골든 타임을 고려한 신속한 혈액 공급사슬 설계
Agile Blood Supply Chain Design Considering Golden Time
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초록
각 지역의 혈액원이 인근에 위치한 병원에 혈액을 공급하는 현재의 혈액 공급 체계에서는 긴급하게 혈액이필요한 응급 상황 발생 시, 필요한 혈액을 신속하게 배송하기 어렵다. 특히 혈액원에서 한 시간 이상의 거리에위치한 병원들은 수혈이 늦어지는 경우 환자의 치료 결과에 부정적인 영향을 미칠 수 있다. 본 연구에서는 기존 병원 중 일부를 혈액 분배 병원으로 지정하고, 주변에 위치한 병원들에게 빠르게 혈액을 배송할 수 있는 새로운 혈액 공급 사슬 체계를 제안한다. 기존 병원들 중 혈액 분배 병원을 선정하고, 혈액 분배 병원에 인근 병원을 할당하기 위해 Minimax 최적화 모델을 개발하였다. 경상북도에 위치한 병원 중 응급 의료기관으로 지정된 병원들을 대상으로 실제 데이터를 수집하여 수치실험을 진행하였다. 응급상황에 대응하기 위해서는 최소 5 개 이상의 병원들이 혈액 분배 병원으로 지정되어야 함을 알 수 있었으며, 민감도 분석을 통하여 의사결정의기준을 제공하였다.
Abstract
Under emergency circumstances, a hospital requires a large amount of blood and a regional blood services center is not able to supply the blood to hospitals urgently. In particular, hospitals taking more than one hour from the regional blood services center cannot give a transfusion into patients, which will result in critical impact on the treatment. This paper aims to supply blood quickly to hospitals by developing a new agile blood supply chain system. We develop a minimax mathematical model for assigning regional hospitals to blood distribution hospitals and grouping hospitals based on the assigned blood distribution hospitals. Numerical experiments are conducted with the data about hospitals in Gyeongsangbuk-do, Korea. An in-depth analysis is carried out by changing the number of blood distribution hospitals and comparing the minimax model with a minisum model. Our results show that the number of the blood distribution hospitals should be greater than five and the minimax model is suitable for emergency response.
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