4 research outputs found

    Ruteo de helicΓ³pteros modelado con tasa de falla estocΓ‘stica en flotas heterogΓ©neas

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    The use of helicopters in the logistics sector is very frequent to transport people and products to places that, due to geographical conditions, it is difficult to access by other kind of transport. The vehicle routing problem is a combinatorial optimization problem that aims to optimize the deliveries of any type of transport and it has been widely studied in literature since 1950s. Despite the vast quantity of studies found in VRP, it is important to consider simultaneously different real-industry characteristics in the problem making its solution closer to reality. Therefore, this project aims to solve the helicopters routing problem that minimizes the total traveling time simultaneously, considering: the use of a heterogeneous fleet, stochastic failure and repair times, demands of pickup and delivery, and helicopters maximum storage capacity. The problem is solved in three phases. Firstly, a Mixed Linear Programming (MILP) is proposed for the deterministic case. Secondly a Tabu Search algorithm is developed for the deterministic case. Thirdly, a simheuristic that hybridizes Tabu Search and Monte Carlo simulation procedures is designed to solve the stochastic counterpart of the problem. The performance of the simheuristic for small instances was calculated in comparison with the simulation of the deterministic solutions of MILP model. Additionally, for medium and large instances, the performance of simheuristic is evaluated in comparison with the simulation of deterministic solutions given by a modified nearest neighbour algorithm. Results show that the simheuristic improves an average of 18,56% the results of expected traveling times of simulated solutions of MILP model, and improves an average of 27.66% the simulated solutions of nearest neighbour algorithm.Ingeniero (a) IndustrialPregrad

    A multi-start ILS-RVND algorithm with adaptive solution acceptance for the CVRP

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    Gokalp, Osman/0000-0002-7604-8647; UGUR, Aybars/0000-0003-3622-7672WOS: 000518599800044This study proposes a novel hybrid algorithm based on Iterated Local Search (ILS) and Random Variable Neighborhood Descent (RVND) metaheuristics for the purpose of solving the Capacitated Vehicle Routing Problem (CVRP). the main contribution of this work is that two new search rules have been developed for multi-starting and adaptive acceptance strategies, and applied together to enhance the power of the algorithm. A comprehensive experimental work has been conducted on two common CVRP benchmarks. Computational results demonstrate that both multi-start and adaptive acceptance strategies provide a significant improvement on the performance of pure ILS-RVND hybrid. Experimental work also shows that our algorithm is highly effective in solving CVRP and comparable with the state of the art.Scientific and Technological Research Council of Turkey (TUBITAK) 2211 National Graduate Scholarship ProgramTurkiye Bilimsel ve Teknolojik Arastirma Kurumu (TUBITAK)Author Osman Gokalp acknowledges the support of Scientific and Technological Research Council of Turkey (TUBITAK) 2211 National Graduate Scholarship Program

    A multi-start ILS–RVND algorithm with adaptive solution acceptance for the CVRP

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    This study proposes a novel hybrid algorithm based on Iterated Local Search (ILS) and Random Variable Neighborhood Descent (RVND) metaheuristics for the purpose of solving the Capacitated Vehicle Routing Problem (CVRP). The main contribution of this work is that two new search rules have been developed for multi-starting and adaptive acceptance strategies, and applied together to enhance the power of the algorithm. A comprehensive experimental work has been conducted on two common CVRP benchmarks. Computational results demonstrate that both multi-start and adaptive acceptance strategies provide a significant improvement on the performance of pure ILS–RVND hybrid. Experimental work also shows that our algorithm is highly effective in solving CVRP and comparable with the state of the art. Β© 2019, Springer-Verlag GmbH Germany, part of Springer Nature

    ΠžΠ΄Ρ€ΠΆΠΈΠ²ΠΎ ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ΅ ΠΈΠ½Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΈΠΌ мСдицинским ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ Ρƒ здравствСном систСму Π‘Ρ€Π±ΠΈΡ˜Π΅

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    ΠŸΡ€Π΅Π΄ΠΌΠ΅Ρ‚ Ρ€Π°Π΄Π° јС саглСдавањС ΠΈ ΠΎΡ†Π΅Π½Π° ΡΡ‚Π°ΡšΠ° Ρƒ здравствСном систСму Π‘Ρ€Π±ΠΈΡ˜Π΅, са освртом Π½Π° ΠΏΡ€Π°Π²Ρ†Π΅ Π³Π΅Π½Π΅Ρ€ΠΈΡΠ°ΡšΠ° ΠΈ ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ° мСдицинским ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ. Π‘ΡƒΡˆΡ‚ΠΈΠ½Π° сС ΠΎΠ³Π»Π΅Π΄Π° Ρƒ ΡƒΠ²ΠΎΡ’Π΅ΡšΡƒ саврСмСног ΠΊΠΎΠ½Ρ†Π΅ΠΏΡ‚Π° ΠΌΠ΅Π½Π°ΡŸΠΌΠ΅Π½Ρ‚Π° мСдицинског ΠΎΡ‚ΠΏΠ°Π΄Π° Ρƒ Ρ†ΠΈΡ™Ρƒ здравствСнС Π·Π°ΡˆΡ‚ΠΈΡ‚Π΅ ΡΡ‚Π°Π½ΠΎΠ²Π½ΠΈΡˆΡ‚Π²Π° ΠΈ запослСних Ρƒ здравствСном систСму Π‘Ρ€Π±ΠΈΡ˜Π΅, ΡƒΠ· ΠΈΠ΄Π΅Π½Ρ‚ΠΈΡ„ΠΈΠΊΠ°Ρ†ΠΈΡ˜Ρƒ свих ΠΏΠΎΡ‚Ρ€Π΅Π±Π½ΠΈΡ… ΠΌΠ΅Ρ€Π° ΠΈ поступака, ΠΊΠ°ΠΊΠΎ Π±ΠΈ сС ΠΏΡƒΡ‚ ΠΎΠ΄ Π³Π΅Π½Π΅Ρ€ΠΈΡΠ°ΡšΠ° Π΄ΠΎ ΠΊΠΎΠ½Π°Ρ‡Π½Π΅ Π΄ΠΈΡΠΏΠΎΠ·ΠΈΡ†ΠΈΡ˜Π΅ мСдицинског ΠΎΡ‚ΠΏΠ°Π΄Π° (Π°ΠΊΡ†Π΅Π½Π°Ρ‚ Π½Π° ΠΈΠ½Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΈ мСдицински ΠΎΡ‚ΠΏΠ°Π΄) свСо Π½Π° Π½Π°Ρ˜ΠΌΠ°ΡšΡƒ ΠΌΠΎΠ³ΡƒΡ›Ρƒ опасност. ΠŸΠΎΡΡ‚ΠΎΡ˜ΠΈ вишС Π΄Π΅Ρ„ΠΈΠ½ΠΈΡ†ΠΈΡ˜Π° мСдицинског ΠΎΡ‚ΠΏΠ°Π΄Π° којС сС ΡΠΌΠ°Ρ‚Ρ€Π°Ρ˜Ρƒ ΠΏΡ€ΠΈΡ…Π²Π°Ρ‚Ρ™ΠΈΠ²ΠΈΠΌ ΠΏΡ€ΠΈΠ»ΠΈΠΊΠΎΠΌ ΠΊΠ°Ρ‚Π΅Π³ΠΎΡ€ΠΈΠ·Π°Ρ†ΠΈΡ˜Π΅ ΠΈ Ρ€Π°Π·Π²Ρ€ΡΡ‚Π°Π²Π°ΡšΠ° мСдицинског ΠΎΡ‚ΠΏΠ°Π΄Π° који Π½Π°ΡΡ‚Π°Ρ˜Π΅ Ρƒ здравствСним установама. ΠœΠ΅Π΄ΠΈΡ†ΠΈΠ½ΡΠΊΠΈ ΠΎΡ‚ΠΏΠ°Π΄ сС Π΄Π΅Ρ„ΠΈΠ½ΠΈΡˆΠ΅ ΠΊΠ°ΠΎ: β€žΡΠ°Π² ΠΎΡ‚ΠΏΠ°Π΄, опасан ΠΈΠ»ΠΈ нСопасан, који сС Π³Π΅Π½Π΅Ρ€ΠΈΡˆΠ΅ ΠΏΡ€ΠΈ ΠΏΡ€ΡƒΠΆΠ°ΡšΡƒ здравствСних услуга (Π΄ΠΈΡ˜Π°Π³Π½ΠΎΡΡ‚ΠΈΠΊΠ°, ΠΏΡ€Π΅Π²Π΅Π½Ρ†ΠΈΡ˜Π°, Π»Π΅Ρ‡Π΅ΡšΠ΅ ΠΈ ΠΈΡΡ‚Ρ€Π°ΠΆΠΈΠ²Π°ΡšΠ° Ρƒ области Ρ…ΡƒΠΌΠ°Π½Π΅ ΠΈ вСтСринарскС ΠΌΠ΅Π΄ΠΈΡ†ΠΈΠ½Π΅)". Π”Ρ€ΡƒΠ³ΠΈΠΌ Ρ€Π΅Ρ‡ΠΈΠΌΠ°, ΠΏΠΎΠ΄ мСдицинским ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ сС ΠΏΠΎΠ΄Ρ€Π°Π·ΡƒΠΌΠ΅Π²Π° сав ΠΎΡ‚ΠΏΠ°Π΄ који Π½Π°ΡΡ‚Π°Ρ˜Π΅ Ρƒ мСдицинским установама (Π΄Ρ€ΠΆΠ°Π²Π½ΠΈΠΌ ΠΈΠ»ΠΈ ΠΏΡ€ΠΈΠ²Π°Ρ‚Π½ΠΈΠΌ), мСдицинским истраТивачким Ρ†Π΅Π½Ρ‚Ρ€ΠΈΠΌΠ° ΠΈΠ»ΠΈ Π»Π°Π±ΠΎΡ€Π°Ρ‚ΠΎΡ€ΠΈΡ˜Π°ΠΌΠ°. Овај ΠΎΡ‚ΠΏΠ°Π΄ прСдставља Ρ…Π΅Ρ‚Π΅Ρ€ΠΎΠ³Π΅Π½Ρƒ ΠΌΠ΅ΡˆΠ°Π²ΠΈΠ½Ρƒ, ΠΏΡ€ΠΈ Ρ‡Π΅ΠΌΡƒ 10-25% Ρ‡ΠΈΠ½ΠΈ опасан ΠΎΡ‚ΠΏΠ°Π΄ Ρ€ΠΈΠ·ΠΈΡ‡Π°Π½ ΠΏΠΎ Π·Π΄Ρ€Π°Π²Ρ™Π΅ Ρ™ΡƒΠ΄ΠΈ ΠΈ ΠΆΠΈΠ²ΠΎΡ‚Π½Ρƒ срСдину ΠΈ Π½Π°ΡΡ‚Π°Ρ˜Π΅ ΠΏΡ€ΠΈΠ»ΠΈΠΊΠΎΠΌ ΠΏΠΎΡΡ‚Π°Π²Ρ™Π°ΡšΠ° дијагноза, Π»Π΅Ρ‡Π΅ΡšΠ° ΠΈΠ»ΠΈ ΠΏΡ€ΡƒΠΆΠ°ΡšΠ° мСдицинскС Π½Π΅Π³Π΅, ΠΊΠ°ΠΎ ΠΈ ΠΏΡ€ΠΈΠ»ΠΈΠΊΠΎΠΌ ΠΈΡΡ‚Ρ€Π°ΠΆΠΈΠ²Π°ΡšΠ° која сС спроводС Ρƒ здравствСним установама Π½Π°ΡƒΡ‡Π½Π΅, Ρ‚Π΅Ρ€Π°ΠΏΠΈΡ˜ΡΠΊΠ΅, Π΄ΠΈΡ˜Π°Π³Π½ΠΎΡΡ‚ΠΈΡ‡ΠΊΠ΅ ΠΈΠ»ΠΈ сличнС мСдицинскС дСлатности. ΠŸΠΎΠΌΠ΅Π½ΡƒΡ‚ΠΈ ΠΎΡ‚ΠΏΠ°Π΄ ΠΏΠΎΠ΄Ρ€Π°Π·ΡƒΠΌΠ΅Π²Π° сав ΠΎΡ‚ΠΏΠ°Π΄ који Π½Π°ΡΡ‚Π°Ρ˜Π΅ ΠΏΡ€ΠΈΠ»ΠΈΠΊΠΎΠΌ ΠΏΡ€ΡƒΠΆΠ°ΡšΠ° здравствСних услуга, ΠΊΠ°ΠΊΠΎ Ρƒ здравствСним установама ΠΈΠ»ΠΈ Π²Π°Π½ ΡšΠΈΡ… (ΠΊΡƒΡ›Π½Π° Π½Π΅Π³Π°), Ρƒ Π΄ΠΎΠΌΠΎΠ²ΠΈΠΌΠ° Π·Π° ΡΠΌΠ΅ΡˆΡ‚Π°Ρ˜ старих Π»ΠΈΡ†Π°, ΠΈΠ»ΠΈ Ρƒ установама Ρƒ којима сС ΠΏΡ€ΡƒΠΆΠ° мСдицинска Π½Π΅Π³Π° Ρƒ Π±ΠΈΠ»ΠΎ ΠΊΠΎΠΌ ΠΎΠ±Π»ΠΈΠΊΡƒ. ΠŸΡ€ΠΎΠ±Π»Π΅ΠΌΠ°Ρ‚ΠΈΠΊΠ° ΠΏΡ€Π΅Π΄ΠΌΠ΅Ρ‚Π° (ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ°) ΠΈΡΡ‚Ρ€Π°ΠΆΠΈΠ²Π°ΡšΠ° ΡΠ°ΡΡ‚ΠΎΡ˜ΠΈ сС ΠΈΠ· слСдСћих Π±ΠΈΡ‚Π½ΠΈΡ… сСгмСната: - саглСдавањС ΡΡ‚Π°ΡšΠ° одрТивости Ρƒ области ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ° мСдицинским ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ Ρƒ Π . Π‘Ρ€Π±ΠΈΡ˜ΠΈ, - Π°Π½Π°Π»ΠΈΠ·Π° Π·Π°Ρ˜Π΅Π΄Π½ΠΈΡ‡ΠΊΠ΅ ΠΏΠΎΠ»ΠΈΡ‚ΠΈΠΊΠ΅ Π•Π£ ΠΈ њСног ΡƒΡ‚ΠΈΡ†Π°Ρ˜Π° Π½Π° ΠΏΠΎΠ»ΠΈΡ‚ΠΈΠΊΡƒ ΠΎΠ΄Ρ€ΠΆΠΈΠ²ΠΎΠ³ ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ° ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ Ρƒ Π Π΅ΠΏΡƒΠ±Π»ΠΈΡ†ΠΈ Π‘Ρ€Π±ΠΈΡ˜ΠΈ. ПосСбно сС ΠΈΠ·ΡƒΡ‡Π°Π²Π°Ρ˜Ρƒ ΠΌΠΎΠ΄Π΅Π»ΠΈ, аспСкти ΠΈ Π½Π°Ρ‡ΠΈΠ½ΠΈ ΡƒΡ‚ΠΈΡ†Π°Ρ˜Π° Π½Π° одрТивост Ρƒ области ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ° мСдицинским ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ Ρƒ Π Π΅ΠΏΡƒΠ±Π»ΠΈΡ†ΠΈ Π‘Ρ€Π±ΠΈΡ˜ΠΈ, - ΠΏΡ€Π΅Π΄ΠΌΠ΅Ρ‚ ΠΈΠ·ΡƒΡ‡Π°Π²Π°ΡšΠ° ΠΎΠ±ΡƒΡ…Π²Π°Ρ‚Π° ΠΏΡ€ΠΎΠΌΠ΅Π½Π΅ Ρƒ Π°Π»ΠΎΠΊΠ°Ρ†ΠΈΡ˜ΠΈ ΠΈ структури ΡΡ‚Π°Π½ΠΎΠ²Π½ΠΈΡˆΡ‚Π²Π° ΠΈ Ρ€Π°Π΄Π½Π΅ снагС ΠΈ ΡšΠΈΡ…ΠΎΠ² ΡƒΡ‚ΠΈΡ†Π°Ρ˜ Π½Π° ΠΎΠ΄Ρ€ΠΆΠΈΠ²ΠΎ ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ΅ мСдицинским ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ. ПосСбна паТња посвСћСна јС ΠΏΡ€ΠΎΡƒΡ‡Π°Π²Π°ΡšΡƒ Ρ‚Ρ€Π΅Π½Π΄ΠΎΠ²Π° ΠΈ рСсурса Ρƒ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΡ˜ΠΈ ΠΎΠΏΡ‚ΠΈΠΌΠ°Π»Π½ΠΎΠ³ ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ°, - ΠΏΡ€Π΅Π΄ΠΌΠ΅Ρ‚ ΠΈΡΡ‚Ρ€Π°ΠΆΠΈΠ²Π°ΡšΠ° Ρƒ Π΄ΠΈΡΠ΅Ρ€Ρ‚Π°Ρ†ΠΈΡ˜ΠΈ ΠΎΠ±ΡƒΡ…Π²Π°Ρ‚ΠΈΠΎ јС ΠΏΠΈΡ‚Π°ΡšΠ° ΡƒΡ‚ΠΈΡ†Π°Ρ˜Π° Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΡˆΠΊΠΎΠ³ Ρ€Π°Π·Π²ΠΎΡ˜Π° ΠΎΠΏΡ€Π΅ΠΌΠ΅ ΠΈ ΠΏΠΎΡΡ‚Ρ€ΠΎΡ˜Π΅ΡšΠ° Π·Π° Π·Π±Ρ€ΠΈΡšΠ°Π²Π°ΡšΠ΅ ΠΎΡ‚ΠΏΠ°Π΄Π° Π½Π° ΠΆΠΈΠ²ΠΎΡ‚Π½Ρƒ Π’Π°ΠΊΠΎΡ’Π΅, Π½Π΅ΠΎΠΏΡ…ΠΎΠ΄Π½ΠΎ јС ΠΏΠΎΠ²Π΅Π·Π°Ρ‚ΠΈ СкономскС Ρ„Π°ΠΊΡ‚ΠΎΡ€Π΅ ΠΈ ΠΏΠΎΠ»ΠΈΡ‚ΠΈΠΊΡƒ ΡƒΡΠΌΠ΅Ρ€Π°Π²Π°ΡšΠ° ΠΎΠ΄Ρ€ΠΆΠΈΠ²ΠΎΠ³ ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ° ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ, - саглСдава сС законска Ρ€Π΅Π³ΡƒΠ»Π°Ρ‚ΠΈΠ²Π° Π·Π° ΠΌΡƒΠ»Ρ‚ΠΈΡ„ΡƒΠ½ΠΊΡ†ΠΈΠΎΠ½Π°Π»Π½ΠΎ ΠΎΠ΄Ρ€ΠΆΠΈΠ²ΠΎ ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ΅ мСдицинским ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ Π Π‘ ΡƒΠΏΠΎΡ€Π΅Π΄Π½ΠΎ са Π΄ΠΈΡ€Π΅ΠΊΡ‚ΠΈΠ²Π°ΠΌΠ° Π•Π£ Ρƒ Ρ‚ΠΎΡ˜ области ΠΈ - Ρƒ ΠΈΠ·ΡƒΡ‡Π°Π²Π°ΡšΡƒ Ρ„Π°ΠΊΡ‚ΠΎΡ€Π°, ΠΏΡ€Π°Π²Π°Ρ†Π° ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Π° ΠΎΠ΄Ρ€ΠΆΠΈΠ²ΠΎΠ³ ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ° мСдицинским ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ Ρƒ Π Π΅ΠΏΡƒΠ±Π»ΠΈΡ†ΠΈ Π‘Ρ€Π±ΠΈΡ˜ΠΈ, ΡΠ°Π³Π»Π΅Π΄Π°Π²Π°Ρ˜Ρƒ сС ΠΈ ΡΡ‚Ρ€Π°Ρ‚Π΅Π³ΠΈΡ˜Π΅ ΠΈ ΠΏΠΎΠ»ΠΈΡ‚ΠΈΠΊΠ° Π•Π£ Ρƒ области ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ° ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ. Основни Ρ†ΠΈΡ™ Ρ€Π°Π΄Π° јС ΡƒΡ‚Π²Ρ€Π΄ΠΈΡ‚ΠΈ који су Ρ‚ΠΎ ΠΈΠ½Π΄ΠΈΠΊΠ°Ρ‚ΠΎΡ€ΠΈ који ΠΈΠΌΠ°Ρ˜Ρƒ Π½Π°Ρ˜Π²Π΅Ρ›ΠΈ ΡƒΡ‚ΠΈΡ†Π°Ρ˜ Π½Π° ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ΅ мСдицинским ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ Ρƒ Π‘Ρ€Π±ΠΈΡ˜ΠΈ. Научни Ρ†ΠΈΡ™ ΠΎΠ³Π»Π΅Π΄Π° сС Π½Π΅ само Ρƒ Ρ‚ΠΎΠΌΠ΅ Π΄Π° Π΄Π΅Ρ„ΠΈΠ½ΠΈΡˆΠ΅ΠΌΠΎ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌ ΠΈ ΠΎΡ‚ΠΊΡ€ΠΈΡ˜Π΅ΠΌΠΎ слабС β€žΡ‚Π°Ρ‡ΠΊΠ΅β€œ, Π²Π΅Ρ› Π΄Π° истС Ρƒ ΠΌΡƒΠ»Ρ‚ΠΈΡΠ΅ΠΊΡ‚ΠΎΡ€ΡΠΊΠΎΡ˜ ΡΠ°Ρ€Π°Π΄ΡšΠΈ ΡˆΡ‚ΠΎ вишС Ρ€Π΅ΡˆΠΈΠΌΠΎ, Π° свС са Π·Π°Π΄Π°Ρ‚ΠΊΠΎΠΌ подизања Π½ΠΈΠ²ΠΎΠ° ΠΈ ΠΊΠ²Π°Π»ΠΈΡ‚Π΅Ρ‚Π° ΠΏΡ€ΡƒΠΆΠ΅Π½Π΅ здравствСнС услугС, ΠΌΠΈΠ½ΠΈΠΌΠΈΠ·Π°Ρ†ΠΈΡ˜Π΅ ΠΎΡ‚ΠΏΠ°Π΄Π° ΠΈ Π·Π°ΡˆΡ‚ΠΈΡ‚ΠΈ ΠΆΠΈΠ²ΠΎΡ‚Π½Π΅ срСдинС ΠΈ свСукупног Π·Π΄Ρ€Π°Π²Ρ™Π° ΡΡ‚Π°Π½ΠΎΠ²Π½ΠΈΡˆΡ‚Π²Π° Π‘Ρ€Π±ΠΈΡ˜Π΅. Π˜ΡΠΏΠΈΡ‚ΠΈΠ²Π°Π½Π΅ су сСкундарнС здравствСнС установС истог Π½ΠΈΠ²ΠΎΠ° здравствСнС Π·Π°ΡˆΡ‚ΠΈΡ‚Π΅ ΠΈΠ· Ρ‚Ρ€ΠΈ Π£ΠΏΡ€Π°Π²Π½Π° ΠΎΠΊΡ€ΡƒΠ³Π° Π Π΅ΠΏΡƒΠ±Π»ΠΈΠΊΠ΅ Π‘Ρ€Π±ΠΈΡ˜Π΅, којС ΠΈΠΌΠ°Ρ˜Ρƒ ΠΏΡ€ΠΈΠ±Π»ΠΈΠΆΠ½ΠΎ исти Π±Ρ€ΠΎΡ˜ Π³Ρ€Π°Π²ΠΈΡ‚ΠΈΡ€Π°Ρ˜ΡƒΡ›Π΅Π³ ΡΡ‚Π°Π½ΠΎΠ²Π½ΠΈΡˆΡ‚Π²Π°, Π° сличнС су ΠΈΠ»ΠΈ истС ΠΏΠΎ ΠΎΠ±ΠΈΠΌΡƒ здравствСних услуга, ΠΊΠ°ΠΏΠ°Ρ†ΠΈΡ‚Π΅Ρ‚Π°, Π±Ρ€ΠΎΡ˜Π° постСља, остварСних Π±ΠΎΠ»Π½ΠΈΡ‡ΠΊΠΈΡ… Π΄Π°Π½Π° Ρƒ Ρ…ΠΈΡ€ΡƒΡ€ΡˆΠΊΠΈΠΌ Π³Ρ€Π°Π½Π°ΠΌΠ° здравствСнС Π·Π°ΡˆΡ‚ΠΈΡ‚Π΅ ΠΏΡ€Π΅ свСга. ΠŸΡ€ΠΈΠΊΠ°Π·Π°Π½Π΅ су Ρ‚Π΅Π½Π΄Π΅Π½Ρ†ΠΈΡ˜Π΅ досадашњСг ΡƒΠΏΡ€Π°Π²Ρ™Π°ΡšΠ° мСдицинским ΠΎΡ‚ΠΏΠ°Π΄ΠΎΠΌ Ρƒ Π Π΅ΠΏΡƒΠ±Π»ΠΈΡ†ΠΈ Π‘Ρ€Π±ΠΈΡ˜ΠΈ ΠΈ ΡšΠΈΡ…ΠΎΠ² ΡƒΡ‚ΠΈΡ†Π°Ρ˜ Π½Π° Π΄Π΅Π³Ρ€Π°Π΄Π°Ρ†ΠΈΡ˜Ρƒ ΠΈ Π·Π°Π³Π°Ρ’Π΅ΡšΠ΅ ΠΆΠΈΠ²ΠΎΡ‚Π½Π΅ срСдинС. Достигнућа Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΡˆΠΊΠΎΠ³ Ρ€Π°Π·Π²ΠΎΡ˜Π° ΠΎΠΏΡ€Π΅ΠΌΠ΅ Π·Π° Π·Π±Ρ€ΠΈΡšΠ°Π²Π°ΡšΠ΅ мСдицинског ΠΎΡ‚ΠΏΠ°Π΄Π° Ρ€Π°Π·ΠΌΠ°Ρ‚Ρ€Π°Π½Π΅ су Ρƒ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΡ˜ΠΈ повСзивања Скономских ΠΈ Π΅ΠΊΠΎΠ»ΠΎΡˆΠΊΠΈΡ… Ρ†ΠΈΡ™Π΅Π²Π°
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