A decision support system for demand management in healthcare supply chains considering the epidemic outbreaks: A case study of coronavirus disease 2019 (COVID-19)

Forecasting demands of blood components based on prediction models

BACKGROUND

An adequate blood supply is an important guarantee for saving lives and protecting health. In order to manage the blood supply more effectively when the condition of demand and supply are uncertainty, it is very important to forecast the demands of blood resources.

MATERIALS AND METHODS

SARIMAX model and LSTM model were integrated into the prediction system of blood station. The collection and supply data of blood components was directly imported into the forecasting models to achieve automatic data update and model update. The forecasting daily demands of apheresis platelets, washing red blood cells (RBCs), suspended RBCs and plasma were recorded from January to June 2023 and compared with real data.

RESULTS

The prediction models had good forecasting performances. In the goodness of fit results of apheresis platelet model, the maximum value of coefficient of determination (R2) could reach 87.6%, and the minimum value of the mean absolute percentage error (MAPE) was only 0.0037. The predicted data of washing RBCs could be basically fitted, and the MAPE was 0.0121. For the prediction of suspended RBCs, the R2 was greater than 66%, and the MAPE could be 0.0372. The plasma model generated very high goodness of fit results, with R2 of over 90% and the lowest MAPE of 0.0394.

CONCLUSION

The forecasting models, which predicts future demands of different blood components based on historical data, can help managers to overcome the challenges of blood stock control more effectively, thereby reducing blood waste and blood shortages.

A systematic literature review of logistics services outsourcing

Logistics is critical in every company's supply chain (SC), and outsourcing helps businesses concentrate on their core competencies. Third-party logistics (3 PL) or logistics service providers (LSPs) assist businesses in cutting costs while improving performance, sustainability, and revenue. Logistics evaluation and LSPs choice are complicated and critical components of value delivery. This study aims to review logistics outsourcing literature to understand the trends, prospects, factors, and strategies used in logistics companies' outsourcing choices. This work examines the literature on LSPs selection published between 2010 and 2023. This paper uses VOSviewer (version 1.6.19) to visualize the relationships. Pricing, timely shipment, service quality, reliability, agility, technology, and consumer feedback are the most commonly utilized, whereas societal and environmental factors are seldom used. The study comprises journal publications, the year, selection criteria, and assessment methodologies. Numerous scholars have discovered and employed many critical selection criteria. Many investigators have also embraced multi-criteria decision-making (MCDM) methodologies, and their fuzzy form is widely used. In conclusion, recommendations for theorists and managers, limits, and future directions for research are offered.

How dynamic capabilities enable Chinese SMEs to survive and thrive during COVID-19: Exploring the mediating role of business model innovation

As a response to the damage caused by the spread of COVID-19, the Chinese government has implemented severe quarantine measures that have greatly affected the operational patterns of small and medium-sized enterprises (SMEs). This paper explores the critical role of dynamic capabilities (DCs) in helping Chinese SMEs manage crises, adjust their business strategies, and mitigate the uncertainty caused by the epidemic. Although the importance of DCs in promoting organizational resilience is well recognized, academic research on their specific contributions to business model innovation (BMI) and SME performance improvement during crises remains scarce. Our study fills this gap by pioneering the development and empirical testing of a microintegrated mediation model linking DCs, BMI and organizational performance. By surveying 257 Chinese SMEs severely affected by a pandemic, we verify our hypotheses using partial least squares structural equation modeling (PLS-SEM). Our results strongly show a positive relationship between DCs and BMI and SME performance. In addition, we found that BMI plays a partial mediating role in the interrelationship between DCs and SME performance. Our findings clarify the critical role of BMI as a channel through which SMEs' DCs can be transformed into higher performance in the face of sudden crises. Thus, our results not only contribute to the broader discussion of strategic management and organizational theory but also provide theoretical and practical insights into the mechanisms by which SMEs can increase their flexibility and resilience in a crisis. Thus, our results not only contribute to the broader discussion of strategic management and organizational theory but also provide theoretical and practical insights into the mechanisms by which SMEs can increase their flexibility and resilience in a crisis. Importantly, this study suggests policy and market strategies that can support SMEs in leveraging DCs and BMI for sustained performance, thereby contributing valuable insights for policymakers and business leaders aiming to fortify economic stability and growth in the face of global health emergencies.

COVID-19 and its impact on the profit of mango value chain actors

The unprecedented impact of the pandemic on both activities and profit of actors draws out the various areas of the value chain that need to be strengthened to ensure resilience in the face of global shock. This study fills the gap by assessing the extent at which COVID-19 impacted the profit of mango value chain actors in southern Ghana. It also analyzed the governance structure and the existing linkages in the dissemination of market information in relation to the profit of the actors. A two-year panel survey on 240 respondents was conducted in 2020 through a multi-stage sampling technique in Greater Accra, Eastern and Volta regions of Ghana. Net Farm Income, Social Network Analysis and Difference-in-Difference models were used in analyzing the data. Findings revealed that mango processors have more bargaining power and make the most profit while producers receive more information than other actors. Farmer-based organizations were found to be the prominent node and influential in the dissemination of market information within the value chain. The outbreak of COVID-19 negatively impacted the profit of mango producers and distributors; however, processors had a positive impact on their profit. The study therefore demonstrated that producers and distributors were vulnerable to the effect of the COVID-19 shock, whilst processors were robust to the shocks. Thus, reformed policies by all stakeholders for emergency preparedness should be targeted especially at those vulnerable actors in the chain. Additionally, FBOs, retailers and other key stakeholders should be considered in policy development to enhance market information dissemination.

System dynamics model for an agile pharmaceutical supply chain during COVID‑19 pandemic in Iran

Unpredictable changes in the current business environment have made organizations pay attention to the concept of agility. This concept is a key feature to survive and compete in turbulent markets while considering customers' fluctuating needs. An organization's agility is a function of its supply chain's agility. The present study offers a System Dynamics (SD) model for Iran's Pharmaceutical Supply Chain (PSC). The model is presented in three steps. First, the Supply Chain (SC) indicators were extracted based on theoretical foundations and literature review results. Second, an SD model of the PSC was extracted in the context of the COVID‑19 pandemic with the necessary analyses. Finally, the desired outputs and strategies were obtained by conducting a case study. The results indicated that the PSC's highest agility could be guaranteed by the simultaneous implementation of three strategies: investment, Human Capital Development (HCD), and accelerated completion of ongoing projects on a priority basis. According to these results, the organization had better determine the amount of capital and workforce required for ongoing projects, then design funding solutions to implement these projects and implement them according to the projects' priority.

Assessing the Disruption Impact on Healthcare Delivery

Health emergency outbreaks such as the COVID-19 pandemic make it challenging for healthcare systems to ration medical resources and patient care. Such disastrous events have been increasing over the past years and are becoming inevitable, necessitating the need for healthcare to be well-prepared and resilient to unpredictable rises in demand. Quantitative and qualitative based decision support systems increase the effectiveness of planning, alleviating uncertainties associated with the crisis. This study aims to understand how the COVID-19 pandemic has affected the performance of healthcare systems in different areas and to address the associated disruption. A cross-sectional online survey was conducted in the Kingdom of Saudi Arabia and the United Arab Emirates among healthcare workers who worked during the pandemic. The pandemic-related disruption and its psychometric properties were assessed using Structural Equations Modeling (SEM) with 5 latent factors: Staff Mental Health, Communication Level, Planning and Readiness, Healthcare Supply Chain, and Telehealth. Responses from highly qualified participants with many years of experience in hospital settings were collected and analyzed. Results show that the model satisfactorily fits the data with a CLI of 0.91 and TLI of 0.88. The model indicates that enhancing supply chain management, planning, telehealth usage, and communication level across the healthcare system can mitigate the disruption. However, the lack of mental health management for healthcare workers can significantly disrupt the quality of delivered care. Staff mental health and healthcare supply chain, respectively, are the highest contributors to varying degrees of disruption in healthcare delivery. This study provides a direction for more research focusing on determinants of healthcare efficiency. It also provides decision-makers insights into the main factors leading to disruptions in healthcare systems, allowing them to shape their outbreak response and better prepare for future health emergencies.

Intelligent selection of healthcare supply chain mode - an applied research based on artificial intelligence

Introduction

Due to the inefficiency and high cost of the current healthcare supply chain mode, in order to adapt to the great changes in the global economy and public health, it is urgent to choose an effective mode for sustainable development of healthcare supply chain. The aim of this paper is to use artificial intelligence systems to make intelligent decisions for healthcare supply chain mode selection.

Methods

Firstly, according to the economic benefits, social benefits and environmental benefits of healthcare supply chain, this paper identifies different healthcare supply chain modes in combination with artificial intelligence technology. Secondly, this paper presents the intelligent choice optimization method of healthcare supply chain mode based on deep reinforcement learning algorithm. Finally, the effect of artificial intelligence in healthcare supply chain mode selection is verified by simulation experiment.

Results and Discussion

The experimental results show that healthcare supply chain mode selected by artificial intelligence is basically consistent with the target mode, while healthcare supply chain mode selected by the basic selection method, BP neural network method and big data method is different from the target mode, which indicates that AI has more advantages in the selection of medical supply chain mode. Therefore, we recommend the application of artificial intelligence to healthcare supply chain management. This study not only makes up for the ineffective problems of existing methods, but also makes up for the gaps in the application of AI technology in the field of healthcare supply chain. The scientific value of this paper is that the proposed framework and the artificial intelligence algorithm enrich the relevant theories of healthcare supply chain research and provide methodological guidance for intelligent decision-making of healthcare supply chain. At the same time, for medical enterprises, this research provides a new practical guideline for the application of artificial intelligence in the sustainable development and modern management of healthcare supply chain.

Relative bed allocation for COVID-19 patients, EHR investments, and COVID-19 mortality outcomes

Managing flexibility in the relative bed allocation for COVID-19 and non-COVID-19 patients was a key challenge for hospitals during the COVID-19 pandemic. Based on organizational information processing theory (OIPT), we propose that the local electronic health record (EHR) systems could improve patient outcomes through improved bed allocation in the local area. In an empirical analysis of county-level weekly hospital data in the US, relative capacity of beds in hospitals with higher EHR was associated with lower 7-, 14-, and 21-day forward-looking COVID-19 death rate at the county-level. Testing for cross-state variation in non-pharmaceutical interventions along contiguous county border-pair analysis to control for spatial correlation varying between state variations in non-pharmaceutical intervention policies, 2SLS analysis using quality ratings, and using foot-traffic data at the US hospitals our findings are generally supported. The findings have implications for policymakers and stakeholders of the local healthcare supply chains and EHR systems.

Estimating the effects of COVID-19 on essential health services utilization in Uganda and Bangladesh using data from routine health information systems

Background

Since March 2020, the coronavirus disease 2019 (COVID-19) pandemic has been a major shock to health systems across the world. We examined national usage patterns for selected basic, essential health services, before and during the COVID-19 pandemic in Uganda and Bangladesh, to determine whether COVID-19 affected reporting of service utilization and the use of health services in each country.

Methods

We used routine health information system data since January 2017 to analyze reporting and service utilization patterns for a variety of health services. Using time series models to replicate pre-COVID-19 trajectories over time we estimated what levels would have been observed if COVID-19 had not occurred during the pandemic months, starting in March 2020. The difference between the observed and predicted levels is the COVID-19 effect on health services.

Results

The time trend models for Uganda and Bangladesh closely replicated the levels and trajectories of service utilization during the 38 months prior to the COVID-19 pandemic. Our results indicate that COVID-19 had severe effects across all services, particularly during the first months of the pandemic, but COVID-19 impacts on health services and subsequent recovery varied by service type. In general, recovery to expected levels was slow and incomplete across the most affected services.

Conclusion

Our analytical approach based on national information system data could be very useful as a form of surveillance for health services disruptions from any cause leading to rapid responses from health service managers and policymakers.

Predicting the effects of supply chain resilience and robustness on COVID-19 impacts and performance: Empirical investigation through resources orchestration perspective

This study investigates the effects of supply chain (SCRE) and robustness (SCRO) on COVID-19 super disruption impacts and firm's financial performance by mobilizing the resources orchestration theory (ROT) as the main theoretical framework. We adopt structural equation modeling analysis of data collected from 289 French companies. The findings reveal the significantly positive influence of resources orchestration on SCRE and SCRO and the role of the latter in mitigating the pandemic disruption impacts. Notwithstanding, depending on whether the measures are objective or subjective, the effects of SCRE and SCRO on financial performance vary. Overall, this paper presents empirical evidence of the influence of both of SCRE and SCRO on pandemic disruption impacts and financial performance. Furthermore, this research provides insights to guide practitioners and decision makers regarding resources orchestration and the deployment of SCRE and SCRO.

A dynamic approach to supply chain reconfiguration and ripple effect analysis in an epidemic

The COVID-19 pandemic has illustrated the unprecedented challenges of ensuring the continuity of operations in a supply chain as suppliers' and their suppliers stop producing due the spread of infection, leading to a degradation of downstream customer service levels in a ripple effect. In this paper, we contextualize a dynamic approach and propose an optimal control model for supply chain reconfiguration and ripple effect analysis integrated with an epidemic dynamics model. We provide supply chain managers with the optimal choice over a planning horizon among subsets of interchangeable suppliers and corresponding orders; this will maximize demand satisfaction given their prices, lead times, exposure to infection, and upstream suppliers' risk exposure. Numerical illustrations show that our prescriptive forward-looking model can help reconfigure a supply chain and mitigate the ripple effect due to reduced production because of suppliers' infected workers. A risk aversion factor incorporates a measure of supplier risk exposure at the upstream echelons. We examine three scenarios: (a) infection limits the capacity of suppliers, (b) the pandemic recedes but not at the same pace for all suppliers, and (c) infection waves affect the capacity of some suppliers, while others are in a recovery phase. We illustrate through a case study how our model can be immediately deployed in manufacturing or retail supply chains since the data are readily accessible from suppliers and health authorities. This work opens new avenues for prescriptive models in operations management and the study of viable supply chains by combining optimal control and epidemiological models.

Rapid cycle training for non-critical care physicians to meet intensive care unit staff shortage at an academic training center in a developing country during the COVID-19 pandemic

BACKGROUND

The sudden unexpected increase in critically ill COVID-19 patients admitted to Intensive Care Units (ICUs), resulted in an urgent need for expanding the physician workforce. A COVID-19 critical care crash (5C) course was implemented to introduce physicians without formal critical care training to care for critically ill COVID-19 patients. Upon successful completion of the course, physicians were recruited to work in a COVID-19 ICU under the supervision of a board-certified critical care physician. The aim of this study is to describe the methods of a novel course designed specifically to teach the management critically ill COVID-19 patients, while assessing change in knowledge, skill competency, and self-reported confidence.

METHODS

The blended focused 5C course is composed of both virtual and practical components. Candidates may register for the practical component only after successful completion of the virtual component. We assessed knowledge acquisition using a multiple-choice question test (pre- and post-test assessment), skill competency, and self-reported confidence levels during simulated patient settings. Paired T-test was used to compare before and after course results.

RESULTS

Sixty-five physicians/trainees from different specialties were included in the analysis. Knowledge significantly increased from 14.92± 3.20 (out of 20 multiple-choice questions) to 18.81± 1.40 (p< 0.01), skill competence during practical stations had a mean minimum of 2 (out of 3), and self-reported confidence during a simulated patient setting increased significantly from 4.98± 1.15 (out of 10) to 8.76± 1.10 (out of 10) (p< 0.01).

CONCLUSION

We describe our initiative in increasing the ICU physician workforce in the midst of the COVID-19 pandemic. The blended 5C course is a valuable educational program designed by experts from different backgrounds. Future research should be directed at examining outcomes of patients associated with graduates of such program.

COVID-19 and distribution centres operations: The impacts and countermeasures

COVID-19 has wreaked havoc on supply chains. This is particularly true for distribution centres as they struggle to bounce back amid the COVID-19 outbreak. While much literature has recently emerged on supply chain disruption, studies pertaining to the impacts of COVID-19 on distribution centres and the countermeasures taken to mitigate such impacts are elusive and mute. Our study fills this important gap in the supply chain literature. This study employs a multiple-case methodology and conducts 40 semi-structured interviews with senior managers/executives from eight distribution centres in the United Arab Emirates. Our results exhibit that COVID-19 is adversely affecting the distribution centres in at least six distinct ways. For instance, distribution centres are encountering limited staff availability, inventory shortage, destabilized supply chains, excessive inventory, limited capacity and surge in demand. Results also demonstrate six corresponding strategies employed by distribution centres to mitigate the impact. For example, distribution centres enhance warehouse automation, increase hands-on inventory, reshoring manufacturing, use scalable processes and an automation retrieval system, and finally employ a picking strategy. Distribution centres can use the findings provided in this study. Particularly, they can learn how COVID-19 affects them and what corresponding strategies they should adopt to stay strong during this pandemic. This study demystifies its contribution to theory and practice alongside limitations and future research directions.

Multi-mitigation strategies in medical supplies for epidemic outbreaks

The outbreak of Coronavirus disease 2019 (COVID-19) highlights the importance of sufficient medical supplies stockpiling at the pre-event stage. In contrast, the potential disadvantages of maintaining adequate items at strategic locations (i.e., reserves) are considerable inventory-related costs. Unpredicted demand leads to a high degree of uncertainty. Efforts to mitigate the uncertainty should rely not only on prepositioning supplies at reserves but also on integrating various channels of medical materials. This paper proposes multi-mitigation strategies in medical supplies to ensure uninterrupted supply for hospitals and significant savings by introducing two-type suppliers, reserving and manufacturing suppliers. Thus, each hospital with uncertain demand is enabled to be served by various channels during pandemics: prepositioning in reserves, backups served by reserving suppliers, and medical commodities produced by manufacturing suppliers. Stochasticity is also incorporated into the raw materials available to produce. This research aims to develop an emergency response application that integrates preparedness action (reserve location, inventory level, and contract supplier's selection) with post-event operations (allocating medical materials from various channels). We formulate a two-stage stochastic mixed integer program to determine prepositioning strategy, including two-type suppliers' selection, and post-event allocation of multiple sources. A branch-and-Benders-cut method is developed for this problem and significantly outperforms both the classical Benders decomposition and Gurobi in the solution time. Different-sized test instances also verify the robustness of the proposed method. Based on a realistic and typical case study (inspired by the COVID-19 pandemic in Wuhan, China), significant savings, an increase in inventory utilization and an increase in demand fulfilment are obtained by our approach.

Modelling supply chain sustainability challenges in the food processing sector amid the COVID-19 outbreak

The recent COVID-19 pandemic has significantly impacted most businesses and their supply chains. Due to the negative impacts of COVID-19, businesses have been facing numerous challenges. Among them, sustainability challenges are critical for any supply chain. In the literature, several studies have discussed the impacts of the COVID-19 pandemic on supply chains; however, there is a significant research gap in analysing supply chain sustainability challenges amid the COVID-19 outbreak in a particular context. To fill this research gap, this study aims to develop a systematic approach to identifying and analysing COVID-19 outbreak-related supply chain sustainability challenges in the context of the Australian food processing sector. To achieve the aims, this paper develops a mixed-method approach consisting of both qualitative and quantitative techniques, namely online survey and the Best-Worst method. From the online survey among experts from the Australian food processing sector, 22 sustainability challenges were finalised and categorised into four categories, namely, economic, environmental, social and ethical, and operational challenges. The empirical findings from the exploratory investigation reveal that increased food processing cost, lack of transparency and traceability, increase in price of raw materials, lack of capital and physical resources, and spread of fake information are the top five sustainability challenges to the Australian food processing sector due to the impacts of the COVID-19 outbreak. The findings of this study will help decision-makers, practitioners, and policymakers by developing the policies, guidelines, and strategies to overcome the most impactful sustainability challenges to ensure sustainable recovery from the impacts of the COVID-19 outbreak.

Resilient and social health service network design to reduce the effect of COVID-19 outbreak

With the severe outbreak of the novel coronavirus (COVID-19), researchers are motivated to develop efficient methods to face related issues. The present study aims to design a resilient health system to offer medical services to COVID-19 patients and prevent further disease outbreaks by social distancing, resiliency, cost, and commuting distance as decisive factors. It incorporated three novel resiliency measures (i.e., health facility criticality, patient dissatisfaction level, and dispersion of suspicious people) to promote the designed health network against potential infectious disease threats. Also, it introduced a novel hybrid uncertainty programming to resolve a mixed degree of the inherent uncertainty in the multi-objective problem, and it adopted an interactive fuzzy approach to address it. The actual data obtained from a case study in Tehran province in Iran proved the strong performance of the presented model. The findings show that the optimum use of medical centers' potential and the corresponding decisions result in a more resilient health system and cost reduction. A further outbreak of the COVID-19 pandemic is also prevented by shortening the commuting distance for patients and avoiding the increasing congestion in the medical centers. Also, the managerial insights show that establishing and evenly distributing camps and quarantine stations within the community and designing an efficient network for patients with different symptoms result in the optimum use of the potential capacity of medical centers and a decrease in the rate of bed shortage in the hospitals. Another insight drawn is that an efficient allocation of the suspect and definite cases to the nearest screening and care centers makes it possible to prevent the disease carriers from commuting within the community and increase the coronavirus transmission rate.

Sustainable supplier selection and order allocation for multinational enterprises considering supply disruption in COVID-19 era

The unprecedented outbreak of COVID-19 has left many multinational enterprises facing extremely severe supply disruptions. Besides considering triple-bottom-line requirements, managers now also have to consider supply disruption due to the pandemic more seriously. However, existing research does not take these two key objectives into account simultaneously. To bridge this research gap, based on the characteristics of COVID-19 and similar global emergency events, this article proposes a model that aims to solve the problem of sustainable supplier selection and order allocation considering supply disruption in the COVID-19 era. It does so by using a multi-stage multi-objective optimization model applied to the different stages of development and spread of the pandemic. Then, a novel nRa-NSGA-II algorithm is proposed to solve the high-dimensional multi-objective optimization model. The applicability and effectiveness of the proposed model is illustrated in a well-known multinational producer of shortwave therapeutic instruments.

JEL Classification: M11

Artificial intelligence and discrete-event simulation for capacity management of intensive care units during the Covid-19 pandemic: A case study

The Covid-19 pandemic has pushed the Intensive Care Units (ICUs) into significant operational disruptions. The rapid evolution of this disease, the bed capacity constraints, the wide variety of patient profiles, and the imbalances within health supply chains still represent a challenge for policymakers. This paper aims to use Artificial Intelligence (AI) and Discrete-Event Simulation (DES) to support ICU bed capacity management during Covid-19. The proposed approach was validated in a Spanish hospital chain where we initially identified the predictors of ICU admission in Covid-19 patients. Second, we applied Random Forest (RF) to predict ICU admission likelihood using patient data collected in the Emergency Department (ED). Finally, we included the RF outcomes in a DES model to assist decision-makers in evaluating new ICU bed configurations responding to the patient transfer expected from downstream services. The results evidenced that the median bed waiting time declined between 32.42 and 48.03 min after intervention.

Health Care Logistics Network Design and Analysis on Pandemic Outbreaks: Insights From COVID-19

Health care systems throughout the world are under pressure as a result of COVID-19. It is over two years since the first case was announced in China and health care providers are continuing to struggle with this fatal infectious disease in intensive care units and inpatient wards. Meanwhile, the burden of postponed routine medical procedures has become greater as the pandemic has progressed. We believe that establishing separate health care institutions for infected and non-infected patients would provide safer and better quality health care services. The aim of this study is to find the appropriate number and location of dedicated health care institutions which would only treat individuals infected by a pandemic during an outbreak. For this purpose, a decision-making framework including two multi-objective mixed-integer programming models is developed. At the strategic level, the locations of designated pandemic hospitals are optimized. At the tactical level, we determine the locations and operation durations of temporary isolation centers which treat mildly and moderately symptomatic patients. The developed framework provides assessments of the distance that infected patients travel, the routine medical services expected to be disrupted, two-way distances between new facilities (designated pandemic hospitals and isolation centers), and the infection risk in the population. To demonstrate the applicability of the suggested models, we perform a case study for the European side of Istanbul. In the base case, seven designated pandemic hospitals and four isolation centers are established. In sensitivity analyses, 23 cases are analyzed and compared to provide support to decision makers.

An atmospheric microwave plasma-based distributed system for medical waste treatment

Inadequate handling of infectious medical waste may promote the spread of the virus through secondary transmission during the transfer process. Microwave plasma, an ease-of-use, device-compact, and pollution-free technology, enables the on-site disposal of medical waste, thereby preventing secondary transmission. We developed atmospheric-pressure air-based microwave plasma torches with lengths exceeding 30 cm to rapidly treat various medical wastes in situ with nonhazardous exhaust gas. The gas compositions and temperatures throughout the medical waste treatment process were monitored by gas analyzers and thermocouples in real time. The main organic elements in medical waste and their residues were analyzed by an organic elemental analyzer. The results showed that (i) the weight reduction ratio of medical waste achieved a maximum value of 94%; (ii) a water-waste ratio of 30% was beneficial for enhancing the microwave plasma treatment effect for medical wastes; and (iii) substantial treatment effectiveness was achievable under a high feeding temperature (≥ 600 °C) and a high gas flow rate (≥ 40 L/min). Based on these results, we built a miniaturized and distributed pilot prototype for microwave plasma torch-based on-site medical waste treatment. This innovation could fill the gap in the field of small-scale medical waste treatment facilities and alleviate the existing issue of handling medical waste on-site.

Designing an optimization model for the vaccine supply chain during the COVID-19 pandemic

The COVID-19 pandemic has affected people's lives worldwide. Among various strategies being applied to addressing such a global crisis, public vaccination has been arguably the most appropriate approach to control a pandemic. However, vaccine supply chain and management have become a new challenge for governments. In this study, a solution for the vaccine supply chain is presented to address the hurdles in the public vaccination program according to the concerns of the government and the organizations involved. For this purpose, a robust bi-level optimization model is proposed. At the upper level, the risk of mortality due to the untimely supply of the vaccine and the risk of inequality in the distribution of the vaccine is considered. All costs related to the vaccine supply chain are considered at the lower level, including the vaccine supply, allocation of candidate centers for vaccine injection, cost of maintenance and injection, transportation cost, and penalty cost due to the vaccine shortage. In addition, the uncertainty of demand for vaccines is considered with multiple scenarios of different demand levels. Numerical experiments are conducted based on the vaccine supply chain in Kermanshah, Iran, and the results show that the proposed model significantly reduces the risk of mortality and inequality in the distribution of vaccines as well as the total cost, which leads to managerial insights for better coordination of the vaccination network during the COVID-19 pandemic.

COVID-19's fear-uncertainty effect on green supply chain management and sustainability performances: the moderate effect of corporate social responsibility

Although the COVID-19 pandemic disrupted the global supply chains, it also provided opportunities that brought the concepts of sustainability and green practices back into the light. Based on the "stakeholders" and "social cognitive" theory, our study intends to empirically explore how fear-uncertainty towards COVID-19 relates positively to both green supply chain management (GSCM) and the firm's sustainability performance (economic, environmental, and social). In addition, it examines the moderating effect of corporate social responsibility (CSR) (internal CSR and external CSR) on the association between fear-uncertainty towards COVID-19 and GSCM. In this study, we studied a sample of 300 manager-level employees in Egypt. We used partial least squares structural equation modeling (PLS-SEM) to analyze the data and test our hypotheses. Results showed that fear-uncertainty towards COVID-19 positively affect GSCM. Also, external CSR moderates the association among fear-uncertainty towards COVID-19 and GSCM. But it is not moderated by internal CSR. In addition, GSCM positively affects environmental and social performance. However, it has an insignificant effect on economic performance. Besides, GSCM has a significant mediation effect between fear-uncertainty towards COVID-19 and the firm's environmental and social performance. However, this mediation relationship regarding economic performance is insignificant. Finally, we discussed the theoretical and practical implications at the end of this research.

Identifying resilience strategies for disruption management in the healthcare supply chain during COVID-19 by digital innovations: A systematic literature review

The worldwide spread of the COVID-19 disease has had a catastrophic effect on healthcare supply chains. The current manuscript systematically analyzes existing studies mitigating strategies for disruption management in the healthcare supply chain during COVID-19. Using a systematic approach, we recognized 35 related papers. Artificial intelligence (AI), block chain, big data analytics, and simulation are the most important technologies employed in supply chain management in healthcare. The findings reveal that the published research has concentrated mainly on generating resilience plans for the management of COVID-19 impacts. Furthermore, the vulnerability of healthcare supply chains and the necessity of establishing better resilience methods are emphasized in most of the research. However, the practical application of these emerging tools for managing disturbance and warranting resilience in the supply chain has been examined only rarely. This article provides directions for additional research, which can guide researchers to develop and conduct impressive studies related to the healthcare supply chain for different disasters.

Examining operational efficiency with prudent risks of Covid-19: a contextual DEA analysis with an undesirable intermediate measure

In the wake of the losses of human lives and disruption to the world economy caused by the spread of the COVID-19 pandemic, it has become imperative to assess the effectiveness of containment strategies adopted by countries. The success of any containment strategy of achieving low mortality and high recovery rate depends on the efficient utilization of available but limited resources, such as number of hospital beds and healthcare workers. While the spreading pattern of the pandemic has been researched heavily, there is limited research that comprehensively focuses on the efficient utilization of available resources to achieve the desired aims of low mortality and high recovery. In order to close this research gap, we employ a two-stage network data envelopment analysis (DEA) to identify the inefficiency in the process and resolve the resource constraints by considering medical and non-medical (administrative) interventions as two serial stages. The number of infected people is treated as the intermediate product, which is an undesirable output of the first stage and subsequently enters the second stage as an input. This network DEA model successfully addresses the conflict between the two stages over the handling of infected people and assesses the vulnerabilities of the countries against the transmission rates of the disease in the respective countries. Thus, the objective of this study is to develop a well-coordinated plan for different government agencies to jointly mitigate the risk under constrained resources. The findings reveal that almost 60 % of the Organization for Economic Cooperation and Development (OECD) countries have used their resources suboptimally and are producing, on average, almost half the amount of the maximum possible outputs. As a sizeable amount of inefficiency can be explained by varying economic and demographic factors, such as health expenditure and the proportion of the aged population, the efficiency evaluation has been revisited with adjustments for unfavorable externalities. The analysis and its implications can help policymakers formulate optimal resource plans and identify potential areas for improvement.

Is it an opportunity? COVID-19's effect on the green supply chains, and perceived service's quality (SERVQUAL): the moderate effect of big data analytics in the healthcare sector

This study examines the relationship between uncertainty-fear toward COVID-19, green supply chain management (GSCM), and perceived service quality based on the five dimensions service quality model (SERVQUAL). It also tests the moderating effect of big data analytics (BDA) capabilities. Based on a sample of 300 healthcare managers and customers, we used partial least squares structural equation modeling to analyze the data and test our hypotheses. The empirical results show that the uncertainty-fear toward COVID-19 positively affects GSCM. Also, BDA moderates the relationship between uncertainty-fear toward COVID-19 and GSCM. GSCM positively impacts service quality (empathy, responsiveness, and assurance) but not reliability or tangible items. In addition, GSCM significantly mediates the relationship between uncertainty-fear toward COVID-19 and services' empathy, responsiveness, and assurance. However, it has an insignificant mediation effect regarding reliability and tangible-item dimensions.

A coalitional game-based joint monitoring mechanism for combating COVID-19

In the absence of effective treatment for COVID-19, disease prevention and control have become a top priority across the world. However, the general lack of effective cooperation between communities makes it difficult to suppress the community spread of the global pandemic; hence repeated outbreaks of COVID-19 have become the norm. To address this problem, this paper considers community cooperation in disease monitoring and designs a joint epidemic monitoring mechanism, in which adjacent communities cooperate to enhance their monitoring capability. In this work, we formulate the epidemiological monitoring process as a coalitional game. Then, we propose a Shapley value-based payoffs distribution scheme for the coalitional game. A comprehensive analytical framework is developed to evaluate the advantages and sustainability of the cooperation between communities. Experimental results show that the proposed mechanism performs much better than the conventional non-cooperative monitoring design and can greatly increase each community's payoffs.

A new vaccine supply chain network under COVID-19 conditions considering system dynamic: Artificial intelligence algorithms

With the discovery of the COVID-19 vaccine, what has always been worrying the decision-makers is related to the distribution management, the vaccination centers' location, and the inventory control of all types of vaccines. As the COVID-19 vaccine is highly demanded, planning for its fair distribution is a must. University is one of the most densely populated areas in a city, so it is critical to vaccinate university students so that the spread of this virus is curbed. As a result, in the present study, a new stochastic multi-objective, multi-period, and multi-commodity simulation-optimization model has been developed for the COVID-19 vaccine's production, distribution, location, allocation, and inventory control decisions. In this study, the proposed supply chain network includes four echelons of manufacturers, hospitals, vaccination centers, and volunteer vaccine students. Vaccine manufacturers send the vaccines to the vaccination centers and hospitals after production. The students with a history of special diseases such as heart disease, corticosteroids, blood clots, etc. are vaccinated in hospitals because of accessing more medical care, and the rest of the students are vaccinated in the vaccination centers. Then, a system dynamic structure of the prevalence of COVID -19 in universities is developed and the vaccine demand is estimated using simulation, in which the demand enters the mathematical model as a given stochastic parameter. Thus, the model pursues some goals, namely, to minimize supply chain costs, maximize student desirability for vaccination, and maximize justice in vaccine distribution. To solve the proposed model, Variable Neighborhood Search (VNS) and Whale Optimization Algorithm (WOA) algorithms are used. In terms of novelties, the most important novelties in the simulation model are considering the virtual education and exerted quarantine effect on estimating the number of the vaccines. In terms of the mathematical model, one of the remarkable contributions is paying attention to social distancing while receiving the injection and the possibility of the injection during working and non-working hours, and regarding the novelties in the solution methodology, a new heuristic method based on a meta-heuristic algorithm called Modified WOA with VNS (MVWOA) is developed. In terms of the performance metrics and the CPU time, the MOWOA is discovered with a superior performance than other given algorithms. Moreover, regarding the data, a case study related to the COVID-19 pandemic period in Tehran/Iran is provided to validate the proposed algorithm. The outcomes indicate that with the demand increase, the costs increase sharply while the vaccination desirability for students decreases with a slight slope.

Factors Affecting the Use of Blockchain Technology in Humanitarian Supply Chain: A Novel Fuzzy Large-Scale Group-DEMATEL

Based on previous evidence, the use of blockchain for improving Supply Chains (SCs) regarding humanitarian projects has received attention over the past five years. The present study is innovative in investigating crucial parameters affecting the using of Blockchain Technology (BT) in Humanitarian Supply Chains (HSCs). More precisely, this study emphasizes parameters that affect blockchain in the HSCs and presents a new fuzzy large-scale group decision-making trial and evaluation laboratory (fuzzy large-scale group-DEMATEL) approach to analyze the interdependence of contributing factors for using BT in HSCs. This method consists of two stages: (1) clustering the large-scale group-experts into small subgroups by their characteristics, and (2) identifying the key factors affecting BT in HSCs with a novel fuzzy large-scale group-DEMATEL approach. According to experts, in this study, among the 25 evaluated factors, disintermediation has been identified as the most important one, followed by anonymity and security. A closer look reveals that 13 and 12 factors have been "cause" and "effect" factors, respectively. Our research can be used to promote the effectiveness of using BT in HSCs, so as to promote the proper distribution of relief materials in practical disasters.

The Digital Supply Chain Twin paradigm for enhancing resilience and sustainability against COVID-like crises

In recent years, scientific interest in the concepts of sustainability and resilience has grown considerably. The Covid-19 pandemic has indeed emphasized all the fragility of manufacturing systems and supply chains both globally and locally. The disruptive effects of the outbreak on production systems, warehouses and distribution networks are evidence of the urgent need for digital twins, which are able to reproduce supply chains behavior and guarantee adequate levels of performance. In this paper, a Simulation-Based Decision-Making Framework, which exploits the Digital Supply Chain Twin paradigm to enhance resilience and sustainability in the face of COVID-like crises, is proposed. Preliminary computational tests, carried out on a real agri-food supply chain, show that the framework is extremely promising for evaluating the validity of multiple response strategies, based on resilience and sustainability indicators. The research represents a first significant step in the design and development of a ready-to-use decision support tool, based on simulation principles and the novel concept of Digital Supply Chain Twin.

Supply chain risk management with machine learning technology: A literature review and future research directions

Coronavirus disease 2019 (COVID-19) has placed tremendous pressure on supply chain risk management (SCRM) worldwide. Recent technological advances, especially machine learning (ML) technology, have shown the possibility to prevent supply chain risk (SCR) by decreasing the need for human labor, increasing response speed, and predicting risk. However, the literature lacks a comprehensive analysis of the relationship between ML and SCRM. This work conducts a comprehensive review of the relatively limited literature in this field. An analysis of 67 shortlisted articles from 9 databases shows that this area is still in the rapid development stage and that researchers have shown extraordinary interest in it. The main purpose of this study is to review the current research status so that researchers have a clear understanding of the research gaps in this area. Moreover, this study provides an opportunity for researchers and practitioners to pay attention to ML algorithms for SCRM during the COVID-19 pandemic.

COVID-19: Data-Driven optimal allocation of ventilator supply under uncertainty and risk

This study presents a new risk-averse multi-stage stochastic epidemics-ventilator-logistics compartmental model to address the resource allocation challenges of mitigating COVID-19. This epidemiological logistics model involves the uncertainty of untested asymptomatic infections and incorporates short-term human migration. Disease transmission is also forecasted through a new formulation of transmission rates that evolve over space and time with respect to various non-pharmaceutical interventions, such as wearing masks, social distancing, and lockdown. The proposed multi-stage stochastic model overviews different scenarios on the number of asymptomatic individuals while optimizing the distribution of resources, such as ventilators, to minimize the total expected number of newly infected and deceased people. The Conditional Value at Risk (CVaR) is also incorporated into the multi-stage mean-risk model to allow for a trade-off between the weighted expected loss due to the outbreak and the expected risks associated with experiencing disastrous pandemic scenarios. We apply our multi-stage mean-risk epidemics-ventilator-logistics model to the case of controlling COVID-19 in highly-impacted counties of New York and New Jersey. We calibrate, validate, and test our model using actual infection, population, and migration data. We also define a new region-based sub-problem and bounds on the problem and then show their computational benefits in terms of the optimality and relaxation gaps. The computational results indicate that short-term migration influences the transmission of the disease significantly. The optimal number of ventilators allocated to each region depends on various factors, including the number of initial infections, disease transmission rates, initial ICU capacity, the population of a geographical location, and the availability of ventilator supply. Our data-driven modeling framework can be adapted to study the disease transmission dynamics and logistics of other similar epidemics and pandemics.

A resilient, robust transformation of healthcare systems to cope with COVID-19 through alternative resources

The COVID-19 pandemic - as a massive disruption - has significantly increased the need for medical services putting an unprecedented strain on health systems. This study presents a robust location-allocation model under uncertainty to increase the resiliency of health systems by applying alternative resources, such as backup and field hospitals and student nurses. A multi-objective optimization model is developed to minimize the system's costs and maximize the satisfaction rate among medical staff and COVID-19 patients. A robust approach is provided to face the data uncertainty, and a new mathematical model is extended to linearize a nonlinear constraint. The ICU beds, ward beds, ventilators, and nurses are considered the four main capacity limitations of hospitals for admitting different types of COVID-19 patients. The sensitivity analysis is performed on a real-world case study to investigate the applicability of the proposed model. The results demonstrate the contribution of student nurses and backup and field hospitals in treating COVID-19 patients and provide more flexible decisions with lower risks in the system by managing the fluctuations in both the number of patients and available nurses. The results showed that a reduction in the number of available nurses incurs higher costs for the system and lower satisfaction among patients and nurses. Moreover, the backup and field hospitals and the medical staff elevated the system's resiliency. By allocating backup hospitals to COVID-19 patients, only 37% of severe patients were lost, and this rate fell to less than 5% after establishing field hospitals. Moreover, medical students and field hospitals curbed the costs and increased the satisfaction rate of nurses by 75%. Finally, the system was protected from failure by increasing the conservatism level. With a 2% growth in the price of robustness, the system saved 13%.

Integrating the digital twin concept into the evaluation of reconfigurable manufacturing systems (RMS): literature review and research trend

With the rapid advent of new information technologies (Big Data analytics, cyber-physical systems, such as IoT, cloud computing and artificial intelligence), digital twins are being used more and more in smart manufacturing. Despite the fact that their use in industry has attracted the attention of many practitioners and researchers, there is still a need for an integrated and comprehensive digital twin framework for reconfigurable manufacturing systems. To close this research gap, we present evidence from a systematic literature review, including 76 papers from high-quality journals. This paper presents the current research trends on evaluation and the digital twin in reconfigurable manufacturing systems, highlighting application areas and key methodologies and tools. The originality of this paper lies in its proposal of interesting avenues for future research on the integration of the digital twin in the evaluation of RMS. The benefits of digital twins are multiple such as evaluation of current and future capabilities of an RMS during its life cycle, early discovery of system performance deficiencies and production optimization. The idea is to implement a digital twin that links the virtual and physical environments. Finally, important issues and emerging trends in the literature are highlighted to encourage researchers and practitioners to develop studies in this area that are strongly related to the Industry 4.0 environment.

Managing healthcare supply chain through artificial intelligence (AI): A study of critical success factors

Healthcare is one of the most critical sectors due to its importance in handling public health. With the outbreak of various diseases, more recently during Covid-19, this sector has gained further attention. The pandemic has exposed vulnerabilities in the healthcare supply chain (HSC). Recent advancements like the adoption of various advanced technologies viz. AI and Industry 4.0 in the healthcare supply chain are turning out to be game-changers. This study focuses on identifying critical success factors (CSFs) for AI adoption in HSC in the emerging economy context. Rough SWARA is used for ranking CSFs of AI adoption in HSC. Results indicate that technological (TEC) factors are the most influential factor that impacts the adoption of AI in HSC in the context of emerging economies, followed by institutional or environmental (INT), human (HUM), and organizational (ORG) dimensions.

Resource planning strategies for healthcare systems during a pandemic

We study resource planning strategies, including the integrated healthcare resources' allocation and sharing as well as patients' transfer, to improve the response of health systems to massive increases in demand during epidemics and pandemics. Our study considers various types of patients and resources to provide access to patient care with minimum capacity extension. Adding new resources takes time that most patients don't have during pandemics. The number of patients requiring scarce healthcare resources is uncertain and dependent on the speed of the pandemic's transmission through a region. We develop a multi-stage stochastic program to optimize various strategies for planning limited and necessary healthcare resources. We simulate uncertain parameters by deploying an agent-based continuous-time stochastic model, and then capture the uncertainty by a forward scenario tree construction approach. Finally, we propose a data-driven rolling horizon procedure to facilitate decision-making in real-time, which mitigates some critical limitations of stochastic programming approaches and makes the resulting strategies implementable in practice. We use two different case studies related to COVID-19 to examine our optimization and simulation tools by extensive computational results. The results highlight these strategies can significantly improve patient access to care during pandemics; their significance will vary under different situations. Our methodology is not limited to the presented setting and can be employed in other service industries where urgent access matters.

Design of control strategies to help prevent the spread of COVID-19 pandemic

This paper proposes control strategies to allocate COVID-19 patients to screening facilities, health facilities, and quarantine facilities for minimizing the spread of the virus by these patients. To calculate the transmission rate, we propose a function that accounts for contact rate, duration of the contact, age structure of the population, susceptibility to infection, and the number of transmission events per contact. Moreover, the COVID-19 cases are divided into different groups according to the severity of their disease and are allocated to appropriate health facilities that provide care tailored to their needs. The multi-stage fuzzy stochastic programming approach is applied to cope with uncertainty, in which the probability associated with nodes of the scenario tree is treated as fuzzy variables. To handle the probabilistic model, we use a more flexible measure, M e measure, which allows decision-makers to adopt varying attitudes by assigning the optimistic-pessimistic parameter. This measure does not force decision-makers to hold extreme views and obtain the interval solution that provides further information in the fuzzy environment. We apply the proposed model to the case of Tehran, Iran. The results of this study indicate that assigning patients to appropriate medical centers improves the performance of the healthcare system. The result analysis highlights the impact of the demographic differences on virus transmission, and the older population has a greater influence on virus transmission than other age groups. Besides, the results indicate that behavioral changes in the population and their vaccination play a key role in curbing COVID-19 transmission.

An integrated interval-valued intuitionistic fuzzy technique for resumption risk assessment amid COVID-19 prevention

Currently, China has achieved a remarkable achievement on the containment of COVID-19, which creates a favorable condition for the gradual resumption of normal life. However, COVID-19 infections continue to rise in many nations and some sporadic cases occur from time to time in China, which still poses some risks to the resumption. Hence, it is imperative to develop some reasonable techniques to assess the resumption risk. This paper aims to investigate an integrated interval-valued intuitionistic fuzzy (IVIF) technique to adroitly assess the resumption risk based on DEMATEL (decision making trial and evaluation laboratory), BWM (best-worst method) and SPA (set pair analysis). This integrated technique is called IVIF-DBWM-SPA, where the IVIF-DBWM (combined by the IVIF-DEMATEL and IVIF-BWM) is used to determine the global criteria weights and the IVIF-SPA is employed to generate the ranking order of the alternatives. The IVIF-DEMATEL and IVIF-BWM are used to determine the weights of dimensions and the weights of criteria under each dimension, respectively. In this IVIF-BWM, two bi-objective programming models are constructed by regarding experts' pessimistic and optimistic attitudes, respectively. Combined experts' intrapersonal and interpersonal uncertainties simultaneously, a bi-objective programming model is proposed to derive the dynamic weights of experts. Based on the determined weights of experts and criteria, an IVIF-SPA is developed to assess the risk levels of all alternatives. The validity of the proposed technique is demonstrated with a real case of college resumption risk assessment amid COVID-19. Some sensitivity and comparison analyses are provided to show the merits of the proposed technique.

Evaluation Study on the Use of Non-Contact Prevention and Protection Products in the Context of COVID-19: A Comprehensive Evaluation Method from AHP and Entropy Weight Method

In the post-epidemic era, there is an endless supply of epidemic prevention products that cover a wide range of public areas. The introduction of such products has eased the tense pattern of virus proliferation in the context of the epidemic, and effectively demonstrated the initiatives implemented by the Chinese people in response to the outbreak. This paper therefore begins with the study of contactless epidemic prevention products, which appear in a form that meets the needs of contemporary society and offers a new mode of living to it. It enriches the measures for epidemic prevention and control. By obtaining satisfaction ratings from the user community, the performance of such products can be understood in time to provide a substantial basis for the subsequent upgrading and optimization or transformation of such products. This study uses the KJ method and questionnaires to construct an index system for contactless epidemic prevention products, grasp users' needs for epidemic prevention products in real time, classify and identify such products, and select such products as epidemic prevention smart security gates, medical delivery robots, infrared handheld thermometers, thermographic body temperature screening, contactless inductive lift buttons, and contactless medical vending machines. The questionnaire was designed with four dimensions: safety, intelligence, aesthetics and economy. A sample size of 262 was collected through the distribution of questionnaires. We used AHP and entropy weighting methods for the comprehensive evaluation; AHP basically tells us how satisfied most users are with this type of product. The use of the entropy weighting method can achieve objectivity in the weighting process. Combining the two approaches helps to improve the scientific nature of the weighting of the evaluation indexes for contactless and epidemic-proof products. It is clear from the AHP analysis that, firstly, there are differences in the perceptions of the performance of this type of product between different age groups. Secondly, the user group rated the perceived performance of the product presented as high (Bn>0.200), which users can subjectively and directly perceive. Next, the perceived future sustainable economic development of this product category is low (Bn≤0.200), and users place low importance on its economic aspects as an objective additional condition. The entropy method of analysis shows that, under reasonable government control of the market for intelligent products, the safety, intelligence and aesthetic effects of these products are significant (Cm≤0.100); further, the economic presentation of these products has yet to be optimized and upgraded (Cm>0.100).

Two years of COVID-19 pandemic: Understanding the role of knowledge-based supply chains towards resilience through bibliometric and network analyses

Coronavirus disease (COVID-19) catastrophically disrupted most of the global supply chains (SC). Knowledge-based SC can cope with the pandemic disruptions by the efficient use of data, information, knowledge, human intelligence and emerging technologies. This article aims to critically analyse the SC research during the two years of COVID-19 pandemic to understand the role of knowledge-based supply chain towards SC resilience. A review of the 281 shortlisted articles is presented, along with bibliometric and network analyses in order to create an intellectual map of the domain and to identify the emerging knowledge themes. Bibliometric analysis reveals that the knowledge focus during this short span has migrated from COVID-19 pandemic to SC risk management and finally to risk mitigation strategies. The network analysis identifies five emerging knowledge themes, namely impact of COVID-19 on SC; SC risk mitigation and resilience; supply chain viability; sustainable SC strategies; and food SC. This review also elucidates the strategies to mitigate COVID-19 disruptions for incorporating resilience in SC. Future research directions for a knowledge-based sustainable-leagile-resilient (S-leagilient) supply chain have also been propounded.

The regulatory role of sustainable product design media and environmental performance in the impact of the Covid-19 epidemic on corporate sustainability: an application in Turkey

This research aims to investigate the effect of the COVID-19 epidemic, which entered the world agenda in 2019 and affected the whole world, on the corporate sustainability of businesses. The mediating effect of sustainable supply on this effect and the regulatory effect of environmental performance were investigated. The research was conducted among 235 businesses operating in Turkey. The data obtained using the survey method were analyzed in SPSS and AMOS analysis programs. As a result of the analyses obtained, it was determined that the COVID-19 epidemic significantly affected the corporate sustainability of the enterprises and that the environmental performance of the enterprises was a regulatory effect, together with the mediation of sustainable supply. It is understood day by day that COVID-19 negatively affects the economies of the countries. However, despite these negative effects; It is expected that the results of this research will contribute to the literature with a significant effect on the institutional sustainability of the COVID-19 epidemic.

Product availability and stockpiling in times of pandemic: causes of supply chain disruptions and preventive measures in retailing

The coronavirus pandemic in 2020 brought global supply chain disruptions for retailers responding to the increased demand of consumers for popular merchandise. There is a need to adapt the existing supply chain models to describe the disruptions and offer the potential measures that businesses and governments can take to minimize adverse effects from a retail logistics perspective. This research analyses the possible reasons for supply and demand disruptions using a mathematical model of a retail supply chain with uncertain lead times and stochastic demand of strategic consumers. The established concepts of supply chain management are applied for the model analysis: multi-period inventory policies, bullwhip effect, and strategic consumers. The impact of the pandemic outbreaks in the model is two-fold: increased lead-time uncertainty affects supply, while consumer stockpiling affects demand. Consumers' rational hoarding and irrational panic buying significantly increase retailers' costs due to higher safety stock and demand variability. The bullwhip effect further exacerbates the disruption. The research contributes to the recent literature on business response to supply chain disruptions by developing a model where both retailers and consumers decide on the order quantity and reorder point during a pandemic outbreak. Buying limits, continuous inventory review, government rationing, substitutability, and omnichannel fulfillment are the measures that can limit the damage of supply chain disruptions from stockpiling during the pandemic. Effective communication and price and availability guarantees can mitigate the negative impact of panic buying.

COVID-19 health policy evaluation: integrating health and economic perspectives with a data envelopment analysis approach

The COVID-19 pandemic is a global challenge to humankind. To improve the knowledge regarding relevant, efficient and effective COVID-19 measures in health policy, this paper applies a multi-criteria evaluation approach with population, health care, and economic datasets from 19 countries within the OECD. The comparative investigation was based on a Data Envelopment Analysis approach as an efficiency measurement method. Results indicate that on the one hand, factors like population size, population density, and country development stage, did not play a major role in successful pandemic management. On the other hand, pre-pandemic healthcare system policies were decisive. Healthcare systems with a primary care orientation and a high proportion of primary care doctors compared to specialists were found to be more efficient than systems with a medium level of resources that were partly financed through public funding and characterized by a high level of access regulation. Roughly two weeks after the introduction of ad hoc measures, e.g., lockdowns and quarantine policies, we did not observe a direct impact on country-level healthcare efficiency, while delayed lockdowns led to significantly lower efficiency levels during the first COVID-19 wave in 2020. From an economic perspective, strategies without general lockdowns were identified as a more efficient strategy than the full lockdown strategy. Additionally, governmental support of short-term work is promising. Improving the efficiency of COVID-19 countermeasures is crucial in saving as many lives as possible with limited resources.

Using network data envelopment analysis to assess the sustainability and resilience of healthcare supply chains in response to the COVID-19 pandemic

The widespread outbreak of a new Coronavirus (COVID-19) strain has reminded the world of the destructive effects of pandemic and epidemic diseases. Pandemic outbreaks such as COVID-19 are considered a type of risk to supply chains (SCs) affecting SC performance. Healthcare SC performance can be assessed using advanced Management Science (MS) and Operations Research (OR) approaches to improve the efficiency of existing healthcare systems when confronted by pandemic outbreaks such as COVID-19 and Influenza. This paper intends to develop a novel network range directional measure (RDM) approach for evaluating the sustainability and resilience of healthcare SCs in response to the COVID-19 pandemic outbreak. First, we propose a non-radial network RDM method in the presence of negative data. Then, the model is extended to deal with the different types of data such as ratio, integer, undesirable, and zero in efficiency measurement of sustainable and resilient healthcare SCs. To mitigate conditions of uncertainty in performance evaluation results, we use chance-constrained programming (CCP) for the developed model. The proposed approach suggests how to improve the efficiency of healthcare SCs. We present a case study, along with managerial implications, demonstrating the applicability and usefulness of the proposed model. The results show how well our proposed model can assess the sustainability and resilience of healthcare supply chains in the presence of dissimilar types of data and how, under different conditions, the efficiency of decision-making units (DMUs) changes.

Blockchain solution benefits for controlling pandemics: Bottom-up decentralization, automation with real-time update, and immutability with privacy preservation

The current COVID-19 pandemic has created turmoil around the world. To fight this ongoing global crisis and future ones, all stakeholders must collaborate and share timely and truthful information. This paper proposes a blockchain solution based on its inherent technological advantages. We posit that benefits can be derived from three unique blockchain features: bottom-up decentralization, automation with real-time update, and immutability with privacy preservation. A decentralized common platform provides easy access and increases participation in disease surveillance, which reduces the estimation errors of the compartmental model parameters. Automation with real-time update facilitates prompt detection and diagnosis, accurate contact tracing, and targeted mitigation and containment, achieving faster recovery and slower transmission. Being immutable while preserving privacy, the blockchain solution enhances respondents' willingness to truthfully report their contact history, avoiding false and erroneous data that will cause wrong estimates on pandemic transmission and recovery. Thus, the blockchain solution mitigates three types of risks: sample variance, delay, and bias. Through simulation, we quantify the value of the blockchain solution in these three aspects. Accordingly, we provide specific action plans based on our research findings: before building blockchain solutions for controlling COVID-19, governments and organizations can calculate the blockchain benefits and decide whether or not they should invest in such blockchain solutions by conducting a cost-benefit analysis.

Supply Chain Efficiency and Effectiveness Management Using Decision Support Systems

The management of global supply chains that emerge from outsourcing and offshoring activities emphasizes a globally dispersed supply chain. All stakeholders and entrepreneurs worldwide have a common understanding of information technology's importance to support business activity in a rapidly changing era of customer preference. Today, many believe in a production process transition, which subsequently affects the supply chain flow in general, fearing overuse and inefficiency from upstream to downstream. Thus, this article proposes supply chain efficiency and effectiveness management using decision support systems (SCE2M-DSS). This conceptual framework uses an intelligent decision support system for the supply chain's proactive capacity planning under uncertain conditions. An intelligent decision-making support system is designed with reinforcement learning (RL) to validate the conceptual framework. The application of decision-making methods developed initially focused on product development and service production.

Viable healthcare supply chain network design for a pandemic

The recent COVID-19 pandemic revealed that healthcare networks must have a flexible and effective structure. In this study, we develop a viable healthcare network design for a pandemic using a multi-stage stochastic approach. We propose a multi-level network that includes health centers, computed tomography scan centers, hospitals, and clinics. Patients have conditions to returning to normal life or quarantining at home. Three objectives are defined: maximizing the probability of patient recovery, minimizing the costs of all centers in the network, and minimizing the Coronavirus death rate. We investigate a real case study in Iran to demonstrate the model's applicability. Finally, we compare the healthcare supply chain network design in a pandemic with a normal situation to advise how the network can continue to remain viable.

Assessing risk of supply chain disruption due to COVID-19 with fuzzy VIKORSort

The rapid spread of the COVID-19 pandemic has disrupted many economic activities around the world. The complete and partial lockdown policies, as well as the closure of borders by many countries has halted trade, consequently disrupting domestic and international supply chain networks. Like many other countries, various economic sectors in Pakistan also bore high economic losses due to these disruptions. Multiple studies have analyzed on the impact of the COVID-19 pandemic on different economic sectors in Pakistan, i.e. construction, accommodation and food, manufacturing, wholesale and retail goods, energy, and the information and communication sectors. However, no study has examined sorting these economic sectors based on supply chain disruptions due to the pandemic. Therefore, this study aims to observe the resilience of these economic sectors and perform sorting using three predefined classes, i.e. severe, moderate, and low disruptions. For this purpose, we propose using the novel methodology fuzzy VIKORSort, which is the major contribution of this paper. This methodology evaluates the aforementioned economic sectors based on 10 criteria. The results of the study revealed that the accommodation and food sector, along with the construction sector, experienced the most severe disruption, followed by manufacturing, wholesale and retail goods, and energy, with moderate disruption, whereas the information and communication sector bore the least disruption. The proposed methodology will help the researchers and authorities deal with sorting and decision problems to prioritize the preventive measures of such undesirable events.

A humanitarian cold supply chain distribution model with equity consideration: The case of COVID-19 vaccine distribution in the European Union

This research develops a humanitarian cold supply chain model with equity consideration for COVID-19 vaccine distribution during a pandemic, considering deprivation cost and an important social concept named equity. The proposed comprehensive plan minimizes all incurred costs, including transportation costs, shortage costs, deprivation costs, and holding costs, while aiming at eliminating infection and mortality rates. The proposed three-echelon supply chain model includes suppliers, distributors, and affected regions (ARs), as destinations. We apply the proposed model to the actual vaccine distribution data during the COVID-19 outbreak in Europe. A mixed integer programming (MIP) model is developed to minimize the costs and satisfy the demand goals in the vaccine distribution plan. A sensitivity analysis demonstrates how total and deprivation costs affect each other, helping the managers establish a trade-off between them. The results show that appropriate supply chain planning can minimize logistics and social costs. The proposed model can help policymakers, and decision-makers better understand the importance of equity and implement a fair distribution of vaccines, considering the deprivation cost as a social cost.