Strategies to improve the efficiency . . .

Emergency medical service (EMS) systems provide medical care to pre-hospital patients who need rapid response and transportation. This dissertation proposes a new realistic approach for EMS systems in two major focuses: multiple unit dispatching and relocation strategies. This work makes recommendations for multiple-unit dispatch to multiple call priorities based on simulation optimization and heuristics. The objective is to maximize the expected survival rate. Simulation models are proposed to determine the optimization. A heuristic algorithm is developed for large-scale problems. Numerical results show that dispatching while considering call priorities, rather than always dispatching the closest medical units, could improve the effectiveness of EMS systems. Additionally, we extend the model of multiple-unit dispatch to examine fairness between call priorities. We consider the potentially-life-threatening calls which could be upgraded to life-threatening. We formulate the fairness problem as an integer programming model solved using simulation optimization. Taking into account fairness between priorities improves th