VSE knjižnice (vzajemna bibliografsko-kataložna baza podatkov COBIB.SI)
  • Spatial dispersion of housing units as an important factor influencing long-term care operational costs [Elektronski vir]
    Szander, Norina ; Ros McDonnell, Lorenzo ; Bogataj, Marija, 1950-
    Over 90% of adults aged 65+ would prefer to age in place. The new technologies can be enablers of this. For example the new caregiving technologies, like smart phones, websites and tablets, help ... those who care for older adults to provide services in the most effective way. European Semesters support this idea in Long-Term Care (LTC) strategic plans of member states, but we do not have the necessary innovation to improve the living of the elderly in a properly built environment at sustainable financing. The spatial dispersion of housing should be particularly considered in planning the built environment and other facilities for seniors, because logistical costs are increasing by increasing the dispersion of homes in the functional regions where services are provided. The facilities managers and medical care institutions offering housing, health care, and other services for the elderly should consider the costs depending on the transport of items, workload of nurses, and costs of other service providers and transport of seniors in the case of daily programs. Feasible routings and scheduling are essential for an acceptable trade-off between logistical costs and satisfaction of seniors. In this study we simulated and optimised home healthcare routing and scheduling to describe the necessary workforce and service time requirements and therefore to forecast the total costs of services. We modelled the tours of the caregiving personnel as a multiple Travelling Salesman Problem with prescribed time windows. The solutions are given for various scenarios for increasing the spatial dispersion of seniors in home care. The impact of the spatial dispersion of clients is studied. The data of a Care Centre in a Hungarian municipality was used to create reference values. Then we simulated the changing density of clients in the functional area and studied the influence of dispersion on the costs of services at different service levels described by the time windows of services. The tool which enabled us to study the outputs of various scenarios might help professionals to be prepared in advance for the coming changes caused by the growing number of seniors who may need help in keeping their independence as long as possible when the density of households in the functional area is changing.
    Vir: Proceedings [Elektronski vir] (Str. 303-306)
    Vrsta gradiva - prispevek na konferenci
    Leto - 2016
    Jezik - angleški
    COBISS.SI-ID - 38819589

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