Location of Organ Procurement and Distribution Organisation Decisions and Their Impact on Kidney Allocations: A Developing Country Perspective
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2023
- handle: 10670/1.o0zc6i
- hal: hal-04433055
- doi: 10.1007/s10479-022-04956-1
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info:eu-repo/semantics/altIdentifier/doi/10.1007/s10479-022-04956-1
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T. Dhyankumar Chellappa et al., « Location of Organ Procurement and Distribution Organisation Decisions and Their Impact on Kidney Allocations: A Developing Country Perspective », HAL-SHS : droit et gestion, ID : 10.1007/s10479-022-04956-1
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Résumé
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. \textcopyright 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.