Multi-objective technology-based approach to home healthcare routing problem considering sustainability aspects

Background: This research aims to solve a home healthcare vehicle routing problem (HHCVRP) model that considers the social aspect of sustainability and will be implemented in smart cities. In addition to the dynamism and uncertainty caused by variations in the patient's condition, the proposed model considers parameters and variables that enhance its practicability, such as assuming different levels of patient importance (priority). Methods: The model was solved using a metaheuristic algorithm approach via the Ant Colony Optimization algorithm and the Non-Dominated Sorting technique due to the ability of such a combination to work out with dynamic models with uncertainties and multi-objectives. Results: This study proposes a novel mathematical model by integrating body sensors on patients to keep updating their conditions and prioritizing critical conditions in service. The sensitivity analysis demonstrates that using a heart rate sensor improves service quality and patient satisfaction without affecting the energy consumed. In addition, quality costs are increased if the importance levels of patients increase. Conclusions: The suggested model can assist healthcare practitioners in tracking patients' health conditions to improve the quality of service and manage workload effectively. A trade-off between patient satisfaction and service provider satisfaction should be maintained.