The timeliness of medical sample delivery and testing is critical, particularly within hub-and-spoke networks. Because of their high speed and dispatch flexibility, drones can reduce the total testing completion time (TTCT), defined here as the system-wide makespan, when delivery is coordinated jointly with downstream testing. In this study, the integrated scheduling problem of drone-based medical sample delivery and testing was formulated to minimize the TTCT by synchronizing multi-trip drone scheduling with continuous upstream sample collection and downstream deterministic first-in-first-out (FIFO) queueing at testing institutions. A mixed integer linear programming (MILP) model was developed in standard makespan form to capture the coupling between spatial decisions, including the assignment of the collection point and the testing institution, and temporal decisions, including the dispatch timing, trip frequency, and effective batch size, for an uncertain number of drone trips. A three-stage heuristic framework consisting of the initialized spatial decision, restricted temporal decision, and refined spatial decision was then proposed. The experimental results showed that the heuristic returns solutions within 1.23 s, on average, and reduces the TTCT by 37.60%, on average, relative to a spatial-only comparator.
Citation: Qiuchen Gu, Jingyi Chen, Bin Hu, Qi Zheng, Tijun Fan. Integrated scheduling of drone-based medical sample delivery and testing[J]. Journal of Industrial and Management Optimization, 2026, 22(6): 2878-2911. doi: 10.3934/jimo.2026106
The timeliness of medical sample delivery and testing is critical, particularly within hub-and-spoke networks. Because of their high speed and dispatch flexibility, drones can reduce the total testing completion time (TTCT), defined here as the system-wide makespan, when delivery is coordinated jointly with downstream testing. In this study, the integrated scheduling problem of drone-based medical sample delivery and testing was formulated to minimize the TTCT by synchronizing multi-trip drone scheduling with continuous upstream sample collection and downstream deterministic first-in-first-out (FIFO) queueing at testing institutions. A mixed integer linear programming (MILP) model was developed in standard makespan form to capture the coupling between spatial decisions, including the assignment of the collection point and the testing institution, and temporal decisions, including the dispatch timing, trip frequency, and effective batch size, for an uncertain number of drone trips. A three-stage heuristic framework consisting of the initialized spatial decision, restricted temporal decision, and refined spatial decision was then proposed. The experimental results showed that the heuristic returns solutions within 1.23 s, on average, and reduces the TTCT by 37.60%, on average, relative to a spatial-only comparator.
| [1] | World Health Organization, Strengthening diagnostics capacity, World Health Organization, 2022. Available from: https://www.who.int/activities/strengthening-diagnostics-capacity. |
| [2] |
M. Plebani, Clinical laboratory: Bigger is not always better, Diagnosis, 5 (2018), 41–46. https://doi.org/10.1515/dx-2018-0019 doi: 10.1515/dx-2018-0019
|
| [3] |
N. Stierlin, M. Risch, L. Risch, Current advancements in drone technology for medical sample transportation, Logistics, 8 (2024), 104. https://doi.org/10.3390/logistics8040104 doi: 10.3390/logistics8040104
|
| [4] |
M. P. Nisingizwe, P. Ndishimye, K. Swaibu, L. Nshimiyimana, P. Karame, V. Dushimiyimana, et al., Effect of unmanned aerial vehicle (drone) delivery on blood product delivery time and wastage in Rwanda: A retrospective, cross-sectional study and time series analysis, Lancet Glob. Health, 10 (2022), e564–e569. https://doi.org/10.1016/S2214-109X(22)00048-1 doi: 10.1016/S2214-109X(22)00048-1
|
| [5] |
C. C. Murray, A. G. Chu, The flying sidekick traveling salesman problem: Optimization of drone-assisted parcel delivery, Transp. Res. Part C Emerg. Technol., 54 (2015), 86–109. https://doi.org/10.1016/j.trc.2015.03.005 doi: 10.1016/j.trc.2015.03.005
|
| [6] |
A. Otto, N. Agatz, J. F. Campbell, B. Golden, E. Pesch, Optimization approaches for civil applications of unmanned aerial vehicles (UAVs) or aerial drones: A survey, Networks, 72 (2018), 411–458. https://doi.org/10.1002/net.21818 doi: 10.1002/net.21818
|
| [7] |
J. Pasha, Z. Elmi, S. Purkayastha, A. M. Fathollahi-Fard, Y. E. Ge, Y. Y. Lau, et al., The drone scheduling problem: A systematic state-of-the-art review, IEEE Trans. Intell. Transp. Syst., 23 (2022), 14224–14247. https://doi.org/10.1109/TITS.2022.3155072 doi: 10.1109/TITS.2022.3155072
|
| [8] |
S. H. Chung, B. Sah, J. Lee, Optimization for drone and drone-truck combined operations: A review of the state of the art and future directions, Comput. Oper. Res., 123 (2020), 105004. https://doi.org/10.1016/j.cor.2020.105004 doi: 10.1016/j.cor.2020.105004
|
| [9] |
O. Dukkanci, J. F. Campbell, B. Y. Kara, Facility location decisions for drone delivery: A literature review, Eur. J. Oper. Res., 316 (2024), 397–418. https://doi.org/10.1016/j.ejor.2023.10.036 doi: 10.1016/j.ejor.2023.10.036
|
| [10] |
K. Dorling, J. Heinrichs, G. G. Messier, S. Magierowski, Vehicle routing problems for drone delivery, IEEE Trans. Syst. Man Cybern. Syst., 47 (2017), 70–85. https://doi.org/10.1109/TSMC.2016.2582745 doi: 10.1109/TSMC.2016.2582745
|
| [11] |
C. Cheng, Y. Adulyasak, L. M. Rousseau, Drone routing with energy function: Formulation and exact algorithm, Transp. Res. Part B Methodol., 139 (2020), 364–387. https://doi.org/10.1016/j.trb.2020.06.011 doi: 10.1016/j.trb.2020.06.011
|
| [12] |
C. Cheng, Y. Adulyasak, L. M. Rousseau, Robust drone delivery with weather information, Manuf. Serv. Oper. Manag., 26 (2024), 1402–1421. https://doi.org/10.1287/msom.2022.0339 doi: 10.1287/msom.2022.0339
|
| [13] |
Y. Shi, Y. Lin, B. Li, R. Li, A bi-objective optimization model for the medical supplies' simultaneous pickup and delivery with drones, Comput. Ind. Eng., 171 (2022), 108389. https://doi.org/10.1016/j.cie.2022.108389 doi: 10.1016/j.cie.2022.108389
|
| [14] |
L. Zhang, Y. Ding, H. Lin, Optimizing synchronized truck-drone delivery with priority in disaster relief, J. Ind. Manag. Optim., 19 (2023), 5143–5162. https://doi.org/10.3934/jimo.2022166 doi: 10.3934/jimo.2022166
|
| [15] |
O. Dukkanci, A. Koberstein, B. Y. Kara, Drones for relief logistics under uncertainty after an earthquake, Eur. J. Oper. Res., 310 (2023), 117–132. https://doi.org/10.1016/j.ejor.2023.02.038 doi: 10.1016/j.ejor.2023.02.038
|
| [16] |
A. Otto, B. Golden, C. Lorenz, Y. Luo, E. Pesch, L. A. Rocha, On delivery policies for a truck-and-drone tandem in disaster relief, ⅡSE Trans., 57 (2025), 1198–1214. https://doi.org/10.1080/24725854.2024.2410353 doi: 10.1080/24725854.2024.2410353
|
| [17] |
K. Zhang, Y. Shi, H. Guo, Y. Sun, Optimal decision-making for dispatching emergency supplies for natural disasters in mountainous areas based on truck-drone collaboration, Chin. J. Manag. Sci., 33 (2025), 150–160. https://doi.org/10.16381/j.cnki.issn1003-207x.2023.1278 doi: 10.16381/j.cnki.issn1003-207x.2023.1278
|
| [18] |
F. Wang, H. Li, H. Xiong, Truck-drone routing problem with stochastic demand, Eur. J. Oper. Res., 322 (2025), 854–869. https://doi.org/10.1016/j.ejor.2024.11.036 doi: 10.1016/j.ejor.2024.11.036
|
| [19] |
X. Yang, Z. He, Y. Liu, S. Liu, Solving the vehicle-drone pickup and delivery problem in road congestion: A heuristic and its deep reinforcement learning-based improvement, J. Ind. Manag. Optim., 21 (2025), 1630–1654. https://doi.org/10.3934/jimo.2024141 doi: 10.3934/jimo.2024141
|
| [20] | R. C. Hawkins, Laboratory turnaround time, Clin. Biochem. Rev., 28 (2007), 179–194. |
| [21] |
E. Yücel, F. S. Salman, E. S. Gel, E. L. Örmeci, A. Gel, Optimizing specimen collection for processing in clinical testing laboratories, Eur. J. Oper. Res., 227 (2013), 503–514. https://doi.org/10.1016/j.ejor.2012.10.044 doi: 10.1016/j.ejor.2012.10.044
|
| [22] |
Z. B. Zabinsky, P. Dulyakupt, S. Zangeneh-Khamooshi, C. Xiao, P. Zhang, S. Kiatsupaibul, et al., Optimal collection of medical specimens and delivery to central laboratory, Ann. Oper. Res., 287 (2020), 537–564. https://doi.org/10.1007/s10479-019-03260-9 doi: 10.1007/s10479-019-03260-9
|
| [23] |
S. J. Kim, G. J. Lim, J. Cho, M. J. Cô té, Drone-aided healthcare services for patients with chronic diseases in rural areas, J. Intell. Robot. Syst., 88 (2017), 163–180. https://doi.org/10.1007/s10846-017-0548-z doi: 10.1007/s10846-017-0548-z
|
| [24] |
S. Chakraborty, R. A. Nadar, A. Tiwari, Designing a drone assisted sample collection and testing system during epidemic outbreaks, J. Global Oper. Strategic Sourcing, 15 (2022), 283–305. https://doi.org/10.1108/JGOSS-02-2021-0010 doi: 10.1108/JGOSS-02-2021-0010
|
| [25] |
N. Stierlin, F. Loertscher, H. Renz, L. Risch, M. Risch, Preanalytic integrity of blood samples in uncrewed aerial vehicle (UAV) medical transport: A comparative study, Drones, 8 (2024), 517. https://doi.org/10.3390/drones8090517 doi: 10.3390/drones8090517
|
| [26] |
S. Molinari, R. Patriarca, M. Ducci, The challenges of blood sample delivery via drones in urban environment: A feasibility study through specific operation risk assessment methodology, Drones, 8 (2024), 210. https://doi.org/10.3390/drones8050210 doi: 10.3390/drones8050210
|
| [27] |
J. Zhao, D. Zhang, C. Li, P. Hu, A safety interval assessment method of medical drone transportation in urban low-altitude environment, Ind. Eng. J., 28 (2025), 40–48. https://doi.org/10.3969/j.issn.1007-7375.240385 doi: 10.3969/j.issn.1007-7375.240385
|
| [28] |
X. Huang, F. Ren, M. Liu, P. Jin, Y. Sun, Systematic research and application of a 5G medical unmanned aerial vehicle to deliver COVID-19 nucleic acid samples, Health Secur., 22 (2024), 304–310. https://doi.org/10.1089/hs.2023.0090 doi: 10.1089/hs.2023.0090
|
| [29] |
Z. L. Chen, Integrated production and outbound distribution scheduling: Review and extensions, Oper. Res., 58 (2010), 130–148. https://doi.org/10.1287/opre.1080.0688 doi: 10.1287/opre.1080.0688
|
| [30] |
S. Moons, K. Ramaekers, A. Caris, Y. Arda, Integrating production scheduling and vehicle routing decisions at the operational decision level: A review and discussion, Comput. Ind. Eng., 104 (2017), 224–245. https://doi.org/10.1016/j.cie.2016.12.010 doi: 10.1016/j.cie.2016.12.010
|
| [31] |
Y. Fu, Z. Li, K. Gao, A. M. Fathollahi-Fard, Z. Zhang, Integrated scheduling of distributed manufacturing with assembly and distribution: State of the art, challenges, and future directions, Int. J. Prod. Res., (2025), 1–42. https://doi.org/10.1080/00207543.2025.2602898 doi: 10.1080/00207543.2025.2602898
|
| [32] |
J. Hurink, S. Knust, Tabu search algorithms for job-shop problems with a single transport robot, Eur. J. Oper. Res., 162 (2005), 99–111. https://doi.org/10.1016/j.ejor.2003.10.034 doi: 10.1016/j.ejor.2003.10.034
|
| [33] |
C. A. Ullrich, Integrated machine scheduling and vehicle routing with time windows, Eur. J. Oper. Res., 227 (2013), 152–165. https://doi.org/10.1016/j.ejor.2012.11.049 doi: 10.1016/j.ejor.2012.11.049
|
| [34] |
Y. Hou, Y. Fu, K. Gao, H. Zhang, A. Sadollah, Modelling and optimization of integrated distributed flow shop scheduling and distribution problems with time windows, Expert Syst. Appl., 187 (2022), 115827. https://doi.org/10.1016/j.eswa.2021.115827 doi: 10.1016/j.eswa.2021.115827
|
| [35] |
T. Liang, L. Zhou, Z. Jiang, Integrated scheduling of production and material delivery for the intelligent manufacturing system, Int. J. Prod. Res., 63 (2025), 882–903. https://doi.org/10.1080/00207543.2024.2363435 doi: 10.1080/00207543.2024.2363435
|
| [36] |
Z. Zhou, E. Chen, R. Li, W. Sun, J. Shi, Research on emergency blood delivery problem based on multiple drones, Chin. J. Manag. Sci., 33 (2025), 171–184. https://doi.org/10.16381/j.cnki.issn1003-207x.2023.1557 doi: 10.16381/j.cnki.issn1003-207x.2023.1557
|
| [37] |
M. A. Lejeune, W. Ma, Drone-delivery network for opioid overdose: Nonlinear integer queueing-optimization models and methods, Oper. Res., 73 (2025), 86–108. https://doi.org/10.1287/opre.2022.0489 doi: 10.1287/opre.2022.0489
|
| [38] | Swiss Post, Matternet M2 specifications[PDF], 2017. Available from: https://www.post.ch/-/media/post/ueber-uns/medienmitteilungen/2017/drohnen/spezifikationen-matternet-m2.pdf |
| [39] | Roche Molecular Systems, Inc., cobas 6800/8800 systems: Systems specifications[PDF], 2015. Available from: https://diagnostics.roche.com/content/dam/diagnostics/Blueprint/en/pdf/rmd/RMD_cobas_6800_8000_07353898001_4_Systems_SpecTech_SS-1.pdf |
jimo-22-06-106-s001.pdf |
![]() |