公共卫生资源分配中的目标规划示例,Management Science

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公共卫生资源分配中的目标规划示例
Management Science ( IF 4.6 ) Pub Date : 1984-03-01 , DOI: 10.1287/mnsc.30.3.279
Kim M. Tingley ₁ , Judith S. Liebman ₂

Affiliation

在美国农业部为妇女，婴儿和儿童提供的特殊补充食品计划中，提出了一个用于协助州级资源分配过程的模型。该模型被公式化为线性整数目标程序，利用六类WIC参与者的服务水平作为目标。该模型在分配过程中采用了系统的，一致的方法，但为考虑特定于州的问题提供了足够的灵活性。通过允许用户调整每个目标的相对重要性，该模型可以纳入州级WIC管理员的主观态度。这是非常重要的，因为这些态度是管理员在其所在州熟悉WIC计划的结果，并且不应忽略这种性质的输入的重要性。介绍了该模型在印第安纳州WIC计划中的应用。探索了模型对目标函数权重和目标目标值变化的敏感性。尽管最初是为分配预算增长而开发的，但是该模型也可以用于分配预算削减。还介绍了这种形式的模型。该模型可以分层扩展以合并联邦一级的资源分配。这种建模方法应在以多个目标和分级决策为特征的所有公共部门计划中有用。该模型也可用于分配预算削减；还介绍了这种形式的模型。该模型可以分层扩展以合并联邦一级的资源分配。这种建模方法应在以多个目标和分级决策为特征的所有公共部门计划中有用。该模型也可用于分配预算削减；还介绍了这种形式的模型。该模型可以分层扩展以合并联邦一级的资源分配。这种建模方法应在以多个目标和分级决策为特征的所有公共部门计划中有用。

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A Goal Programming Example in Public Health Resource Allocation

A model developed to aid a state-level resource allocation process in the United States Department of Agriculture Special Supplement Food Program for Women, Infants, and Children WIC is presented. The model is formulated as a linear integer goal program, utilizing service levels for six categories of WIC participants as goals. The model employs a methodical, consistent approach to the allocation process, yet allows ample flexibility for consideration of state-specific issues. By allowing the user to adjust the relative importance of each goal, the model can incorporate subjective attitudes of state-level WIC administrators. This is extremely important as these attitudes are the result of the administrators' familiarity with the WIC program in their states, and the significance of input of this nature should not be neglected. An application of the model to the Indiana WIC program is presented. Sensitivity of the model to changes in the objective function weights and in the target values for the goals is explored. Although orginally developed to allocate budget increases, the model may be used in allocating budget cuts as well; this form of the model is also presented. The model can be extended hierarchically to incorporate resource allocation at the federal level. This modeling approach should be useful in all public sector programs characterized by multiple objective and hierarchical decisionmaking.

更新日期：1984-03-01

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