Timeliness of medical service delivery has become an important purpose of post-disaster relief, while its realization highly depends on an effective design of multi-echelon humanitarian logistics network (HLN). What complicates the design of HLN are multiple uncertainties in the decision-making process, especially casualty number and transportation time. This paper proposes a novel robust optimization model for designing a four-echelon HLN including disaster sites, temporary medical centers (TPCs) in affected areas and two-tier hospitals, thereby optimizing medical facilities location, medical resources allocation and casualty evacuation. In this model, we consider casualty prioritization by incorporating deprivation cost and casualty triage. After conducting extensive computational experiments and sensitivity analysis by case studies based on the Luding Earthquake, the main results obtained are as follows: (i) the proposed model performs good effectiveness and robustness; (ii) considering deprivation cost in HLN can effectively reduce both the suffering of casualty and social cost; (iii) compared to the uncertainty of transportation time, more attention needs to be paid to the risks caused by uncertain casualty number, especially the mild injured with a large number.
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