1993
DOI: 10.1111/j.0033-0124.1993.00332.x
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A Spatial Decision Support System Approach to Evaluate the Efficiency of a Meals-on-Wheels Program∗

Abstract: Due to limited resources, publicly funded service programs need to operate efficiently. This paper demonstrates how a Spatial Decision Support System (SDSS) can be used to evaluate and enhance the performance of an existing service delivery program. Elements critical to the efficiency of service programs are enumerated. A meals-on-wheels (MOW) program in Connecticut is used as a case study to demonstrate the utility of the SDSS approach. Practical issues related to data sources and system adoption are discusse… Show more

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Cited by 23 publications
(14 citation statements)
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“…Most early health care applications worked with relatively simple objective functions, such as minimizing average distance or maximizing population coverage, and these considerations remain important, especially in developing countries where use of health services varies strongly with distance (33,46,64). More recently, optimization models have been used for vehicle routing problems-to identify shortest-path routes for Meals on Wheels programs-and in vehicle-based ambulance routing systems (69). These systems integrate the latest geographic information technologies.…”
Section: Locating Health Servicesmentioning
confidence: 99%
See 1 more Smart Citation
“…Most early health care applications worked with relatively simple objective functions, such as minimizing average distance or maximizing population coverage, and these considerations remain important, especially in developing countries where use of health services varies strongly with distance (33,46,64). More recently, optimization models have been used for vehicle routing problems-to identify shortest-path routes for Meals on Wheels programs-and in vehicle-based ambulance routing systems (69). These systems integrate the latest geographic information technologies.…”
Section: Locating Health Servicesmentioning
confidence: 99%
“…It is also straightforward to incorporate differences in mobility and transportation access among population groups, but few published location-allocation studies appear to have done this. Using tools readily available in GIS, analysts can better represent geographical context in identifying optimal health care locations, and they can visualize and explore model results (57,69).…”
Section: Locating Health Servicesmentioning
confidence: 99%
“…Some research on nonprofit applications have similar additive objective functions that maximize utility/service or minimize costs, see Chou et al (2008), Wong and Meyer (1993) and Johnson et al (2005). However, the majority of operations research literature in nonprofit settings incorporate equity as an objective.…”
Section: Literature Reviewmentioning
confidence: 99%
“…In fact, there is a need for quantitative analysis on a variety of levels, for a variety of purposes (Johnson 2000b). Spatial decision support systems can consolidate a large volume of spatial, demographic, housing and labor market data and provide PHA planners with the ability to perform con®rmatory and exploratory data analysis, operations research/management science-based decision modeling and visualization of optimization model outputs (see Wong and Meyer 1993 for an overview of SDSS capabilities for location modeling). HLP is seen as a ®rst step in ful®ll-ing the potential of SDSSs to improve PHA planning and decisionmaking.…”
Section: Introductionmentioning
confidence: 99%