Evidence map›Paper›PMID 38607793›Full record

ArticleNaval research logistics2020

A model of supply-chain decisions for resource sharing with an application to ventilator allocation to combat COVID-19.

Sanjay Mehrotra, Hamed Rahimian, Masoud Barah, Fengqiao Luo, Karolina Schantz

Abstract read
In one paragraph

Article in Naval research logistics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. Resource planning strategies for healthcare systems during a pandemic.European journal of operational research · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sanjay MehrotraDepartment of Industrial Engineering and Management Sciences Northwestern University Evanston Illinois USA.ORCID https://orcid.org/0000-0003-1106-1901
Hamed RahimianDepartment of Industrial Engineering and Management Sciences Northwestern University Evanston Illinois USA.
Masoud BarahDepartment of Industrial Engineering and Management Sciences Northwestern University Evanston Illinois USA.
Fengqiao LuoDepartment of Industrial Engineering and Management Sciences Northwestern University Evanston Illinois USA.
Karolina SchantzDepartment of Industrial Engineering and Management Sciences Northwestern University Evanston Illinois USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a stochastic optimization model for allocating and sharing a critical resource in the case of a pandemic. The demand for different entities peaks at different times, and an initial inventory for a central agency are to be allocated. The entities (states) may share the critical resource with a different state under a risk-averse condition. The model is applied to study the allocation of ventilator inventory in the COVID-19 pandemic by FEMA to different U.S. states. Findings suggest that if less than 60% of the ventilator inventory is available for non-COVID-19 patients, FEMA's stockpile of 20 000 ventilators (as of March 23, 2020) would be nearly adequate to meet the projected needs in slightly above average demand scenarios. However, when more than 75% of the available ventilator inventory must be reserved for non-COVID-19 patients, various degrees of shortfall are expected. In a severe case, where the demand is concentrated in the top-most quartile of the forecast confidence interval and states are not willing to share their stockpile of ventilators, the total shortfall over the planning horizon (until May 31, 2020) is about 232 000 ventilator days, with a peak shortfall of 17 200 ventilators on April 19, 2020. Results are also reported for a worst-case where the demand is at the upper limit of the 95% confidence interval. An important finding of this study is that a central agency (FEMA) can act as a coordinator for sharing critical resources that are in short supply over time to add efficiency in the system. Moreover, through properly managing risk-aversion of different entities (states) additional efficiency can be gained. An additional implication is that ramping up production early in the planning cycle allows to reduce shortfall significantly. An optimal timing of this production ramp-up consideration can be based on a cost-benefit analysis.

Indexed as

COVID‐19emergency managementmixed‐integer programmingresource sharingstochastic programmingventilator allocation

Identifiers

PMID38607793
PMCPMC7267382

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.