Li Shuai, Chen Wenli, Wu Zheng, Tang Jiefang, Jiu Jiangtao, Wang Pengfei
College of Landscape Architecture and Art, Henan Agricultural University, Zhengzhou, China.
College of Architecture and Urban Planning, Tongji University, Shanghai, China.
Front Public Health. 2025 Mar 21;13:1504694. doi: 10.3389/fpubh.2025.1504694. eCollection 2025.
At the beginning of 2020, the novel coronavirus broke out as a sudden public health emergency worldwide, with the number of confirmed patients constantly rising, which brought huge pressure to the medical system. Many countries and regions have noticed the positive role of emergency medical facilities in combating the COVID-19 pandemic. Therefore, the analysis of the location and construction of emergency medical facilities for public health emergencies has practical significance.
This paper mainly discusses the use of urban suburban parks as the construction sites for emergency medical facilities and builds a maximum service quality level model for emergency medical facilities in response to public health emergencies.
Considering the suddenness and unpredictability of public health emergencies, this study introduces polyhedral uncertainty sets to describe the uncertainty of the number of confirmed patients and transforms the model into an easily solvable mixed-integer programming model through the Bertsimas and Sim robust optimization method. The GAMS software is used for programming and the CPLEX solver is called to solve the model. Taking 13 urban suburban parks in Wuhan as an example, the optimal location plan and patient allocation of emergency medical facilities are determined, verifying the feasibility and effectiveness of the model.
The results show that the model effectively promotes the determination of location plans and patient transfer routes. It is expected that in the event of a sudden public health emergency in a city, it can provide reference and basis for decision-makers to deal with public health emergencies.
2020年初,新型冠状病毒作为突发公共卫生事件在全球爆发,确诊患者数量不断攀升,给医疗系统带来巨大压力。许多国家和地区都注意到了应急医疗设施在抗击新冠疫情中的积极作用。因此,分析公共卫生突发事件应急医疗设施的选址与建设具有现实意义。
本文主要探讨利用城市郊野公园作为应急医疗设施的建设场地,并构建应对公共卫生突发事件的应急医疗设施最大服务质量水平模型。
考虑到公共卫生突发事件的突发性和不可预测性,本研究引入多面体不确定性集来描述确诊患者数量的不确定性,并通过Bertsimas和Sim鲁棒优化方法将模型转化为易于求解的混合整数规划模型。使用GAMS软件进行编程,并调用CPLEX求解器求解模型。以武汉市的13个城市郊野公园为例,确定应急医疗设施的最优选址方案和患者分配情况,验证模型的可行性和有效性。
结果表明,该模型有效地促进了选址方案和患者转运路线的确定。预计在城市突发公共卫生事件时,可为决策者应对公共卫生突发事件提供参考和依据。