TY - JOUR
T1 - Location of organ procurement and distribution organisation decisions and their impact on kidney allocations
T2 - a developing country perspective
AU - Chellappa, Theophilus Dhyankumar
AU - Muthurathinasapathy, Ramasubramaniam
AU - Venkatesh, V. G.
AU - Shi, Yangyan
AU - Islam, Samsul
PY - 2023/2
Y1 - 2023/2
N2 - 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.
AB - 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.
KW - Health care facility location
KW - Kidney allocation
KW - Organ transplant network
KW - Organ allocation
KW - Organ equity
KW - P-median
UR - http://www.scopus.com/inward/record.url?scp=85138670493&partnerID=8YFLogxK
U2 - 10.1007/s10479-022-04956-1
DO - 10.1007/s10479-022-04956-1
M3 - Article
C2 - 36187175
SN - 0254-5330
VL - 321
SP - 755
EP - 781
JO - Annals of Operations Research
JF - Annals of Operations Research
IS - 1-2
ER -