An approach to plan and evaluate the location of radiotherapy services and its application in the New South Wales, Australia

Shukla, Nagesh; Wickramasuriya, Rohan; Miller, Andrew; Perez, Pascal

doi:10.1016/j.cmpb.2015.08.005

Cited by 10 publications

(12 citation statements)

References 38 publications

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“…We could only find one study by Shukla et.al. [4], as referred to in the background section, so it is clear that further research on the application of OR methods in RT macro-planning is very relevant.…”

Section: Discussionmentioning

confidence: 99%

“…According to Delaney et al [2, 3], the optimal rate for the use of RT in some part of the treatment in cancer care should be around 50%, although this figure has not yet been achieved in practice [4]. In addition, RT has proven to be at least as cost-effective as both chemotherapy and surgery when all costs across the life cycle of patients are considered [4], making it more likely that demand for RT will keep growing over the coming years. In RT, timeliness is crucial and literature shows that delays in the start of treatment increase the risk of local recurrence and tumor progression [5].…”

Section: Introductionmentioning

confidence: 99%

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Operations research for resource planning and -use in radiotherapy: a literature review

Vieira

Hans

Vliet-Vroegindeweij

et al. 2016

BMC Med Inform Decis Mak

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BackgroundThe delivery of radiotherapy (RT) involves the use of rather expensive resources and multi-disciplinary staff. As the number of cancer patients receiving RT increases, timely delivery becomes increasingly difficult due to the complexities related to, among others, variable patient inflow, complex patient routing, and the joint planning of multiple resources. Operations research (OR) methods have been successfully applied to solve many logistics problems through the development of advanced analytical models for improved decision making. This paper presents the state of the art in the application of OR methods for logistics optimization in RT, at various managerial levels.MethodsA literature search was performed in six databases covering several disciplines, from the medical to the technical field. Papers included in the review were published in peer-reviewed journals from 2000 to 2015. Data extraction includes the subject of research, the OR methods used in the study, the extent of implementation according to a six-stage model and the (potential) impact of the results in practice.ResultsFrom the 33 papers included in the review, 18 addressed problems related to patient scheduling (of which 12 focus on scheduling patients on linear accelerators), 8 focus on strategic decision making, 5 on resource capacity planning, and 2 on patient prioritization. Although calculating promising results, none of the papers reported a full implementation of the model with at least a thorough pre-post performance evaluation, indicating that, apart from possible reporting bias, implementation rates of OR models in RT are probably low.ConclusionsThe literature on OR applications in RT covers a wide range of approaches from strategic capacity management to operational scheduling levels, and shows that considerable benefits in terms of both waiting times and resource utilization are likely to be achieved. Various fields can be further developed, for instance optimizing the coordination between the available capacity of different imaging devices or developing scheduling models that consider the RT chain of operations as a whole rather than the treatment machines alone.Electronic supplementary materialThe online version of this article (doi:10.1186/s12911-016-0390-4) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Operations research for resource planning and -use in radiotherapy: a literature review

Vieira

Hans

Vliet-Vroegindeweij

et al. 2016

BMC Med Inform Decis Mak

View full text Add to dashboard Cite

show abstract

“…The proposed system has to improve the workflow of hospital which are systematic and combined the of simulation models [12][13] [14]. Model the effective and operational positioning in a region of radiotherapy units [15].…”

Section: Literature Reviewmentioning

confidence: 99%

Methodological Development of Mathematical Modeling Techniques in Health Care

Seenivasan*,

Chakravarthy,

Mydeen

2020

IJITEE

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The advancement of mathematical model has utilized for simulating the output of medical is a development area over medicine whereas the modeling can be mentioned with several activities namely simulation or decision analysis and predictive modeling. However, the traditional modeling technique utilized in planning of health service, assessment reports and its efficiency, financing about health care and assessment in budget impact, assessment in health economics, surveillance of infectious disease and other health care application. Therefore, the mathematical modelling is performed as a frequent and timely benefit in order to make rapid decision making while facing investigation with several issues like time elapsing, unusual and unethical particularly projected for future. This paper focused in applying the mathematical modeling to accomplish an optimal decision making in healthcare whereas this study discuss about the specific modeling concepts namely decision tree and fuzzified rule tables on evaluation of health economics and better service planning that my replicate the individual experience or patients cohorts.

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“…Using similar performance measures, Shukla et al. () evaluate different scenarios for location of radiotherapy centers in New South Wales, Australia.…”

Section: Approach To Problem and Literaturementioning

confidence: 99%

Siting of HIV/AIDS diagnostic equipment in South Africa: a case study in locational analysis

Smith

Smith²,

Glencross

et al. 2017

Int Trans Operational Res

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This paper describes a practical application of locational analysis to the siting of HIV/AIDS diagnostic equipment in laboratories across South Africa. Classical location analytical techniques were extended to ensure that laboratories are sited as close as possible to major centers of demand from hospitals and clinics. A particular advantage of the modified set covering algorithm developed is that choices between laboratory sites are made in a transparent manner. In order to find appropriate numbers and ideal placement of CD4 laboratories, runs were undertaken for various scenarios based on maximum travel time from health facilities to laboratory sites. Results demonstrated to decision makers showed close comparisons with pilot review projects undertaken in four health districts of South Africa. The research has potential to impact health-care delivery to HIV sufferers in the poorest rural regions of the country.

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An approach to plan and evaluate the location of radiotherapy services and its application in the New South Wales, Australia

Cited by 10 publications

References 38 publications

Operations research for resource planning and -use in radiotherapy: a literature review

Operations research for resource planning and -use in radiotherapy: a literature review

Methodological Development of Mathematical Modeling Techniques in Health Care

Siting of HIV/AIDS diagnostic equipment in South Africa: a case study in locational analysis

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