Optimal Two-Tier Outpatient Care Network Redesign With a Real-World Case Study of Shanghai

Healthcare capacity shortage contributes to poor access in many countries. Moreover, rapid urbanization often occurring in these countries has exacerbated the imbalance between healthcare capacity and need. One way to address the above challenge is expanding the total capacity and redistributing the capacity spatially. In this research, we studied the problem of locating new hospitals in a two-tier outpatient care system comprising multiple central and district hospitals, and upgrading existing district hospitals to central hospitals. We formulated the problem with a discrete location optimization model. To parameterize the optimization model, we used a multinomial logit model to characterize individual patients' diverse hospital choice and to quantify the patient arrival rates at each hospital accordingly. To solve the hard nonlinear combinatorial optimization problem, we developed a queueing network model to approximate the impact of hospital locations on patient flows. We then proposed a multi-fidelity optimization approach, which involves both the aforementioned queuing network model as a surrogate and a self-developed stochastic simulation as the high-fidelity model. With a real-world case study of Shanghai, we demonstrated the changes in the care network and examined the impacts on the network design by population center emergence, governmental budget change and considering patients with different age groups or income levels. Note to Practitioners - Our work focuses on improving system-wide care access in a two-tier care network. We believe that our work can lead to effective development of a location analytics tool for city-wide healthcare system planners. We also think the importance of this study is further strengthened by the case studies based on real-world hospital choice experimental data from Shanghai, China, a region suffering from the imbalance between healthcare capacity and need. Our case studies are expected to make recommendations on care facility expansion and dispersion to better align with the spatial distribution of residential communities and patient hospital choice behavior. © 2004-2012 IEEE

Fuzzy AutoEncode Based Cloud Detection for Remote Sensing Imagery

Cloud detection of remote sensing imagery is quite challenging due to the influence of complicated underlying surfaces and the variety of cloud types. Currently, most of the methods mainly rely on prior knowledge to extract features artificially for cloud detection. However, these features may not be able to accurately represent the cloud characteristics under complex environment. In this paper, we adopt an innovative model named Fuzzy Autoencode Model (FAEM) to integrate the feature learning ability of stacked autoencode networks and the detection ability of fuzzy function for highly accurate cloud detection on remote sensing imagery. Our proposed method begins by selecting and fusing spectral, texture, and structure information. Thereafter, the proposed technique established a FAEM to learn the deep discriminative features from a great deal of selected information. Finally, the learned features are mapped to the corresponding cloud density map with a fuzzy function. To demonstrate the effectiveness of the proposed method, 172 Landsat ETM+ images and 25 GF-1 images with different spatial resolutions are used in this paper. For the convenience of accuracy assessment, ground truth data are manually outlined. Results show that the average RER (ratio of right rate and error rate) on Landsat images is greater than 29, while the average RER of Support Vector Machine (SVM) is 21.8 and Random Forest (RF) is 23. The results on GF-1 images exhibit similar performance as Landsat images with the average RER of 25.9, which is much higher than the results of SVM and RF. Compared to traditional methods, our technique has attained higher average cloud detection accuracy for either different spatial resolutions or various land surfaces

Fuzzy AutoEncode Based Cloud Detection for Remote Sensing Imagery

Cloud detection of remote sensing imagery is quite challenging due to the influence of complicated underlying surfaces and the variety of cloud types. Currently, most of the methods mainly rely on prior knowledge to extract features artificially for cloud detection. However, these features may not be able to accurately represent the cloud characteristics under complex environment. In this paper, we adopt an innovative model named Fuzzy Autoencode Model (FAEM) to integrate the feature learning ability of stacked autoencode networks and the detection ability of fuzzy function for highly accurate cloud detection on remote sensing imagery. Our proposed method begins by selecting and fusing spectral, texture, and structure information. Thereafter, the proposed technique established a FAEM to learn the deep discriminative features from a great deal of selected information. Finally, the learned features are mapped to the corresponding cloud density map with a fuzzy function. To demonstrate the effectiveness of the proposed method, 172 Landsat ETM+ images and 25 GF-1 images with different spatial resolutions are used in this paper. For the convenience of accuracy assessment, ground truth data are manually outlined. Results show that the average RER (ratio of right rate and error rate) on Landsat images is greater than 29, while the average RER of Support Vector Machine (SVM) is 21.8 and Random Forest (RF) is 23. The results on GF-1 images exhibit similar performance as Landsat images with the average RER of 25.9, which is much higher than the results of SVM and RF. Compared to traditional methods, our technique has attained higher average cloud detection accuracy for either different spatial resolutions or various land surfaces