Z-DEA-FMEA:通过多标准决策方法确定优化艾滋病毒药物供应链的有效策略
Amirkeyvan Ghazvinian1, Bo Feng2, Junwen Feng1
1School of Economics and Management, Nanjing University of Science and Technology, Nanjing, China.
Frontiers in public health
|November 24, 2025
概括
量错误,包装价格差异和单位计算错误破坏了艾滋病毒药物供应链. 本研究确定了改善药物输送和降低全球卫生物流成本的关键失败模式.
科学领域:
- 全球卫生物流全球卫生物流
- 供应链管理 供应链管理
- 运营研究 运营研究
背景情况:
- 全球数百万人依赖抗逆转录病毒药物 (ARV) 治疗艾滋病毒.
- 供应链中断,包括高运输成本和递送延迟,阻碍了获得这些救命药物的机会,特别是在资源有限的环境中.
- 艾滋病毒药物供应链中的低效率可能会使得人们无法及时获得必需药物.
研究的目的:
- 评估和优先考虑艾滋病毒药物供应链中的风险,重点关注影响交付时间和运输成本的故障模式.
- 通过使用基于证据的战略,增强供应链实质性 (履行能力) 和弹性 (适应干扰).
- 识别和排名影响ARV药物分发效率的关键失效模式.
主要方法:
- 开发一个混合的多标准决策框架,整合Z数字来处理不确定性.
- 使用Z-SWARA,Z-WASPAS和Z-DEA-FMEA方法进行风险评估和优先考虑.
- 故障模式和影响分析 (FMEA) 用于根据混合排名,风险优先数 (RPN) 和效率指标识别和排名故障模式.
主要成果:
- 发现的三大供应链低效率是数量错误 (F14),包装价格差异 (F16) 和单位计算错误 (F13).
- 据Z-WASPAS分析,包装价格差异 (F16) 是货运成本的最大贡献者.
- Z-DEA-FMEA显示了效率的转变,重量故障 (F20) 显示货物得分高于交付得分,而运输方式选择 (F04) 排名第五.
结论:
- 该研究提供了一个利用Z数的框架,以整合风险,不确定性和效率分析,以改善ARV药物的可用性.
- 拟议的方法重新定义了供应链的弹性和实质性,为决策者提供了提高交付速度和降低成本的战略.
- 实施这些以证据为基础的战略可以显著加强全球卫生物流,并确保持续获得必要的艾滋病毒药物.
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