Research Article

Optimization of Emergency Healthcare System with Priority Based Queuing Model and Dynamic Programming

Number: Advanced Online Publication Early Pub Date: June 18, 2026

Optimization of Emergency Healthcare System with Priority Based Queuing Model and Dynamic Programming

Abstract

This study introduces a priority-based multi-class, multi-server accumulating priority queuing system designed to balance waiting times and resource utilization under both normal and high-demand conditions. Dynamic adjustment of priority rates ensures minimal delays for high-priority patients during peak periods while maintaining fairness across patient groups. System performance is evaluated using metrics such as queue length, priority accumulation, and a fairness index that capture complex, nonlinear interactions between resource allocation strategies and patient flow. Integration of these performance metrics strengthens the model’s ability to respond to real-world variability and ensures robust performance under unpredictable demand. Advanced queuing frameworks, including Markov-modulated and non-Markovian models, further reveal trade-offs between fairness and efficiency, providing additional insights into adaptive healthcare system design. Class-specific, metric-focused simulations validate system reliability and effectiveness. In addition, dynamic programming is employed to optimize resource allocation by balancing urgency and waiting time, thereby enhancing cost efficiency and fairness. Visualizations such as resource utilization plots and patient distribution graphs support informed and effective management decisions.

Keywords

Supporting Institution

Arba Minch Universty

Thanks

I would like to thank my PhD thesis supervisors, Prof. Dr. Ahmet Zengin (EIC), Prof. Dr. Sunusi Bala Abdullahi(Section Editor) and all experts involved in reviewing as well as editing this article.

References

  1. Vidovic´, M., & Drenovac, D. (2019). Framework for simulation analysis of priority queues strategies in deteriorating goods supply. In 4th Logistic International Conference LOGIC.
  2. Green, L. (2006). Queueing analysis in healthcare. In Patient flow: reducing delay in healthcare delivery (pp. 281–307). Boston, MA: Springer US.
  3. Armony, M., Israelit, S., Mandelbaum, A., Marmor, Y., Tseytlin, Y., & Yom-Tov, G. (2015). On patient flow in hospitals: A data-based queueing-science perspective. Stochastic Systems, 5(1), 146–194. doi:10.1287/14-ssy153
  4. Kim, B., & Kim, J. (2015). A single server queue with Markov modulated service rates and impatient customers. Performance Evaluation, 83, 1–15.
  5. Biya, M., Gezahagn, M., Birhanu, B., Yitbarek, K., Getachew, N., & Beyene, W. (2022). Waiting time and its associated factors in patients presenting to outpatient departments at Public Hospitals of Jimma Zone, Southwest Ethiopia. BMC Health Services Research, 22(1), 107.
  6. Li, N. (2015). Recent advances in accumulating priority queues. Doctoral dissertation, The University of Western Ontario, Canada.
  7. De´ry, J., Ruiz, A., Routhier, F., Be´langer, V., Coˆte´, A., Ait-Kadi, D. (2020). A systematic review of patient prioritization tools in non-emergency healthcare services. Systematic Reviews, 9(1), 227. doi:10.1186/s13643-020-01482-8
  8. Warren, D. W., Jarvis, A., LeBlanc, L., & Gravel, J. (2008). Revisions to the Canadian Triage and Acuity Scale paediatric guidelines (PaedCTAS). CJEM, 10(3), 224–243.

Details

Primary Language

English

Subjects

Software Engineering (Other)

Journal Section

Research Article

Early Pub Date

June 18, 2026

Publication Date

-

Submission Date

June 26, 2025

Acceptance Date

January 23, 2026

Published in Issue

Year 2026 Number: Advanced Online Publication

APA
Mohammed, A., Natesan, T., & Ayele, E. T. (2026). Optimization of Emergency Healthcare System with Priority Based Queuing Model and Dynamic Programming. Sakarya University Journal of Computer and Information Sciences, Advanced Online Publication, 650-673. https://doi.org/10.35377/saucis...1727731
AMA
1.Mohammed A, Natesan T, Ayele ET. Optimization of Emergency Healthcare System with Priority Based Queuing Model and Dynamic Programming. SAUCIS. 2026;(Advanced Online Publication):650-673. doi:10.35377/saucis.1727731
Chicago
Mohammed, Abdela, Thillaigovindan Natesan, and Endalkachew Teshome Ayele. 2026. “Optimization of Emergency Healthcare System With Priority Based Queuing Model and Dynamic Programming”. Sakarya University Journal of Computer and Information Sciences, no. Advanced Online Publication: 650-73. https://doi.org/10.35377/saucis. 1727731.
EndNote
Mohammed A, Natesan T, Ayele ET (June 1, 2026) Optimization of Emergency Healthcare System with Priority Based Queuing Model and Dynamic Programming. Sakarya University Journal of Computer and Information Sciences Advanced Online Publication 650–673.
IEEE
[1]A. Mohammed, T. Natesan, and E. T. Ayele, “Optimization of Emergency Healthcare System with Priority Based Queuing Model and Dynamic Programming”, SAUCIS, no. Advanced Online Publication, pp. 650–673, June 2026, doi: 10.35377/saucis...1727731.
ISNAD
Mohammed, Abdela - Natesan, Thillaigovindan - Ayele, Endalkachew Teshome. “Optimization of Emergency Healthcare System With Priority Based Queuing Model and Dynamic Programming”. Sakarya University Journal of Computer and Information Sciences. Advanced Online Publication (June 1, 2026): 650-673. https://doi.org/10.35377/saucis. 1727731.
JAMA
1.Mohammed A, Natesan T, Ayele ET. Optimization of Emergency Healthcare System with Priority Based Queuing Model and Dynamic Programming. SAUCIS. 2026;:650–673.
MLA
Mohammed, Abdela, et al. “Optimization of Emergency Healthcare System With Priority Based Queuing Model and Dynamic Programming”. Sakarya University Journal of Computer and Information Sciences, no. Advanced Online Publication, June 2026, pp. 650-73, doi:10.35377/saucis. 1727731.
Vancouver
1.Abdela Mohammed, Thillaigovindan Natesan, Endalkachew Teshome Ayele. Optimization of Emergency Healthcare System with Priority Based Queuing Model and Dynamic Programming. SAUCIS. 2026 Jun. 1;(Advanced Online Publication):650-73. doi:10.35377/saucis. 1727731

 

INDEXING & ABSTRACTING & ARCHIVING

 

31045 31044   ResimLink - Resim Yükle  31047 

31043 28939 28938 34240
 

 

29070    The papers in this journal are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License