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51.
Magnetic resonance imaging and other multifunctional diagnostic facilities, which are considered as scarce resources of hospitals, typically provide services to patients with different medical needs. This article examines the admission policies during the appointment management of such facilities. We consider two categories of patients: regular patients who are scheduled in advance through an appointment system and emergency patients with randomly generated demands during the workday that must be served as soon as possible. According to the actual medical needs of patients, regular patients are segmented into multiple classes with different cancelation rates, no‐show probabilities, unit value contributions, and average service times. Management makes admission decisions on whether or not to accept a service request from a regular patient during the booking horizon to improve the overall value that could be generated during the workday. The decisions should be made by considering the cancelation and no‐show behavior of booked patients as well as the emergency patients that would have to be served because any overtime service would lead to higher costs. We studied the optimal admission decision using a continuous‐time discrete‐state dynamic programming model. Identifying an optimal policy for this discrete model is analytically intractable and numerically inefficient because the state is multidimensional and infinite. We propose to study a deterministic counterpart of the problem (i.e., the fluid control problem) and to develop a time‐based fluid policy that is shown to be asymptotically optimal for large‐scale problems. Furthermore, we propose to adopt a mixed fluid policy that is developed based on the information obtained from the fluid control problem. Numerical experiments demonstrate that this improved policy works effectively for small‐scale problems. © 2016 Wiley Periodicals, Inc. Naval Research Logistics 63: 287–304, 2016 相似文献
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分析了军用无线双工通信系统数据传输资源,指出了存在的问题及改进办法;利用话音、报文、传真、数据电路交换信令的工作模式标示,提出了基于无线双工通信系统的数据传输TCP/IP结构体系及协议栈,并探讨了网络适配和实现与军用公共数据网、地域通信网(电路交换网、分组交换网)、数字化部队单工无线电数据网互联的关键技术。 相似文献
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In this article, we consider a classic dynamic inventory control problem of a self‐financing retailer who periodically replenishes its stock from a supplier and sells it to the market. The replenishment decisions of the retailer are constrained by cash flow, which is updated periodically following purchasing and sales in each period. Excess demand in each period is lost when insufficient inventory is in stock. The retailer's objective is to maximize its expected terminal wealth at the end of the planning horizon. We characterize the optimal inventory control policy and present a simple algorithm for computing the optimal policies for each period. Conditions are identified under which the optimal control policies are identical across periods. We also present comparative statics results on the optimal control policy. © 2008 Wiley Periodicals, Inc. Naval Research Logistics 2008 相似文献
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一种新的分布事务处理模型和算法 总被引:1,自引:0,他引:1
王韬 《军械工程学院学报》1998,(4)
分布事务处理是分布式数据库管理系统设计中的一项关键技术。为保证分布事务的原子性,对基本分布事务处理模型和加工协议进行改进,提出了一种新的分布事务处理机制,并给出了其在分布式工程数据库管理系统dEDBMS中的实现方法。 相似文献
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张涛 《装甲兵工程学院学报》1998,(3)
MCS96系列单片机的外部总线宽度是可以编程控制的.为了达到访问16位RAM奇地址空间中的字,需要特殊的硬件结构支持.笔者讨论了两种方案,并进行了比较分析. 相似文献