基于突发公共卫生事件动态演变的医疗物资配置优化

IF 4.4 2区 工程技术 Q1 ENGINEERING, MULTIDISCIPLINARY
Hongqiang Fan , Shuyao Duan , Xun Weng , Jingtian Zhang , Lifen Yun
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引用次数: 0

摘要

有效分配医疗用品对控制传染病的爆发至关重要。然而,现有的研究往往忽视了医疗用品分配与疫情传播之间的相互作用,可能导致对控制效果的高估或低估。本研究提出一种考虑疫情相互作用的多时期医疗用品分配模型(MMSA-IEE)。该模型通过纳入对医疗供应水平敏感的传播和治疗函数,以及随时间变化的需求函数,更准确地捕捉了流行病传播与资源分配之间的相互作用。为了求解该模型,本文提出了一种基于主问题和子问题划分的动态规划算法框架。通过数值实验对该算法在不同场景尺度下的计算性能进行了评价。案例研究的分析结果表明,充足的库存和及时的反应可以推迟感染高峰,从而为疫苗开发留出更多时间。与单周期模型相比,多周期动态模型提高了防疫效果。在动态多式联运调整策略下,总成本较单式铁路运输和空运分别降低12.0%和19.7%。此外,康复率和完全免疫率的提高显著降低了感染和总成本。这些发现为突发公共卫生事件期间医疗用品的科学储存和动态分配提供了定量证据和决策支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Optimization of Medical Supplies Allocation Based on the Dynamic Evolution of Public Health Emergencies
The effective allocation of medical supplies is critical when controlling the outbreak of infectious diseases. However, existing studies often neglect the interaction between medical supplies distribution and epidemic transmission, potentially leading to over- or underestimation of control effectiveness. This study proposes a multi-period medical supplies allocation model considering interaction effects with epidemic (MMSA-IEE). By incorporating transmission and treatment functions that are sensitive to medical supply levels, along with a time-varying demand function, the model more accurately captures the interaction between epidemic transmission and resource allocation. To solve the model, this paper develops a dynamic programming algorithm framework based on the division of the main problem and subproblems. Numerical experiments were conducted to evaluate the computational performance of the algorithm under various scenario scales. The analysis results of case studies demonstrate that sufficient stockpiles and timely response can delay the infection peak, allowing more time for vaccine development. Compared to single-period models, the multi-period dynamic model improves epidemic prevention effectiveness. Under a dynamic multi-modal transportation adjustment strategy, the total cost is reduced by 12.0% and 19.7% compared to single-mode railway and air transport, respectively. Furthermore, improvements in both recovery rate and full immunity rate significantly reduce infection and total costs. These findings provide quantitative evidence and decision-making support for scientific stockpiling and dynamic allocation of medical supplies during public health emergencies.
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来源期刊
Applied Mathematical Modelling
Applied Mathematical Modelling 数学-工程:综合
CiteScore
9.80
自引率
8.00%
发文量
508
审稿时长
43 days
期刊介绍: Applied Mathematical Modelling focuses on research related to the mathematical modelling of engineering and environmental processes, manufacturing, and industrial systems. A significant emerging area of research activity involves multiphysics processes, and contributions in this area are particularly encouraged. This influential publication covers a wide spectrum of subjects including heat transfer, fluid mechanics, CFD, and transport phenomena; solid mechanics and mechanics of metals; electromagnets and MHD; reliability modelling and system optimization; finite volume, finite element, and boundary element procedures; modelling of inventory, industrial, manufacturing and logistics systems for viable decision making; civil engineering systems and structures; mineral and energy resources; relevant software engineering issues associated with CAD and CAE; and materials and metallurgical engineering. Applied Mathematical Modelling is primarily interested in papers developing increased insights into real-world problems through novel mathematical modelling, novel applications or a combination of these. Papers employing existing numerical techniques must demonstrate sufficient novelty in the solution of practical problems. Papers on fuzzy logic in decision-making or purely financial mathematics are normally not considered. Research on fractional differential equations, bifurcation, and numerical methods needs to include practical examples. Population dynamics must solve realistic scenarios. Papers in the area of logistics and business modelling should demonstrate meaningful managerial insight. Submissions with no real-world application will not be considered.
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