Rural Transportation System Design for Omnichannel Healthcare

Long travel distances and a lack of healthcare facilities provide significant challenges for healthcare in rural areas. Telehealth (online) platforms provide new care options, and omnichannel, or multichannel, healthcare supply chains provide healthcare consumers with choices such as traveling to a hospital or clinic, using telehealth from home, or using conveniently located telehealth kiosks. This research investigates design of a network of telehealth kiosks that can reduce the rural resident travel distance and time, and thereby improve rural healthcare access. The focus is on optimally designing such a network, including determining the number and locations of kiosks. The research team uses data-driven analytical modeling to assess coverage, travel distance and time, and costs for rural residents to reach a kiosk or other healthcare facility. The team considers options with both unstaffed kiosks that provide teleconsultation, as well as kiosks that have scheduled periodic staffing from health professionals (e.g., once every two weeks, or once a month). The team also considers an option to use drones (UAVs) to deliver supplies and medications to telehealth kiosks, thereby providing near-immediate availability of a wide range of medical supplies and medicines. The research first develops strategic analytical models using continuous approximation methods to assess the optimal number of telehealth kiosks to deploy and their dependence on the key costs and healthcare coverage. The team then develops tactical discrete mixed integer linear programming (MILP) models for designing a telehealth kiosk network and apply the models using data for a rural region of Missouri.

• Record URL:
  • https://matc-data.unl.edu/research-database/693

Language

• English

Project

• Status: Completed
• Funding: $174238
• Contract Numbers:

  69A3552348307

• Sponsor Organizations:

  Office of the Assistant Secretary for Research and Technology

  University Transportation Centers Program
  Department of Transportation
  Washington, DC  United States  20590
• Managing Organizations:

  Mid-America Transportation Center

  2200 Vine Street
  Lincoln, NE    68583
• Project Managers:

  Stearns, Amy

• Performing Organizations:

  University of Missouri, St. Louis

  1 University Boulevard
  St. Louis, MO  United States  63121-4400
• Principal Investigators:

  Campbell, James

  Akenroye, Temidayo

  Enayati, Shakiba

  Li, Haitao

• Start Date: 20230601
• Expected Completion Date: 20250531
• Actual Completion Date: 20250331
• USDOT Program: University Transportation Centers Program

Subject/Index Terms

• TRT Terms: Delivery service; Drones; Health care facilities; Mixed integer programming; Rural areas; Telecommunications
• Geographic Terms: Missouri
• Subject Areas: Safety and Human Factors; Society; Terminals and Facilities; Transportation (General); Vehicles and Equipment;

Filing Info

• Accession Number: 01908400
• Record Type: Research project
• Source Agency: Mid-America Transportation Center
• Contract Numbers: 69A3552348307
• Files: UTC, RIP
• Created Date: Feb 19 2024 6:17PM