In this paper, we present a state-of-the-art survey on the vehicle routing problem with multiple depots (MDVRP). Our review considered papers published between 1988 and 2014, in which several variants of the model are studied: time windows, split delivery, heterogeneous fleet, periodic deliveries, and pickup and delivery. The review also classifies the approaches according to the single or multiple objectives that are optimized. Some lines for further research are presented as well.
BackgroundThe project selection process is a crucial step for healthcare organizations at the moment of implementing six sigma programs in both administrative and caring processes. However, six-sigma project selection is often defined as a decision making process with interaction and feedback between criteria; so that it is necessary to explore different methods to help healthcare companies to determine the Six-sigma projects that provide the maximum benefits. This paper describes the application of both ANP (Analytic Network process) and DEMATEL (Decision Making trial and evaluation laboratory)-ANP in a public medical centre to establish the most suitable six sigma project and finally, these methods were compared to evaluate their performance in the decision making process.MethodsANP and DEMATEL-ANP were used to evaluate 6 six sigma project alternatives under an evaluation model composed by 3 strategies, 4 criteria and 15 sub-criteria. Judgement matrixes were completed by the six sigma team whose participants worked in different departments of the medical centre.ResultsThe improving of care opportunity in obstetric outpatients was elected as the most suitable six sigma project with a score of 0,117 as contribution to the organization goals. DEMATEL-ANP performed better at decision making process since it reduced the error probability due to interactions and feedback.ConclusionsANP and DEMATEL-ANP effectively supported six sigma project selection processes, helping to create a complete framework that guarantees the prioritization of projects that provide maximum benefits to healthcare organizations. As DEMATEL- ANP performed better, it should be used by practitioners involved in decisions related to the implementation of six sigma programs in healthcare sector accompanied by the adequate identification of the evaluation criteria that support the decision making model. Thus, this comparative study contributes to choosing more effective approaches in this field. Suggestions of further work are also proposed so that these methods can be applied more adequate in six sigma project selection processes in healthcare.
The location routing problem with stochastic transportation cost and vehicle travel speeds is considered in this paper. A hybrid solution procedure based on Ant Colony Optimisation (ACO) and Discrete-Event Simulation (DES) is proposed. After using a sequential heuristic algorithm to solve the location subproblem, the subsequent capacitated vehicle routing problem is solved using ACO. Finally, a DES model evaluates those vehicle routes in terms of their impact on the expected total costs. The approach is tested using well-known randomly generated datasets. Since no previous works in the literature studied exactly the same SLRP, the proposed procedure is compared against its deterministic version. Numerical results show the efficiency and efficacy of the hybrid ACO-DES approach.
This paper presents an ANP technique applied to identify and prioritize Six Sigma projects for healthcare providers whose results allow selecting the project that ensures the maximum financial benefits for the healthcare company. First, the Six Sigma evaluation model is determined, then the criteria weights are established by ANP (Analytic Network Process) and finally, results from ANP and ANP-DEMATEL (Decision Making Trial and Evaluation Laboratory) are compared. The results show a better decision making performance for ANP-DEMATEL. An empirical case from healthcare sector is presented, showing the effectiveness of the proposed technique.
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