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 Public Multi-Product Health Procurement: The Dynamic
Inventory Budget Allocation Problem
Iva RASHKOVA
London Business School
Motivated by the extent of stockouts of essential medicines in developing
countries, we study the periodic procurement of multiple health products
subject to an exogenous fund disbursement schedule. The objective is to
minimize expected discounted health costs in the presence of random
demand and procurement lead times. Inventory dynamics are affected by two
types of product-specific characteristics: fraction of patients in critical
condition and availability of alternative distribution channels. We derive a
heuristic for the dynamic allocation of funds based on index functions that
evaluate the attractiveness of each additional unit of each product in the
current period and for the future system state. The index functions quantify
the trade-off between the cost of patients in critical conditions in the current
period (myopic) and their benefit for future periods (lookahead). The proposed
fund allocation algorithm is: optimal and asymptotically optimal under certain
conditions; intuitive, easy to implement, and generalizable; incorporates all
available problem information. We present numerical results that suggest the
algorithm also yields near-optimal fund allocations and outperforms policies
such as fixed base-stock, constant order quantity and myopic.
March 26, 2015 – 2:00 p.m. – Room b - 135