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

Theophilus Dhyankumar Chellappa, Ramasubramaniam Muthurathinasapathy, V. G. Venkatesh*, Yangyan Shi, Samsul Islam

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)755-781
Number of pages27
JournalAnnals of Operations Research
Volume321
Issue number1-2
Early online date25 Sept 2022
DOIs
Publication statusPublished - Feb 2023

Keywords

  • Health care facility location
  • Kidney allocation
  • Organ transplant network
  • Organ allocation
  • Organ equity
  • P-median

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