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From 2010, the medical transport has become one of the top ten priorities ofthe risk management plan in France because of the increase in the cost. Forsocial and medico-social institutions (MSI), this cost represents the secondafter that of the wages. In this context, the project NOMAd aims an overallimprovement of the daily transport of people between their home and their(MSI). To this end, we propose the sharing of transport between several ESMS.This mutualization of transport makes possible to gather and optimize routes ina certain geographical area. The challenge is to improve economic performancewhile maintaining economic, social and environmental goals. From a scientificpoint of view, the studied problem is called the Time-Consistent-Dial-a-RideProblem and aims to find a compromise between the objectives of the cost oftransport and the consistency of the service. Given the complexity of theproblem, we seek, first of all, to solve the problem for half a day. Then weconsider the whole week. To solve these problems, we use the Large NeighborhoodSearch meta-heuristic and a master problem based on the Set Covering Problem.

{\'E}tude pour l'analyse et l'optimisation du transport des personnes en situation de handicap