Location of organ procurement and distribution organisation decisions and their impact on kidney allocations: a developing country perspective.

Autor: Dhyankumar Chellappa T; Loyola Institute of Business Administration, Chennai, India., Muthurathinasapathy R; Loyola Institute of Business Administration, Chennai, India., Venkatesh VG; EM Normandie Business School, Metis Lab, Le Havre, France., Shi Y; Department of Management, Macquarie Busnesss School, Macquarie University, Macquarie, Australia., Islam S; Dalhousie University, Halifax, Canada.
Jazyk: angličtina
Zdroj: Annals of operations research [Ann Oper Res] 2023; Vol. 321 (1-2), pp. 755-781. Date of Electronic Publication: 2022 Sep 25.
DOI: 10.1007/s10479-022-04956-1
Abstrakt: Managing organ transplant networks is a complex task. It intertwines between locating the organ procurement and distribution organization (OPDO) (long-term decision) and allocating organs to the suitable destination (short-term decision). The literature lacks deliberation on the effect of those long-term decisions on short-term ones under the influence of clinical and non-clinical factors. This paper addresses this gap using a k-sum model for locational choice, and a discrete simulation approach for the allocation procedure for a real-life case study from a developing economy perspective. The study explores the trade-off between efficiency (distance-centric models) and equity (the result of time-centric allocation models). Our analysis of the efficiency of locational models and equity of the allocation policies reveal strong inter-dependence of both these decisions, a significant finding of this research. These findings offer an integrated model for high-level decision-makers, which can be used during the locational planning stage and provide input to design standard operating procedures for transplantation schemes.
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Databáze: MEDLINE
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