Home health care logistics planning: a review and framework

Abstract

Home Health Care (HHC) is a growing industry in the medical services business, mainly in Europe and North America. These care services are provided at patients’ home by a multidisciplinary team using a distribution network. In this paper, an overview of the HHC services in Portugal and Brazil is presented. Additionally, a review is also presented to identify the main logistics problems associated with HHC services such as districting, routing and inventory management and the lack of integrated approaches to address them, as well as the best practices of management in the area. A framework is proposed to represent the main elements and characteristics of HHC services and their relationships. The framework suggests the use of a Decision Support System (DSS) based on optimization models and simulation approaches to overcome some of the main challenges associated to integrated approaches to address main problems, filling the gaps in the current literature. With the development of this DSS it will be possible to assist in the logistic planning of HHC teams, especially in countries like Brazil and Portugal.