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

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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Université d'Artois


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