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A Robust Optimal Patient Distribution Enforced by Blockchain

2025· article· W7117644685 on OpenAlexaff
Ahmed Khoumsi

Bibliographic record

Venuenot available
Typearticle
Language
FieldBusiness, Management and Accounting
TopicAdvanced Queuing Theory Analysis
Canadian institutionsUniversité de Sherbrooke
Fundersnot available
KeywordsImperfectPaymentService (business)Health careDistribution (mathematics)Patient careBlockchainMatching (statistics)

Abstract

fetched live from OpenAlex

Emergency health care should be provided as carefully and efficiently as possible. We consider patients in a city who are in an emergency condition and need to be distributed across the city's hospitals using an ambulance service <tex xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">$\mathcal{A}$</tex>. Patients are characterized by the type of care they need and the city's area where they are located. The costs of hospitalization and transportation of a patient obviously depend on these two characterization elements. We present a method to optimally distribute patients, i.e. we choose which hospital each patient is sent to so that hospital and ambulance capacities are not exceeded and the total cost to be paid to <tex xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">$\mathcal{A}$</tex> and hospitals is minimal. A pricing model is developed to determine payments to hospitals and <tex xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">$\mathcal{A}$</tex>. Machine learning is suggested to predict the number of patients in each city's area. The management of our optimal patient distribution is carried out using a publicly reliable smart contract in blockchain. This ensures that patient transport and hospitalization, as well as corresponding payments, are recorded in blockchain in a secure, immutable, transparent and decentralized manner. Finally, we suggest how to make patient distribution robust by handling faulty behaviors of hospitals and <tex xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">$\mathbf{A}$</tex> and imperfect patient number predictions (PNPs) in city's areas. To this end, we develop a method to detect faulty behaviors and compute corresponding financial penalties, which is particularly difficult with imperfect PNPs.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.810
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.002
Science and technology studies0.0010.000
Scholarly communication0.0010.001
Open science0.0000.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.008
GPT teacher head0.209
Teacher spread0.202 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designSimulation or modeling
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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