Marginal-utility-oriented optimization model for collaborative medical supply rebalancing and allocating in response to epidemics

Xuehong Gao, Cejun Cao, Zhijin Chen, Guozhong Huang, Huiling Jiang, Liang Zhou
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Abstract

Large-scale epidemics impose significant burdens globally and cause an imbalance of medical supplies among different regions owing to the dissimilarly and unevenly distributed prevalence of the infection. Along with rebalancing the limited medical supplies to meet the demand and supply requirements, ensuring that the supplies are allocated to support the affected regions is also important. Hence, this study focuses on the collaborative medical supply rebalancing and allocating process to balance the demand and supply. The law of diminishing marginal utility is incorporated in this study to quantify the principle of fairness in rebalancing and allocating medical supplies. Accordingly, under uncertainty, a marginal-utility-oriented optimization model is proposed to formulate the rebalancing and allocation of collaborative medical supplies. Because the proposed model is nonlinear and computationally intractable, a linearization approach is adopted to obtain the global optimum that supports decision-making in response to epidemics. Furthermore, a real case study of the United States is implemented, where the sensitivity analysis of critical parameters is conducted on the coronavirus disease 2019. Computational results indicate that additional medical supplies, stock levels, and scenario constructions significantly influence the supply/demand point identification and outgoing/incoming shipments. Moreover, this study not only validates the effectiveness and feasibility of the method but also highlights the importance of incorporating the law of diminishing marginal utility into the collaborative medical supply rebalancing and allocating problem.
面向边际效用的疫情协同医疗供给再平衡与配置优化模型
大规模流行病在全球造成重大负担,由于感染流行率分布不同和不均匀,造成不同区域之间医疗供应不平衡。除了重新平衡有限的医疗用品以满足需求和供应需求外,确保将供应品分配给支持受影响地区也很重要。因此,本研究聚焦于协同医疗供给再平衡与分配过程,以达到需求与供给的平衡。本研究引入边际效用递减法则,量化医疗物资再平衡与分配中的公平原则。据此,在不确定条件下,提出了一种边际效用导向的优化模型来制定协同医疗物资的再平衡与分配。由于所提出的模型是非线性且难以计算的,因此采用线性化方法来获得支持流行病响应决策的全局最优解。并以美国为例,对2019冠状病毒病进行关键参数敏感性分析。计算结果表明,额外的医疗用品、库存水平和情景构建对供应/需求点的确定和出货/进货有重大影响。此外,本研究不仅验证了该方法的有效性和可行性,而且突出了将边际效用递减规律纳入协同医疗供给再平衡与分配问题的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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