Healthcare facilities are nowadays facing several challenges in terms of quality of care, costs, and performance. Collaboration with stakeholders is a promising way to overcome these challenges. In Morocco, healthcare access and continuity of care remain difficult due, among others, to the various stakeholders involved and the lack of ambulances for extra-hospital and interhospital medical patient transportation (MPT). In this chapter, the aim was to explore collaboration in healthcare supply chain to improve the availability of ambulances for interhospital MPT (transfers). For this purpose, an overview of the MPT system in Morocco was presented while highlighting its main issues. Then, a case study of three hospitals in Casablanca City was analyzed employing a collaborative approach. It consisted in forecasting transfer requests for next periods based on past data, and redistributing the ambulances of the three hospitals according to the forecasts. Findings attest to the variability in demand in the three hospitals and therefore the need for a dynamic allocation of ambulances.
The novel coronavirus COVID-19 has known a large spread over the globe threatening human health. Recommendations from WHO and specialists insist on testing on a mass scale. However, health systems do not have enough resources. The current process requires the isolation of testees in the hospitals’ isolation rooms for several hours until the test results are revealed, limiting hospitals’ capacities to test large numbers of cases. The aim of this paper was to estimate the impact of reducing the COVID-19 test time on controlling the pandemic spread, through increasing hospitals’ capacities to test on a mass scale. First, a discrete-event simulation was used to model and simulate the COVID-19 testing process in Morocco. Second, a mathematical model was developed to demonstrate the effect of accurate identification of infected cases on controlling the disease’s spread. Simulation results showed that hospitals’ testing capacities could be increased six times if the test duration fell from 10 hours to 10 minutes. The reduction of test time would increase testing capacities, which help to identify all the infected cases. In contrast, the simulation results indicated that if the infected population is not accurately identified and no precautionary measures are taken, the virus will continue to spread until it reaches the total population. Reducing test time is a vital component of the response to the COVID-19 pandemic. It is essential for the effective implementation of policies to contain the virus.
Disaster situations either natural or made-man caused a large number of deaths and injured people. Morocco has experienced several disasters recently, the last one was the railway accident on 16 October 2018, which caused 127 serious injuries and 7 deaths. This large number was a big problem for the hospital to manage the received victims in right direction, which caused lives lost and disability. In this article, in collaboration with Mohammed (V) hospital in Casablanca city in Morocco, we suggested a solution that saves lives and eliminates number of disability by using a hybrid algorithm to size the hospital resources in the case of a massive influx of victims. We also suggested a support decision tool that is called Emergency Support Decision Tool. This helpful tool gives an idea about the needed resources that support these emergencies according to the victim's number. The proposed solution consisted in making a hybrid algorithm that mixed the theoretical simulation process and the experience feedback by developing hybrid genetic and hybrid heuristic algorithms. These algorithms using as an input the matrix solutions that generated under ARENA software and the solution generated by neural networks that based on experiences feedback. The objective was to provide a solution based on available resources. In fact, the results showed that the hybrid heuristic algorithm is more performant than the hybrid genetic algorithm. . He holds a doctorate in medicine from the Faculty of Medicine and Pharmacy of Rabat in 1993 and a certificate in emergency medicine from the Faculty of Medicine and Pharmacy of Casablanca in 2005, he held several positions such as Acting Director of the AL HASSANNI prefectoral hospital centre and Chief Medical Officer of the Medical Affairs Department of the Mohammed V
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