ORAHS2024
Abstract Submission

301. Designing an Alliance Network among dialysis centers for disaster preparedness

Contributed abstract in session TB-3: Humanitarian Logistics and Blood Supply, stream Regular talks.

Tuesday, 11:00-12:30
Room: Room S2

Authors (first author is the speaker)

1. Evrim Didem Gunes
Operations and Information Systems, Koc University
2. Sırma Karakaya
Industrial Engineering, Ted University
3. Burcu Balcik
Ozyegin University

Abstract

Disasters pose significant threats to patients with end-stage kidney disease (ESKD), who rely on regular dialysis treatments to prevent complications and fatalities. Motivated by the problems observed during previous disasters, we introduce the Alliance Network Problem, aiming to establish a centralized alliance-based coordination mechanism for renal relief.
We propose a two-stage mixed integer programming model that proactively sets alliance relationships among clinics and make patient-backup clinic assignments considering various factors such as a pre-determined limit on alliance sizes, patient demands and uncertainties in post-disaster clinic capacities.
Through a case study focusing on a subset of dialysis clinics located in Istanbul-Turkiye, we demonstrate the effectiveness of our approach in bolstering disaster resilience for ESKD patients. Our findings underscore the importance of proactive alliance formations and centralized coordination mechanism in mitigating the impacts of disasters on dialysis treatment.
We provide insights for policy development and highlight the benefits of integrating various resilience strategies with alliance formations. This study contributes to bridging the gap in disaster preparedness and response for renal relief, and aid public health authorities to be prepared for future disasters.

Keywords

Status: accepted


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