供应链管理,Email: wangmzh@ zju.edu.cn.
E-mail:wangmzh@zju.edu.cn
基金资助:ZHANG Ling-ling1, WANG Ming-zheng2
Received:2022-02-16
Revised:2022-08-12
Online:2023-03-20
Published:2023-04-03
Contact:
王明征
E-mail:wangmzh@zju.edu.cn
摘要: 为了科学有效地利用护士资源,提高护士的工作满意度,本文对护士联合调度问题进行了研究,分析了护士配置、排班和分配三个决策阶段和其相互影响关系,并在优化医疗机构配置护士成本的经济目标的同时,实现护士的均衡工作量和合理工作时长的非经济目标,有利于提升护士的工作满意度,降低护士的离职率。本文进一步构建了非线性整数规划模型来对研究问题进行解析,并针对模型的层次化特点,设计了基于Logic Benders割的Benders分解算法来进行求解。此外,本文设计了两种加速策略,进一步降低了问题的求解难度和规模,极大地提高了算法的求解效率。实验结果显示,考虑工作量均衡指标,不仅没有增加额外的人力成本,反而大幅度提升了护士之间工作量分配的均衡性,改善了工作的公平性。实验也验证了基于加速策略的Logic Benders算法的可行性和有效性,为护士联合调度优化问题提供了高效的求解手段和决策支持。
中图分类号:
张玲玲,王明征. 考虑工作量均衡的护士联合调度决策优化模型及算法研究[J]. 中国管理科学, 2023, 31(3): 177-185.
ZHANG Ling-ling,WANG Ming-zheng. A Novel Model and Algorithm for Integrated Nurse Scheduling Considering Balanced Workload[J]. Chinese Journal of Management Science, 2023, 31(3): 177-185.
| [1] 金振娅. 白衣天使年增几十万,为何仍紧缺[N]. 光明日报, 2019-05-10(8).Jin Zhenya. Why there is still a shortage of white angels despite the annual increase of hundreds of thousands?[N]. Guangming Daily, 2019-05-10(8). [2] 武宁. 全球护士缺乏的原因及对策[J]. 卫生经济研究, 2013(10): 45-47. Wu Ning. Reasons and strategies of global nurses shortage[J]. Health Economics Research, 2013(10): 45-47. [3] 周梦, 童艳, 余元清, 等. 临床护士短缺的原因分析及对策[J]. 西南军医, 2009, 11(1): 145-146.Zhou Meng, Tong Yan Yu Yuanqing, et al. Analysis and countermeasures of the shortage of clinical nurses [J]. Journal of Military Surgeon in SouthWest China, 2009, 11(1): 145-146. [4] 丁香园调查派. 护士工作现状:干活多,压力大,收入低[R]. 北京: 丁香园调查派, 2015. Dingxiangyuan Survey. Nursing work status: more work, high pressure, low income[R]. Beijing: Dingxiangyuan Survey, 2015. [5] 庄梅宝, 孙小娅, 向敏. 养老机构护理人员面临的问题与对策[J]. 中国民康医学, 2012, 24(19): 2430-2431. Zhuang Meibao, Sun Xiaoya, Xiang Min. Problems and countermeasures faced by nursing staff in nursing homes [J]. Medical Journal of Chinese People’s Health, 2012, 24(19): 2430-2431. [6] 周高阳. 护理工作量的影响因素分析[R]. 西安: 第四军医大学唐都医院, 2019. Zhou Gaoyang. Analysis of the factors influencing nursing workload[R]. Xi′an: Tangdu Hospital of the Fourth Military Medical University, 2019. [7] 陈黎明, 徐国英, 赵凤琴, 等. 护理工作量的影响因素研究进展[J]. 护理研究, 2013, 27(25): 2696-2698.Zhao Liming, Xu Guoying, Zhao Fengqin, et al. Research progress on influencing factors of nursing workload[J]. Nursing Research, 2013, 27(25): 2696-2698. [8] 国家卫生健康委. 国家卫生健康委关于学习贯彻习近平总书记重要指示精神进一步加强护士队伍建设的通知[EB/OL]. (2020-05-01) [2022-03-31]. http://www.gov.cn/zhengce/zhengceku/2020-05/26/content_5515100.htm.National Health Commission of the PRC. Circular of the National Health Commission on studying and implementing the spirit of Xi Jinping's important instructions and further strengthening the construction of nursing teams[EB/OL]. (2020-05-01) [2022-03-31]. http://www.gov.cn/zhengce/zhengceku/2020-05/26/content_5515100.htm. [9] 国家卫生健康委. 国家卫生健康委办公厅关于进一步加强医疗机构护理工作的通知[EB/OL]. (2020-08-21) [2022-03-31]. http://www.gov.cn/zhengce/zhengceku/2020-09/02/content_5539428.htm. National Health Commission of the PRC. Circular of the National Health Commission on further strengthening the nursing work of medical institutions[EB/OL]. (2020-08-21) [2022-03-31]. http://www.gov.cn/zhengce/zhengceku/2020-09/02/content_5539428.htm. [10] Punnakitikashem P, Rosenberger J M, Buckley Behan D. Stochastic programming for nurse assignment[J]. Computational Optimization and Applications, 2008, 40(3): 321-349. [11] Warner D M. Scheduling nursing personnel according to nursing preference: a mathematical programming approach[J]. Operations Research, 1976, 24(5): 842-856. [12] Venkataraman R, Brusco M J. An integrated analysis of nurse staffing and scheduling policies[J]. Omega, 1996, 24(1): 57-71. [13] Easton F, Rossin D. A stochastic goal program for employee scheduling[J]. Decision Sciences, 2007, 27: 541-568. [14] Maenhout B, Vanhoucke M. An integrated nurse staffing and scheduling analysis for longer-term nursing staff allocation problems[J]. Omega, 2013, 41(2): 485-499. [15] Kim K, Mehrotra S. A two-stage stochastic integer programming approach to integrated staffing and scheduling with application to nurse management[J]. Operations Research, 2015, 63(6): 1431-1451. [16] Punnakitikashem P, Rosenberber J M, Buckley-Behan D F. A stochastic programming approach for integrated nurse staffing and assignment[J]. IIE Transactions, 2013, 45(10): 1059-1076. [17] 侯玉梅, 赵小明, 梁啸, 等. 医院护士调度问题综述[J]. 中国集体经济, 2016,(34): 79-82.Hou Yumei, Zhao Xiaoming, Liang Xiao, et al. An overview of hospital nurse scheduling issues[J]. China Collective Economy, 2016,(34): 79-82. [18] 苏光辉. 护士需求预测及优化排班问题研究[D]. 武汉:华中科技大学, 2009. Su Guanghui. Study on nurse demands forecasting and scheduling[D]. Wuhan: Huazhong University of Science and Technology, 2009. [19] 杨凯, 曹淑卿. 基于整数规划和变换规则优化算法的手术室护士排班模型研究[J]. 医院管理论坛, 2020, 37(7): 65-68.Yang Kai, Cao Shuqing. Study on nurse shift scheduling model of operation room based on optimization algorithm of integer programming and transformation rule[J]. Hospital Management Forum, 2020, 37(7): 65-68. [20] 欧阳骥, 林伟佳, 卓晓燕, 等. 基于整数规划与演化优化混合的护士排班问题求解算法[J]. 计算机应用研究, 2015, 32(12): 3660-3664.Ouyang Ji, Lin Weijia, Zhuo Xiaoyan, et al. Solving nurse rostering problem based on hybrid integer programming and evolutionary algorithm[J]. Application Research of Computers, 2015, 32(12): 3660-3664. [21] Erhard M, Schoenfelder J, Fügener A, et al. State of the art in physician scheduling[J]. European Journal of Operational Research, 2018, 265(1): 1-18. [22] Aringhieri R, Landa P, Tànfani E. Assigning surgery cases to operating rooms: a VNS approach for leveling ward beds occupancies[J]. Electronic Notes in Discrete Mathematics, 2015, 47: 173-180. [23] Zhong Xiang, Zhang Jingyu, Zhang Xuanqi. A two-stage heuristic algorithm for the nurse scheduling problem with fairness objective on weekend workload under different shift designs[J]. IISE Transactions on Healthcare Systems Engineering, 2017, 7(4): 224-235. [24] Doi T, Nishi T, Vo S. Two-level decomposition-based matheuristic for airline crew rostering problems with fair working time[J]. European Journal of Operational Research, 2018, 267(2): 428-438. [25] 刘伟波, 张皓悦, 张江华. 考虑交通时间与设备转换时间的跨区域就医调度优化问题[J]. 中国管理科学, 2021, 29(9): 180-187.Liu Weibo, Zhang Haoyue, Zhang Jianghua. Research on cross-region patient scheduling problem considering travel time and machine setup time[J]. Chinese Journal of Management Science, 2021, 29(9): 180-187. [26] Lanzarone E, Matta A, Scaccabarozzi G. A patient stochastic model to support human resource planning in home care[J]. Production Planning & Control, 2010, 21(1): 3-25. [27] Sahin E, Vidal L, Benzarti E. A framework to evaluate the complexity of home care services[J]. Kybernetes, 2013, 42(4): 569-592. |
| [1] | 曹端阳, 张旭梅, 但斌. 考虑订单可拆分的第三方共享制造平台产能匹配策略[J]. 中国管理科学, 2025, 33(10): 225-235. |
| [2] | 冯宇, 党耀国, 王俊杰, 杨章程. 基于2-可加Choquet积分的混合信息灰关联决策方法及其应用[J]. 中国管理科学, 2025, 33(9): 189-200. |
| [3] | 戢守峰, 刘红玉, 王丽洁, 戢媛媛. PI环境下考虑保鲜努力的冷链产品生产-库存-运输联合优化模型与求解[J]. 中国管理科学, 2025, 33(8): 166-176. |
| [4] | 毛照昉, 袁锐莹, 张清然. 考虑捆绑销售的在线课程免费试听策略研究[J]. 中国管理科学, 2025, 33(8): 238-249. |
| [5] | 陈晓红, 杨志慧, 胡东滨. 数字化全渠道客户行为:研究热点与知识框架[J]. 中国管理科学, 2025, 33(7): 1-10. |
| [6] | 丁黎黎, 赵忠超, 张凯旋. 感知价值对个人碳账户绿色信贷发展的作用机制研究[J]. 中国管理科学, 2025, 33(5): 344-355. |
| [7] | 谷炜, 刘亚金, Lu Feng Susan, 闫相斌. 人工智能驱动管理决策:应用、感知与偏见[J]. 中国管理科学, 2025, 33(5): 99-112. |
| [8] | 刘嘉, 袁欣, 阮伟乔, 白晋宇. 呼吸道传染病疫情下地铁站行人感染风险控制[J]. 中国管理科学, 2025, 33(5): 236-246. |
| [9] | 卞亦文, 程文超. 平台供应链线下渠道策略与运营模式选择研究[J]. 中国管理科学, 2025, 33(4): 165-174. |
| [10] | 苏兵, 耿雪韵, 姬浩, 徐阳, 郭清娥, 陈光会, 张娟. 需求点服务请求无法预知的应急物资配送路径选择研究[J]. 中国管理科学, 2025, 33(4): 197-203. |
| [11] | 巩在武, 阳佳琦. 考虑灾民心理的多周期应急物资调度不确定规划建模研究[J]. 中国管理科学, 2025, 33(3): 209-222. |
| [12] | 柴一栋, 刘昊鑫, 姜元春, 刘业政. 基于重要性最大化与社区划分的图神经网络推荐系统对抗攻击方法[J]. 中国管理科学, 2025, 33(2): 95-104. |
| [13] | 杨善林, 李霄剑, 莫杭杰, 张强, 唐孝安. 科技战略供应链的基本特征与关键科学问题[J]. 中国管理科学, 2025, 33(1): 1-13. |
| [14] | 陈晓红, 许冠英, 徐雪松, 易国栋, 唐加乐, 刘天朔. 新质生产力视域下管理科学变革:内涵特征、现实挑战与发展路径[J]. 中国管理科学, 2025, 33(1): 14-21. |
| [15] | 胡勋锋, 单而芳, 李登峰. 联盟结构和交流网络限制下合作博弈的Shapley值研究进展[J]. 中国管理科学, 2025, 33(1): 140-152. |
| 阅读次数 | ||||||
|
全文 |
|
|||||
|
摘要 |
|
|||||
|
||