School of Management, Guangzhou University, Guangzhou Higher Education Mega Center, Guangzhou 510006, China.
School of Mathematics and Information Science, Guangzhou University, Guangzhou Higher Education Mega Center, Guangzhou 510006, China.
Comput Intell Neurosci. 2022 Apr 20;2022:1912272. doi: 10.1155/2022/1912272. eCollection 2022.
Since the outbreak of COVID-19, the rapid construction and operation of Wuhan Vulcan Mountain Hospital and Raytheon Hospital have attracted positive responses from local and international observers. At the same time, it has also highlighted the urgency for the construction of emergency medical facilities for public health emergencies. Before construction, the practical location of medical facilities is the basis for improving the city's emergency management ability. Based on the classic susceptible, exposed, infected, and recovered (SEIR) epidemic model and epidemic data in Guangzhou, we established a multi-stage time-delay SEIR epidemic model that is suitable for epidemic research in Guangzhou. According to the results of the model, the five areas with the highest number of infected patients were identified, which included Baiyun District, Panyu District, Haizhu District, Tianhe District, and Zengcheng District. We then centralized infected individuals at five demand points. Based on the distribution of these points and by combining the characteristics of the emergency medical facilities, we built and solved the set covering location decision model, and considered the economy, society, and environment as the starting points to optimize the site location. Finally, based on simulations, we concluded that appropriate site selection can increase the time required to reach the maximum number of patients and reduce the proportion of infected and exposed people by 11.3% and 1.11%, respectively. This is indicative of the effectiveness of the site selection model and the rational selection of facility points in this study. It solves the optimization problem of the location decision of emergency medical facilities for public health emergencies in China, and also provides some valuable references for site selection decisions of emergency medical facilities in other areas.
自 COVID-19 爆发以来,武汉火神山医院和雷神山医院的快速建设和运营引起了当地和国际观察人士的积极响应。同时,这也凸显了建设应对突发公共卫生事件的应急医疗设施的紧迫性。在建设之前,医疗设施的实际位置是提高城市应急管理能力的基础。基于经典的易感者-暴露者-感染者-康复者(SEIR)传染病模型和广州的传染病数据,我们建立了一个适合广州传染病研究的多阶段时滞 SEIR 传染病模型。根据模型结果,确定了感染患者人数最多的五个地区,包括白云区、番禺区、海珠区、天河区和增城区。然后,我们将感染者集中在五个需求点。基于这些点的分布,并结合应急医疗设施的特点,我们建立并求解了集覆盖选址决策模型,并以经济、社会和环境为出发点,优化了选址。最后,通过模拟,我们得出结论,适当的选址可以增加达到最大患者数量所需的时间,并分别减少 11.3%和 1.11%的感染和暴露人数。这表明选址模型和本研究中设施点的合理选择是有效的。它解决了中国突发公共卫生事件应急医疗设施选址决策的优化问题,也为其他地区应急医疗设施选址决策提供了一些有价值的参考。