Abstract Home Health Care (HHC) services are growing worldwide. HHC providers that
employ their caregivers have to manage operational decisions such as assigning patients to
caregivers and planning the caregivers' routes. Centralized “off-line” approaches are
generally used to deal with both these problems. In this paper, we solved the caregiver
routing problem in a dynamic and distributed way using a Multi-agent system (MAS) to
simulate caregiver behavior. Four decision rules were developed for the caregivers: NPR …