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Open-Data Decision Support for Critical Medicines Availability in Urban Supply Chains Under Disruptions: Evidence from Kyiv and Lviv

Year: 2026
Type: article
Abstract: Disruptions in urban supply chains increase the risk of reduced access to medicines whose continuous availability is important for public health. This article develops an open-data decision support system (DSS) framework for assessing medicine availability under shortage and node-failure scenarios. The empirical application combines redeemed e-prescription data from the Ukrainian reimbursement program for 2022–2025 with the registry of dispensing points under National Health Service of Ukraine contracts and applies a unified scenario design to Kyiv and Lviv. The results show that demand is more concentrated in Lviv: the top 10 dispensing nodes account for 29.7% of redeemed e-prescriptions, compared with 14.2% in Kyiv. The proposed DSS supports the redistribution of limited available volume across spatial zones; it does not generate additional supply. Its value lies in identifying where lower-tail coverage, service coverage gaps, and redistribution-distance constraints should be monitored under explicitly defined stress-test assumptions. The framework is therefore positioned as a scenario-based planning tool rather than as a real-time inventory-management system.
Language: English
Open Access status: gold
Estimated APC paid: $1,930
OpenAlex ID: W7164930359
FWCI:
Cites: 23
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