CAREER: Measuring the Impact of Public Health Supply Chain Coordination Structures on the Effectiveness of Disaster Preparedness and Response

该学院早期职业发展（CAREER）计划研究项目通过利益相关者参与和数学建模与分析的迭代过程探索公共卫生供应链协调，以支持更有效的备灾和响应。美国医疗保健和公共卫生部门的运作对国家的健康和经济安全至关重要。联邦、州和地方政府实体、非政府组织、私营部门和公众都参与准备和应对直接或间接威胁健康的灾害。然而，通过在利益攸关方之间建立更好的供应链协调，可以改进备灾和救灾活动。这项研究将确定和评估灾害背景下的供应链协调结构;并侧重于提高公共卫生和工业工程专业人员的专业知识和机会的相互认识的方法，通过跨学科的参与来实现变革。这项研究的结果有可能转化为更有效地利用有限的公共卫生备灾资金，减少公共卫生灾难造成的生命和生计损失。建模工作将吸引从业者的参与，同时广泛传播研究成果。综合教育活动将吸引从中学到博士的学生，并将培养未来的工程师应对公共卫生备灾和救灾方面的挑战。该研究集中在三个相互关联的活动集：调查和采访公共卫生灾害响应供应链利益相关者，从而深入了解协作行为;数学模型，利用这些见解来描述公共卫生供应链协调结构;和研究结果的评估。与经典应用相比，供应链协调将在合作博弈理论框架中建模，其中模型必须适应多个目标，并且利益不需要与联盟规模超加性。协调的结构特性将被描述和比较，包括考虑在何种条件下不同的结构是可取的，公平的成本和效益分配存在。将评估解决方案的计算效率。将根据利益相关者的意见反复开发、测试和修订模型，以确保相关性并支持从研究到实践的转化。

This Faculty Early Career Development (CAREER) Program research project explores public health supply chain coordination through an iterative process of stakeholder engagement and mathematical modeling and analysis in order to support more effective disaster preparedness and response. The functioning of the US health care and public health sector is essential to the health and economic security of the country. Federal, state, and local government entities, non-governmental organizations, the private sector, and the public are engaged in preparing for and responding to disasters that threaten health directly or indirectly. However, preparedness and response activities can be improved by creating better supply chain coordination among stakeholders. This research will identify and evaluate supply chain coordination structures for the disaster context; and focus on methods to improve mutual awareness of public health and industrial engineering professionals' expertise and opportunities to effect change via interdisciplinary engagement. The results of this research have the potential to translate into more effective use of limited public health preparedness funds and reduced loss of life and livelihood resulting from public health disasters. Modeling efforts will engage practitioners concurrent with broad dissemination of research findings. The integrated education activities will engage students from middle school through doctoral levels and will prepare future engineers to address challenges in public health disaster preparedness and response. The research is centered on three interrelated sets of activities: surveys and interviews with public health disaster response supply chain stakeholders leading to insights into collaborative behavior; mathematical models that draw upon these insights to describe public health supply chain coordination structures; and assessment of research results. In contrast to classical applications, supply chain coordination will be modeled in a cooperative game theoretic framework, in which the models must accommodate multiple objectives, and the benefits need not be super-additive with coalition size. Structural properties in coordination will be characterized and compared, to include consideration of the conditions under which different structures are desirable and fair cost and benefit allocations exist. The computational efficiency of solution approaches will be assessed. Models will be developed, tested, and revised iteratively with input from stakeholders to ensure relevance and support translation from research to practice.