Revista IECOS, 25(1), 113-125 | Enero-Junio 2024 | ISSN 2961-2845 | e-ISSN 2788-7480
ENGINEERING ECONOMIC SYSTEMS: PAST, PRESENT AND FUTURE
INGENIERÍA DE SISTEMAS ECONÓMICOS: PASADO, PRESENTE Y FUTURO
Margaret Brandeau
Department of Management Science and Engineering, Stanford University, California, United States
E-mail: brandeau@stanford.edu
https://orcid.org/0000-0001-9331-8920
https://doi.org/10.21754/iecos.v25i1.2109
Recibido (Received): 26/01/2024 Aceptado (Accepted): 28/02/2024 Publicado (Published): 31/03/2024
ABSTRACT
Keyword: Energy, Education, Economy, Environment, Health
RESUMEN
Palabra clave: Energía, Educación, Economía, Medio Ambiente, Salud
1. INTRODUCTION
Figure 1
Management Science and Engineering: A vision for the 21st century
We modeled the health effects of decreased zinc and iron concentrations in C3 plants and then assessed the effectiveness of interventions aimed at mitigating these effects (Weyant et al., 2018). These interventions included nutritional supplementation programs, disease mitigation programs, and the Paris Agreement. The Paris Agreement aims to keep global temperatures within 2°C of pre-industrial levels. Using a microsimulation model of individuals in 137 countries, the analysis showed that increasing carbon dioxide concentrations will exacerbate inequities and zinc and iron deficiency, and that climate mitigation strategies such as the Paris Agreement are likely to be more effective than traditional public health interventions in averting this increased inequity.
Health
A number of current studies in the department focus on problems related to health. Allocating donor organs The problem of allocating donor organs to patients waiting for transplants can be thought of as a market matching problem (Ashlagi & Roth, 2021). Professor Itai Ashlagi served on a national committee to examine how donor organs should be allocated to patients who are waiting for a transplant. The committee generated recommendations for improving the system, taking into account fairness, equity, transparency, and cost-effectiveness (National Research Council, 2022). Professor Ashlagi is currently working to develop a matching system that will reduce the number of donor kidneys that are not matched with a patient and thus must be discarded.
Predicting disease outbreaks A recent study examined the problem of predicting disease outbreaks using cell phone mobility data, focusing on COVID-19 (Guan et al., 2021). Many countries implemented mobility restrictions in response to COVID-19. To appropriately target restrictions, it is important to know when and where outbreaks will occur and how widespread they will be. The goals of this study were to forecast the trajectory and severity of COVID-19 in different districts of Israel, and to determine the usefulness of human mobility data in predicting COVID-19 outbreaks.
We used machine learning to develop a prediction model to predict next seven-day average incidence and the test positivity rate and then classified the predicted values using a rule which classifies the severity of the predicted outbreak. The prediction model utilized health data from the Israeli Ministry of Health – number of COVID-19 cases and number of positive COVID-19 tests – lagged by one day, three days, or six days, as well as cell phone mobility data for 3 million cell phone users representative of Israel. The cell phone mobility data was used to create two metrics – a pressure score, which represents travel into a region, and an internal movement score which represents travel within a region.
The best prediction model was a linear regression with weekly decay and half-life two weeks. It uses the lagged health features and, interestingly, the internal movement score but not the pressure score. The study showed that prediction accuracy was worse when mobility data was not included. The prediction model had high magnitude accuracy; this means it was able to accurately predict whether the outbreak would be minimal, moderate, substantial, widespread, or critical. Accurate prediction allows for better allocation of resources, such as vaccines, medical staff and social distancing policies. At a higher level, similar methods could be used to predict outbreaks of other communicable diseases, such as influenza, measles, and SARS.
Improving health using smartwatch data Worn by approximately 20% of the US population, wearable devices are a promising technology for healthcare applications because they can continuously monitor physiological measures such as an individual’s heart rate, oxygen saturation, and physical activity. A recent project focused on using smartwatch data to assess COVID-19 vaccine side effects. With colleagues at Tel Aviv University, we carried out a prospective observational study of participants in Israel who received a COVID-19 vaccination. Participants were equipped with a smartwatch, and filled out a daily questionnaire via a dedicated mobile app. We examined post-vaccination smartwatch data on heart rate and heart rate variability and assessed potential side effects up to 14 days after COVID-19 vaccination (Mofaz et al., 2022). We compared these measurements with data from patient questionnaires.
The analysis found that the smartwatches captured changes in heart rate and heart rate variability that were not captured in patient self-reports: for example, after the third vaccination (first booster shot), patients who reported no reaction in fact did not return to normal (in terms of cardiac measures detected by the smartwatches) until three days after vaccination. The study demonstrates the potential of smartwatches and other wearable devices to gather improved data on patient health and thereby lead to improve health outcomes.
Remote monitoring of patients Another project, carried out by Professor Ramesh Johari with colleagues at Lucille Packard Children’s Hospital Stanford (LPCH), focuses on remote patient monitoring. LPCH treats many Type 1 diabetes patients who wear continuous glucose monitors to monitor their insulin levels. Because wearables generate orders of magnitude more data than a care team can look at, the hospital needs an automated system to analyze the data. The goal of this project is to use the continuous glucose monitoring data to assess the health of the pediatric diabetes patients and determine which patients should be followed up (for example, with a phone call or with a visit to the clinic) (Ferstad et al., 2021).
The approach taken is to prioritize patients by their likelihood of benefiting from the intervention. The researchers first examined the glucose time-in-range for each patient, and then used machine learning to estimate the potential improvement for that patient from contact by the care team. This enabled them to develop a prioritized list of patients for followup.
Thus far, the system has been implemented at LPCH with 225 patients. As a result of this new system, the time spent reviewing patient data and contacting patients has been reduced by 60% from 3.2 minutes per patient per week to 1.3 minutes. This translates to a 147% increase in weekly clinic capacity. More importantly, patients who received remote review had 8.8% greater glucose time-in-range. LPCH is currently expanding this system to 1000 patients. At a higher level, this project shows how data from wearables uploaded to a platform or an app can be used in a decision support system to help patient care teams provide personalized treatments to patients. One could expand the system to other chronic diseases such as asthma and hypertension.
4. THE FUTURE
Although no one can predict the future with certainty, a number of trends seem clear at this point. These include the emergence of new technologies, proliferation of data, increasing levels of connectivity, advances in computing capability, ubiquity of machine learning and artificial intelligence, and increasing importance of social and environmental problems.
New technologies
New technologies are continually emerging. For example, numerous wearable medical devices currently exist, and many more are being developed. These devices can provide valuable real-time data for monitoring and improving health. Quantum computing may change the way many systems operate, and may change the way we do computations. Quantum computers excel at solving optimization problems and thus could have impactful applications in areas like supply chain management, financial portfolio optimization, and logistics. Autonomous vehicles, if successful, will lead to many systems problems for us to solve. Robotics and automation will becoming increasingly prevalent in areas such as health, agriculture, construction, and warehouse operations – and undoubtedly in many areas we have not yet thought of. Finally, technologies we have not even yet imagined will appear.
Data
In recent years, we have seen an exponential rise in available data. This phenomenon is often referred to as “big data.” Data has become increasingly available because of factors such as the widespread adoption of digital technologies, the proliferation of internet-of-things devices, the rise of e-commerce platforms, increasing use of social media platforms, and advances in cloud computing and storage. The newly available data can be exploited for informed decision making, predictive analytics, personalization of products and services, process and supply chain optimization, and many other purposes.
Connectivity
Along with the explosion in the amount of available data, the number of connected devices has been steadily increasing. This includes not only traditional computing devices like computers and smartphones but also a wide range of other devices such as sensors, actuators, wearables, and household appliances. Our devices increasingly can all be connected with one another, enabling data sharing and more complex systems of control. We can now have smart homes, smart cities, smart transportation systems, and precision agriculture, for example. The increasing connectivity of devices is transforming the way we live, work, and interact with the world, offering numerous benefits while also posing challenges that need careful consideration and mitigation.
Computing
Supercomputers and high-performance computing clusters continue to evolve, enabling scientists and researchers to tackle ever-more complex problems. Edge computing has gained prominence, allowing for data processing closer to the source of generation, thereby reducing latency and improving efficiency. This is particularly important for applications like the internet-of-things, where real-time processing is critical.
Machine learning and artificial intelligence
Of course, a key trend for the future is the increasing importance of machine learning and artificial intelligence. Although we may not yet know whether robots will be taking over our jobs, it is clear that artificial intelligence, for example, large language models such as chatGPT, will become increasingly embedded in systems. Machine learning and artificial intelligence will become increasingly integrated into various industries, transforming traditional processes and business models in sectors such as healthcare, finance, manufacturing, and logistics. In areas such as climate change, artificial intelligence may also play a key role: for example, machine learning models can analyze environmental data, optimize resource usage, and contribute to sustainability efforts in areas such as energy, agriculture, and urban planning. As artificial intelligence systems become more pervasive, making such models more interpretable and explainable will become increasingly important, particularly in areas such as health, finance, social decision making and resource allocation.
Social and environmental problems
In recent years engineers have become increasingly aware of the importance of social and environmental problems and the role that engineers can play in helping to solve these problems. For example, climate change may affect the frequency and scale of natural disasters, our ability to grow crops, and even our human health. Thus, natural resource management will become increasingly critical. The tools of engineering economic systems can play a crucial role in natural resource management by providing insights, optimizing decision-making processes, and promoting sustainable practices. Pollution of land, water, and air is also a key challenge. Analytics can be used to examine the effect of proposed pollution control policies, help design new and more efficient supply chains and transportation systems, and contribute to the design of smart energy grids.
Engineering economic systems can also contribute to solutions for many important social problems. For example, significant disparities in health outcomes and access to healthcare services exist between different populations, regions, and countries worldwide; health care costs are rising; and quality of care is often worse in poorer regions. Designing and managing the provision of healthcare that is effective, affordable, and equitable is a critical challenge. Educational systems worldwide face various challenges that impact their effectiveness in providing quality education, including disparities in access to education and in access to technology and the internet, and funding constraints. There is a great need to examine our educational systems to make them more efficient, effective, and equitable. In areas with high poverty, there is a need to design and optimize poverty alleviation programs by analyzing data, identifying key factors, and optimizing resource distribution to maximize impact and there is a need to optimize the delivery of social services, such as welfare programs and community outreach initiatives. These are just a few examples of social problems where analytics can contribute to solutions.
5. CONCLUSION
As highlighted in this article, engineering economic systems has a rich past and present, and there are many opportunities to have future impact using the tools of engineering economic systems. With the emergence of new technologies, increased available data and connectivity, advances computing and in machine learning and artificial intelligence, and increased complexity of systems, the tools of engineering economic systems are more important than ever. By leveraging mathematical modeling, optimization, and other analytical techniques, engineers can play a vital role in addressing complex social, economic, and technical problems and contributing to the development of more efficient, equitable, and sustainable solutions.
REFERENCIAS
Allman, M., Ashlagi, I., Lo, I., Love, J., Mentzer, K., Ruiz-Setz, L., & O'Connell, H. (2022, July). Designing school choice for diversity in the San Francisco Unified School District. In Proceedings of the 23rd ACM Conference on Economics and Computation (pp. 290-291).
Ashlagi, I., & Roth, A. E. (2021). Kidney exchange: An operations perspective. Management Science, 67(9), 5455-5478. https://doi.org/10.1287/mnsc.2020.3954
Bistritz, I., Klein, M., Bambos, N., Maimon, O., & Rajagopal, R. (2020). Distributed scheduling of charging for on-demand electric vehicle fleets. IFAC-PapersOnLine, 53(4), 472-477. https://doi.org/10.1016/j.ifacol.2021.04.043
Eddy, D. M. (1980). Screening for Cancer: Theory, Analysis, and Design. Prentice-Hall. https://cir.nii.ac.jp/crid/1130000795440510464
Feigenbaum, I., Kanoria, Y., Lo, I., & Sethuraman, J. (2020). Dynamic matching in school choice: Efficient seat reassignment after late cancellations. Management Science, 66(11), 5341-5361. https://doi.org/10.1287/mnsc.2019.3469
Ferstad, J. O., Vallon, J. J., Jun, D., Gu, A., Vitko, A., Morales, D. P., Leverenz, J., Lee, M. Y., Leverenz, B., Vasilakis, C., Osmanlliu, E., Prahalad, P., Maahs, D. M., Johari, R., & Scheinker, D. (2021). Population-level management of type 1 diabetes via continuous glucose monitoring and algorithm-enabled patient prioritization: Precision health meets population health. Pediatric Diabetes, 22(7), 982-991. https://doi.org/10.1111/pedi.13256
Guan, G., Dery, Y., Yechezkel, M., Ben-Gal, I., Yamin, D., & Brandeau, M. L. (2021). Early detection of COVID-19 outbreaks using human mobility data. PLoS One, 16(7), e0253865. https://doi.org/10.1371/journal.pone.0253865
Howard, R. A., Matheson, J. E., & North, D. W. (1972). The decision to seed hurricanes. Science, 176(4040), 1191-1202. https://doi.org/10.1126/science.176.4040.1191
Huntington, H. G., Weyant, J. P., & Sweeney, J. L. (1982). Modeling for insights, not numbers: The experiences of the Energy Modeling Forum. Omega, 10(5), 449-462. https://doi.org/10.1016/0305-0483(82)90002-0
Linvill, W. K. (1966). Engineering-economic systems: A new profession. IEEE Spectrum, 3(4), 96-102. https://doi.org/10.1109/mspec.1966.5216587
Linvill, W. K., & Harman, W. W. (1966). Systems Planning Approach to Educational Research Planning. Stanford Research Institute.
Luenberger, D. G. (1985). Engineering-economic systems: A problem-solving discipline. IFAC Proceedings Volumes, 18(9), 15-19.
https://doi.org/10.1016/s1474-6670(17)60254-4
Mofaz, M., Yechezkel, M., Guan, G., Brandeau, M. L., Patalon, T., Gazit, S., Yamin, D., & Shmueli, E. (2022). Self-reported and physiologic reactions to third BNT162b2 mRNA COVID-19 (booster) vaccine dose. Emerging Infectious Diseases, 28(7), 1375-1383. https://doi.org/10.3201/eid2807.212330
National Research Council. (2022). Realizing the Promise of Equity in the Organ Transplantation System. The National Academies Press.
https://doi.org/doi:10.17226/26364
Puelz, D., Basse, G., Feller, A., & Toulis, P. (2022). A graph-theoretic approach to randomization tests of causal effects under general interference. Journal of the Royal Statistical Society Series B: Statistical Methodology, 84(1), 174-204. https://doi.org/10.1111/rssb.12478
Weyant, C., Brandeau, M. L., Burke, M., Lobell, D. B., Bendavid, E., & Basu, S. (2018). Anticipated burden and mitigation of carbon-dioxide-induced nutritional deficiencies and related diseases: A simulation modeling study. PLoS Medicine, 15(7), e1002586. https://doi.org/10.1371/journal.pmed.1002586