The hub-and-spoke organization design: an avenue for serving patients well
نویسندگان
چکیده
منابع مشابه
The hub-and-spoke organization design: an avenue for serving patients well
BACKGROUND The healthcare industry is characterized by intensive, never-ending change occurring on a multitude of fronts. Success in such tumultuous environments requires healthcare providers to be proficient in myriad areas, including the manner in which they organize and deliver services. Less efficient designs drain precious resources and hamper efforts to deliver the best care possible to p...
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BACKGROUND Characterized by declining populations, high poverty, reduced employment opportunities, and high numbers of uninsured residents, rural communities pose significant challenges for healthcare providers desirous of addressing these medically underserved areas. Such difficult environments, in fact, have forced the closure of many rural hospitals across America, with scores facing the sam...
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This paper presents a study on reliable single and multiple allocation hub-and-spoke network design problems where disruptions at hubs and the resulting hub unavailability can be mitigated by backup hubs and alternative routes. It builds nonlinear mixed integer programming models and presents linearized formulas. To solve those difficult problems, Lagrangian relaxation and Branch-and-Bound meth...
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Supply chain is an integrated system of facilities and activities. Gaining the optimum design of demand satisfaction network is one of the most important live issues in the decision making problems category. Most of previous studies considered unreal assumptions such as the lack of capacity constraints to satisfy demand in the network and in hubs. By considering the nature of the case that have...
متن کاملEuclidean Hub-and-Spoke Networks
The hub-and-spoke distribution paradigm has been a fundamental principle in geographic network design for more than 40 years. One of the primary advantages that such networks possess is their ability to exploit economies of scale in transportation by aggregating network flows through common sources. In this paper, we consider the problem of designing an optimal hub-and-spoke network in continuo...
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ژورنال
عنوان ژورنال: BMC Health Services Research
سال: 2017
ISSN: 1472-6963
DOI: 10.1186/s12913-017-2341-x