To enhance the oxygen guarantee capacity in high altitude areas and address the challenges of traditional pressure swing adsorption oxygen generation fixed equipment with large volume and multiple device modules, a novel single-reversible-pump single-bed vacuum pressure swing adsorption (VPSA) oxygen generation process was proposed and simulated. This study investigated the effects of purge on oxygen productivity, purity, recovery, and energy consumption, determining that the optimum ratio of total oxygen in the purge gas to the total oxygen in the feed gas (P/F) was 0.176. A set of principle prototypes was developed and validated in plains. The process performance was then simulated and studied at altitudes of 3000 m, 4000 m, and 5000 m. Finally, the optimization was carried out by adjusting the product flow rate and feed flow rate, revealing that the best performance can be achieved when the oxygen purity exceeded 90% with lower energy consumption or larger productivity than the optimization goal. This study serves as a valuable reference for the optimization of the VPSA oxygen generation process in a plateau environment.