Multistage scenario-based planning for locating of pharmaceutic distribution centers for emergency patients by considering practical constraints under budget uncertainty conditions (case study: Kerman city in Iran)

Abstract

In the realm of healthcare, medicine and the pharmaceutical supply chain exert notable influence. Recognized as a strategic commodity, any disruption in its supply chain can precipitate significant crises. The dispersed nature of pharmacies and the critical need for prompt medication delivery to patients underscore the paramount importance of designing an optimal pharmaceutical supply chain. This necessity is particularly pronounced when addressing the needs of diabetic and epilepsy patients, who, being more susceptible and in urgent need of medication, intensify the significance of a robust supply chain. Given the critical role of medicine and the pharmaceutical supply chain in healthcare, the repercussions of supply chain disruptions are far-reaching. A well-designed pharmaceutic supply chain is indispensable, especially in ensuring timely access to medications for vulnerable patient groups. To address this imperative, this study proposes a multi-stage scenario-based mathematical model aimed at enhancing the responsiveness of demand regions amidst uncertain budgets and feasible scenarios for meeting the insulin and phenobarbital requirements of patients. By incorporating uncertainties in both demand and procurement costs, the practicability of applying this model in real-world contexts has been strengthened. A case study focusing on Kerman City in Iran is conducted to evaluate the efficacy of the proposed model.