Nutrient and Cost Optimization in Menu Planning at an Apex Tertiary Care Hospital Using Operational Research Techniques.

Introduction: Menu planning involves meticulous customised designing of nutrients to fulfill the dietetic needs of patients with various clinical profiles admitted in the Hospital. The goal of the diet problem is to select a set of foods that will satisfy a set of daily nutritional requirement of pa...

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Publicado en:Medico-Legal Update Vol. 21; no. 1; pp. 1155 - 1162
Autores principales: Tadia, Vijay Kumar, Mahesh R., Satpathy, Sidhartha
Formato: equations & formulas research tables/charts Journal Article
Publicado: Institute of Medico-legal publications Pvt Ltd Jan-Mar2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Nutrient and Cost Optimization in Menu Planning at an Apex Tertiary Care Hospital Using Operational Research Techniques.
      aug:
        au:
          Tadia, Vijay Kumar
          Mahesh R.
          Satpathy, Sidhartha
        affil: Senior Resident Administrator, Department of Hospital Administration, AIIMS, New Delhi, India
      sug:
        subj:
          Cost Benefit Analysis
          Nutritional Requirements
          Menu Planning
          Patient Care
          Diet
          Simulations
          Human
          India
          Tertiary Health Care
          Exploratory Research
          Nutritive Value
          Food Intake
          Nutrients
          Decision Making
          Physical Activity
          Models, Theoretical
      ab: Introduction: Menu planning involves meticulous customised designing of nutrients to fulfill the dietetic needs of patients with various clinical profiles admitted in the Hospital. The goal of the diet problem is to select a set of foods that will satisfy a set of daily nutritional requirement of patients at minimum cost. Various tools and techniques of applied simulation models in Operational Research are available to optimize the cost as well as quality of food. Methodology: The study based on exploratory research design was conducted at Dietetics Department of an apex tertiary care hospital in India. It was based on an exploratory research design. The LPSolve programming language was used to analyse the data and generate the output. Integer Programming determined the most nutritious meals while considering the constraints of the RDA by ICMR. The Nutritive Value of Ingredients per 100 grams was obtained from the Nutritive Value of Indian Foods (2012) published by NIN, ICMR. A model was formulated using the notations, N for the total number of dishes available, ci for the Cost of ith dish, where i = 1,2,3,...N, xi for the decision variable, LB for the Lower Bound of nutrition intake, UB for Upper Bound of nutrition intake, n for the Number of dishes required per day and T for the Total types of food, the following equations were used. Objective Function: Minimize the total cost F, ... Constraint 1: Daily constraints ...; where i=1, 2...N Constraint 2: ... where i = 1, 2, 3...T Results: It was found that the Indian recipes fail to provide the minimum RDA of Vitamin A and Vitamin B6 and therefore, the lower bound had to be reduced significantly for these Vitamins. Conclusion: The application based on operational research techniques can be further developed to be deployed across different hospitals. This would help to not only to provide the RDA but also ensure that it is done at a lower cost.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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