论文标题
平坦的曲线:排队理论的见解
Flattening the Curve: Insights From Queueing Theory
论文作者
论文摘要
冠状病毒的全球爆发于2019年首次在中国武汉确定。从那以后,该疾病在全球范围内传播。随着目前在美国蔓延,政策制定者,公共卫生官员和公民正在竞争,以了解该病毒对美国医疗保健系统的影响。他们担心患者的迅速涌入会淹没医疗保健系统,导致不必要的死亡。美国的大多数国家和州都引入了缓解策略,例如社会疏远,以降低新感染的人的速度,即使曲线变平。在本文中,我们使用排队理论分析了由于冠状病毒而导致的冠状病毒的时间演变。鉴于随着大流行的发展,新感染的发生率会随着时间而变化,因此我们基于非平稳泊松到达率的无限服务器队列理论将冠状病毒患者的数量建模为动力系统。通过这种模型,我们能够量化曲线的变平如何影响医院资源的最高需求。这使我们能够表征社会必须如何使曲线平移,以避免压倒医疗保健系统的能力。我们还展示了曲线的变平如何影响住院峰值和医院资源高峰需求时间之间的经过的时间。最后,我们提供了来自中国,韩国,意大利和美国的经验证据,以支持该模型的见解。
The worldwide outbreak of the coronavirus was first identified in 2019 in Wuhan, China. Since then, the disease has spread worldwide. As it currently spreading in the United States, policy makers, public health officials and citizens are racing to understand the impact of this virus on the United States healthcare system. They fear that the rapid influx of patients will overwhelm the healthcare system leading to unnecessary fatalities. Most countries and states in America have introduced mitigation strategies, such as social distancing, to decrease the rate of newly infected people, i.e. flattening the curve.In this paper, we analyze the time evolution of the number of people hospitalized due to the coronavirus using the methods of queueing theory. Given that the rate of new infections varies over time as the pandemic evolves, we model the number of coronavirus patients as a dynamical system based on the theory of infinite server queues with non-stationary Poisson arrival rates. With this model we are able to quantify how flattening the curve affects the peak demand for hospital resources. This allows us to characterize how aggressively society must flatten the curve in order to avoid overwhelming the capacity of healthcare system. We also demonstrate how flattening the curve impacts the elapsed time between the peak rate of hospitalizations and the time of the peak demand for the hospital resources. Finally, we present empirical evidence from China, South Korea, Italy and the United States that supports the insights from the model.