Spatiotemporal Data-Driven Multiperiod Relocation Optimization of Emergency Medical Services: Maximum Equality Objective

Abstract

As a kind of first aid healthcare service, emergency medical services (EMSs) present high spatiotemporal sensitivity due to significant changes in the time-dependent urban environment. Taking full advantage of big spatiotemporal data to realize multiperiod relocation optimization of EMSs can reduce idle resources and improve service utilization efficiency and fairness. First, we established the dynamic time-dependent accessibility and equality model to formulate the multiperiod maximization objective of global equality. Second, we proposed a capacitated integer evolution algorithm that relocates emergency medical vehicles to optimize the scheduling scheme. Based on multiperiod mobile phone records and multiperiod online route planner data, the equality of EMSs in the research metropolis, Nanjing, China, rose by 41.5% on average, which has an incentivizing effect on alleviating the tension of prehospital service and minimizes accessibility disparities without constructing more infrastructure. We also created maps to visualize the changes in equality patterns over time. This relocation optimization approach can be regarded as a trade-off approach to dispatch time-dependent sensitive services and provide a practical tool for healthcare decision-makers to evaluate public healthcare systems and improve strategic urban service planning.