Dynamic Elderly Care Resource Allocation using SHBM-Tuned Deep Q-Networks (SHBM-RDQN) Hua

Abstract

The growing demand for elderly care services necessitates intelligent, efficient, and adaptive resource management strategies. This research presents a dynamic allocation strategy for optimizing elderly care resources using reinforcement learning (RL), addressing the complexity of nursing home resource management. This research proposes a Dynamic Honeybees Mating–tuned Resource-based Deep Q-Network (DHBM-RDQN) for elderly care resource allocation. The approach models the care environment as a Markov Decision Process (MDP), where states capture patient acuity levels, staff availability, daily admissions, and care workload, while actions correspond to dynamic allocation of nursing staff and support resources. The system uses a comprehensive Elderly Care Staffing & Quality Dataset, comprising time-series records at daily or shift-level granularity from multiple long-term care facilities. Preprocessing includes Z-score normalization and missing value imputation, while feature extraction applies Independent Component Analysis (ICA) and Discrete Wavelet Transform (DWT) to capture latent health patterns and temporal fluctuations. The DHBM-RDQN employs a Deep Q-Network with two fully connected layers (256 and 128 neurons) and ReLU activations, trained using the Adam optimizer. The Honeybee Mating optimization layer dynamically tunes learning rate, exploration parameters, and reward weights to prevent premature convergence. Experimental evaluation were implemented in python. Results show 96.5% accuracy, 90.5% resource efficiency, 1.0 s response time, and an adaptability score of 0.925, demonstrating robust adaptability under fluctuating patient demand and staffing. This research introduces a novel RL framework combining deep learning and bio-inspired optimization to achieve superior performance, rapid decision-making, and improved care quality in dynamic long-term elderly care environments.

References

Tsang, Y.P., Wu, C.H., Leung, P.P., Ip, W.H. and Ching, W.K., 2021. Blockchain‐IoT‐driven nursing workforce planning for effective long‐term care management in nursing homes. Journal of healthcare engineering, 2021(1), p.9974059. https://doi.org/10.1155/2021/9974059

Saaiman, T., Filmalter, C.J. and Heyns, T., 2021. Important factors for planning nurse staffing in the emergency department: a consensus study. International Emergency Nursing, 56, p.100979. http://dx.doi.org/10.1016/j.ienj.2021.100979

Youvan, D.C., 2024. Transforming Elder Care: The Evolution of Rest Home Care and the Future Impact of AI and Robotics. http://dx.doi.org/10.13140/RG.2.2.30929.95847

Secundo, G., Shams, S.R. and Nucci, F., 2021. Digital technologies and collective intelligence for healthcare ecosystem: Optimizing Internet of Things adoption for pandemic management. Journal of Business Research, 131, pp.563-572. https://doi.org/10.1016/j.jbusres.2021.01.034

Lee, D. and Yoon, S.N., 2021. Application of artificial intelligence-based technologies in the healthcare industry: Opportunities and challenges. International journal of environmental research and public health, 18(1), p.271. https://doi.org/10.3390/ijerph18010271

Yang, J., Luo, B., Zhao, C. and Zhang, H., 2022. Artificial intelligence healthcare service resources adoption by medical institutions based on TOE framework. Digital Health, 8, p.20552076221126034. DOI: 10.1177/20552076221126034

Ali, H., 2022. Reinforcement learning in healthcare: optimizing treatment strategies, dynamic resource allocation, and adaptive clinical decision-making. Int J Comput Appl Technol Res, 11(3), pp.88-104. DOI: 10.7753/IJCATR1103.1007

Wu, Q., Han, J., Yan, Y., Kuo, Y.H. and Shen, Z.J.M., 2025. Reinforcement learning for healthcare operations management: methodological framework, recent developments, and future research directions. Health Care Management Science, pp.1-36. https://doi.org/10.1007/s10729-025-09699-6

Yazdani, M., Shahriari, S. and Haghani, M., 2025. Real-time decision support model for logistics of emergency patient transfers from hospitals via an integrated optimisation and machine learning approach. Progress in Disaster Science, 25, p.100397. https://doi.org/10.1016/j.pdisas.2024.100397

Thomas, J., 2024. Optimizing nurse scheduling: a supply chain approach for healthcare institutions. arXiv preprint arXiv:2407.11195. https://doi.org/10.48550/arXiv.2407.11195

Talaat, F.M., 2022. Effective deep Q-networks (EDQN) strategy for resource allocation based on optimized reinforcement learning algorithm. Multimedia Tools and Applications, 81(28), pp.39945-39961.https://doi.org/10.1007/s11042-022-13000-0

Fischer, G.S., da Rosa Righi, R., de Oliveira Ramos, G., da Costa, C.A. and Rodrigues, J.J., 2020. ElHealth: Using Internet of Things and data prediction for elastic management of human resources in smart hospitals. Engineering Applications of Artificial Intelligence, 87, p.103285. https://doi.org/10.1016/j.engappai.2019.103285

Song, Y. and Wu, R., 2021. Analysing human-computer interaction behaviour in human resource management system based on artificial intelligence technology. Knowledge Management Research & Practice, pp.1-10. https://doi.org/10.1080/14778238.2021.1955630

Yinusa, A. and Faezipour, M., 2023. Optimizing healthcare delivery: A model for staffing, patient assignment, and resource allocation. Applied System Innovation, 6(5), p.78. https://doi.org/10.3390/asi6050078

Ghayoora, F. and Rahmania, D., Improving Healthcare Service Quality: A System Dynamics Approach to Managing Visit Times and Reducing Error Rates. https://jstinp.um.ac.ir/article_46620.html

Olya, M.H., Badri, H., Teimoori, S. and Yang, K., 2022. An integrated deep learning and stochastic optimization approach for resource management in team-based healthcare systems. Expert Systems with Applications, 187, p.115924. http://dx.doi.org/10.1016/j.eswa.2021.115924

Aslan, M. and Toros, E., 2025. Machine Learning in Optimising Nursing Care Delivery Models: An Empirical Analysis of Hospital Wards. Journal of Evaluation in Clinical Practice, 31(1), p.e70001. https://doi.org/10.1111/jep.70001

Leung, F., Lau, Y.C., Law, M. and Djeng, S.K., 2022. Artificial intelligence and end user tools to develop a nurse duty roster scheduling system. International Journal of Nursing Sciences, 9(3), pp.373-377. https://doi.org/10.1016/j.ijnss.2022.06.013

Pranata, A. and Yudhantara, R., 2023. Strategic Human Resource Allocation in Healthcare Institutions Using AI-Enabled Workforce Analytics and Predictive Modeling. International Journal of Theoretical, Computational, and Applied Multidisciplinary Sciences, 7(12), pp.1-24.

Mabini Jr, S.P., Narsico, L.O. and Narsico, P.G., 2024. Service quality, patient satisfaction, and improvement indicators. International Journal of Multidisciplinary: Applied Business and Education Research, 5(4), pp.1331-1345. http://dx.doi.org/10.11594/ijmaber.05.04.18

Safdar, K.A., Emrouznejad, A. and Dey, P.K., 2020. An optimized queue management system to improve patient flow in the absence of appointment system. International Journal of Health Care Quality Assurance, 33(7/8), pp.477-494. https://doi.org/10.1108/IJHCQA-03-2020-0052

Lee, S. and Lee, Y.H., 2020, March. Improving emergency department efficiency by patient scheduling using deep reinforcement learning. In Healthcare (Vol. 8, No. 2, p. 77). MDPI. http://dx.doi.org/10.3390/healthcare8020077

Ma, D. and Ling, Z., 2024. Optimization of Nursing Staff Allocation in Elderly Care Institutions: A Time Series Data Analysis Approach. Annals of Applied Sciences, 5(1). http://dx.doi.org/10.2478/amns.2023.2.00823

Authors

  • Hua Jiang China Civil Affairs University

DOI:

https://doi.org/10.31449/inf.v50i5.11240

Downloads

Published

02/02/2026

How to Cite

Jiang, H. (2026). Dynamic Elderly Care Resource Allocation using SHBM-Tuned Deep Q-Networks (SHBM-RDQN) Hua. Informatica, 50(5). https://doi.org/10.31449/inf.v50i5.11240