Sustainable inventory management in blood banks considering health equity using a combined metaheuristic-based robust fuzzy stochastic programming

This study examines the challenges of healthcare systems toward sustainable inventory management of blood products. In this regard, three main goals are pursued; First, promoting social equity in providing medical ser-vices to various patients and reducing the risk to lives. Second, the optimal management of medical products in a way that minimizes economic costs. Third, optimal management of biological waste due to inventory corruption and reduction of greenhouse gas emissions caused by transportation, to the least environmental pollution. To achieve these purposes, a practical demand-driven multi-objective inventory model is presented by utilizing hybrid policies in an uncertain environment. In the proposed model, the demands are in two types, including elective and non-elective. These demands are classified according to their medical urgency, substitution allowance, and product freshness. A hybrid robust fuzzy stochastic programming approach is applied to capture real-world uncertainties. The proposed model is implemented for blood platelet. The solution is obtained using a combined metaheuristic technique established on genetic algorithms and simulated annealing according to global and local search paradigms. To create a proper perspective for decision-makers, sensitivity analysis is performed. Besides, the performance of the model is proved by the realization. The results show that the per-formance of the proposed RFSP model is better than the Nominal model. Also, it performs well in minimizing the overall system costs and environmental degradation, besides reducing shortage and wastage. It is also effective for taking steps toward equity in health and suggests a proper strategy for dealing with emergencies.