Akademik Veri Yönetim Sistemi
Multi Criteria Decision Making Congress, İstanbul, Türkiye, 15 - 20 Haziran 2019, ss.162
In recent years, logistic activities attract more attention with their increasing importance in every sector. Health is one of the most important of these sectors. According to the World Health Organization (WHO), “Health logistics is an important part of technical assistance in emergency situations; it is to manage the transport of infectious substances for laboratory tests, including the maintenance and distribution of stocks, and to provide coordination during the outbreaks”. The health institution brings together the client or the patient and the health care team or the doctor and takes on a role in preparing the optimal environment for the treatment to be implemented. The way in which health services are presented is one of the most important indicators of socioeconomic development levels. Home Health Care (HHC) in Turkey aims to give health services to people who are bedridden in their residence. The health sector is a sector that can cause irreparable results if the services delay. For this reason, the logistic infrastructure should be strong and should be used effectively in health services. With the application of Vehicle Routing Problem (VRP) in many areas of the health sector, in which time is the biggest limitation, improvements in the sector of the route will be provided and there will be savings in the transportation and storage and labor costs. With these features, VRP applications have been taking more and more place in the health sector. When the domestic and foreign literature on VRP studies in the field of health are examined; ambulance, dialysis, blood transfusion and home care services have been observed to be VRP studies. In this respect, the aim of this study is to determine the best VRP’s solution method which can increase the efficiency of HHC by using Fuzzy Analytic Network Process (FANP). This model includes both criteria (number of patients, cost of solution, solution time, the number of vehicles and employees) and the alternatives (definite, intuitive and metaheuristic solution methods). The analysis was carried out on the vasis of information shared by Erzincan Provincial Directorate of Health and actual data sets obtained within the scope of Personal Data Protection Law. According to results, the most important criterion is solution time. Meta-heuristic solution methods is the appropriate method for the home healthcare vehicle routing problem.