Laboratoire de Génie Informatique et d’Automatique de l’Artois

Ph.D. thesis of Haifa NOUIRA

Periodic Vehicle Routing Problem for Home HemoDialysis Care

Starting date: 1 September 2018
Funding: Bourse alternance Tunisie + bourse mobilité
Keywords: Home Health Care, Optimization, Periodic Vehicle Routing Problem, Inventory holding cost
Advising:

The number of patients with renal failure is increasing every year. In France, each year 7000 patients reach the end stage of chronic renal failure. dialysis is a treatment that can replace the functioning of the kidneys. It is done at least three times a week and each one lasts 4 to 5 hours. Adding the transport time, waiting time, preparation, disconnection of the device and returning the patient to his home ; dialysis in a private or public care facility is altering a patient’s life. It is clear that home dialysis improves the quality of life of a patient. In addition, studies have shown that home dialysis has economic and medical benefits (SANER et al., 2005).
In France, both dialysis techniques can be performed at home. The patient’s home needs a generator and an installation of a water evacuation system. For each treatment, patients use 5 cartons of consumables per day. These consumables are delivered to patient’s home once or twice a month. Thus, it requires a large storage space. According to (Rein Echos, 2014), the lack of space to store presents a major handicap for home hemodialysis. Thus, the patient is forced to move towards conventional hemodialysis. the goal is to insure a flexible delivery that meets the needs of home hemodialysis patients and respects the limited storage capacity of patient’s home.

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