A Dynamic Patient Assignment System for Home Care Physiotherapy and Rehabilitation

A Dynamic Patient Assignment System for Home Care Physiotherapy and Rehabilitation | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article A Dynamic Patient Assignment System for Home Care Physiotherapy and Rehabilitation Seda Baş Güre, Tankut Atan, Emine Özkarlıklı This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7570969/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Home care is the face-to-face delivery of medical care in the patients' homes. In recent years, home health care has been growing rapidly due to an increase in the elderly population, and due to people who have chronic illnesses, or are underprivileged. In order to obtain sustainability of health, it is important to use home care resources efficiently, but the dynamic nature of hospital operations such as limited available personnel, high no-shows and cancellation rates of treatments reduce the productivity and efficiency of hospitals. To overcome difficulties arising due to continuously changing operational conditions, we propose a dynamic patient assignment system for home care physiotherapy and rehabilitation hospital operations. The proposed framework is a rolling-horizon algorithm that iteratively solves an integer linear model for assigning home care physiotherapy patients to operators. Our objectives are ensuring the continuity of care and balancing operator workloads while keeping patient waiting times low. Based on historical data from one of the largest rehabilitation hospitals in İstanbul, the resulting dynamic patient assignment framework was tested under several simulated scenarios. The results show the effectiveness of the proposed system, especially in terms of decreased waiting times. Dynamic Patient Assignment Physiotherapy and Rehabilitation Continuity of Care Workload Balance Integer Linear Model Rolling Horizon Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7570969","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":525273958,"identity":"962b2fef-5cc8-425d-a5d9-92e3b7b0a84a","order_by":0,"name":"Seda Baş 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