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Pilot Model: Judging Alternate Modes of Dispensing Prophylaxis in Los Angeles County

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  • Anke Richter

    (Defense Resources Management Institute, Naval Postgraduate School, Monterey, California 93943)

  • Sinan Khan

    (Emergency Preparedness and Response Program, Los Angeles County Department of Public Health, Los Angeles, California 90005)

Abstract

In large metropolitan areas such as Los Angeles County (LAC), public health departments must supplement their traditional methods of dispensing prophylaxis to the general public in their jurisdictions during mass biological and chemical events. Although many alternate modes of dispensing are being discussed, a quantitative model to compare their relative advantages and disadvantages does not exist. We use multicriteria decision analysis to help the LAC Department of Public Health (DPH) assess the trade-offs associated with these alternate modes of dispensing oral prophylaxis. We found that one of the most hyped methods (drive-thru dispensing) is not a good choice for LAC. Our baseline analysis shows that the top two alternatives, dispensing through commercial pharmacies and dispensing through the United States Postal Service, are equally effective. Either alternative would be acceptable; the final decision could be made on either legal or political grounds. Our analysis provided the DPH with much insight into to its decision problem. It could become part of the justification of proposals for alternate dispensing plans to the Centers for Disease Control and Prevention. In addition, the DPH has hired a consulting firm to pursue business participation, including commercial pharmacies, for dispensing mass prophylaxis.

Suggested Citation

  • Anke Richter & Sinan Khan, 2009. "Pilot Model: Judging Alternate Modes of Dispensing Prophylaxis in Los Angeles County," Interfaces, INFORMS, vol. 39(3), pages 228-240, June.
    • Handle: RePEc:inm:orinte:v:39:y:2009:i:3:p:228-240
    DOI: 10.1287/inte.1080.0427
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    References listed on IDEAS

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    1. Leon, Orfelio G., 1997. "On the Death of SMART and the Birth of GRAPA," Organizational Behavior and Human Decision Processes, Elsevier, vol. 71(3), pages 249-262, September.
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    Cited by:

    1. Ubaid Illahi & Mohammad Shafi Mir, 2021. "Maintaining efficient logistics and supply chain management operations during and after coronavirus (COVID-19) pandemic: learning from the past experiences," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 23(8), pages 11157-11178, August.
    2. Duijzer, Lotty Evertje & van Jaarsveld, Willem & Dekker, Rommert, 2018. "Literature review: The vaccine supply chain," European Journal of Operational Research, Elsevier, vol. 268(1), pages 174-192.

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