Modelo para la distribución de medicamentos a comunidades en zonas apartadas de la región costera del departamento del Chocó, Colombia

Health supply chains present many problems in the processes of supplying, storing and distributing inputs and medicines, due to uncertainty in demand, diagnostics and short product life cycles. In rural and remote areas, this complexity increases due to accessibility restrictions, modes of transport...

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Autores:
Moreno Castro, Catalina
Tipo de recurso:
Fecha de publicación:
2021
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/79712
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/79712
https://repositorio.unal.edu.co/
Palabra clave:
620 - Ingeniería y operaciones afines
610 - Medicina y salud
Salud Pública
Morbilidad
Áreas Remotas
Distribución de Medicamentos
Gestión de las Cadenas de Suministro en Salud
Formulación Matemática
UAV
Remote Areas
Mathematical Formulation
Distribution of Medicines
Health Care Supply Chain Management
UAV
Health policy
Morbidity
Rights
openAccess
License
Atribución-NoComercial-SinDerivadas 4.0 Internacional
id UNACIONAL2_23ea5a3a07fc1b02d2013e8125b56363
oai_identifier_str oai:repositorio.unal.edu.co:unal/79712
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Modelo para la distribución de medicamentos a comunidades en zonas apartadas de la región costera del departamento del Chocó, Colombia
dc.title.translated.eng.fl_str_mv Model for drugs distribution to communities in remote areas of the coastal region of the department of Chocó, Colombia
title Modelo para la distribución de medicamentos a comunidades en zonas apartadas de la región costera del departamento del Chocó, Colombia
spellingShingle Modelo para la distribución de medicamentos a comunidades en zonas apartadas de la región costera del departamento del Chocó, Colombia
620 - Ingeniería y operaciones afines
610 - Medicina y salud
Salud Pública
Morbilidad
Áreas Remotas
Distribución de Medicamentos
Gestión de las Cadenas de Suministro en Salud
Formulación Matemática
UAV
Remote Areas
Mathematical Formulation
Distribution of Medicines
Health Care Supply Chain Management
UAV
Health policy
Morbidity
title_short Modelo para la distribución de medicamentos a comunidades en zonas apartadas de la región costera del departamento del Chocó, Colombia
title_full Modelo para la distribución de medicamentos a comunidades en zonas apartadas de la región costera del departamento del Chocó, Colombia
title_fullStr Modelo para la distribución de medicamentos a comunidades en zonas apartadas de la región costera del departamento del Chocó, Colombia
title_full_unstemmed Modelo para la distribución de medicamentos a comunidades en zonas apartadas de la región costera del departamento del Chocó, Colombia
title_sort Modelo para la distribución de medicamentos a comunidades en zonas apartadas de la región costera del departamento del Chocó, Colombia
dc.creator.fl_str_mv Moreno Castro, Catalina
dc.contributor.advisor.none.fl_str_mv Osorio Ramírez, Carlos
dc.contributor.author.none.fl_str_mv Moreno Castro, Catalina
dc.contributor.researchgroup.spa.fl_str_mv SOCIEDAD, ECONOMIA Y PRODUCTIVIDAD - SEPRO
dc.subject.ddc.spa.fl_str_mv 620 - Ingeniería y operaciones afines
610 - Medicina y salud
topic 620 - Ingeniería y operaciones afines
610 - Medicina y salud
Salud Pública
Morbilidad
Áreas Remotas
Distribución de Medicamentos
Gestión de las Cadenas de Suministro en Salud
Formulación Matemática
UAV
Remote Areas
Mathematical Formulation
Distribution of Medicines
Health Care Supply Chain Management
UAV
Health policy
Morbidity
dc.subject.lemb.none.fl_str_mv Salud Pública
Morbilidad
dc.subject.proposal.spa.fl_str_mv Áreas Remotas
Distribución de Medicamentos
Gestión de las Cadenas de Suministro en Salud
Formulación Matemática
UAV
dc.subject.proposal.eng.fl_str_mv Remote Areas
Mathematical Formulation
Distribution of Medicines
Health Care Supply Chain Management
UAV
dc.subject.unesco.none.fl_str_mv Health policy
Morbidity
description Health supply chains present many problems in the processes of supplying, storing and distributing inputs and medicines, due to uncertainty in demand, diagnostics and short product life cycles. In rural and remote areas, this complexity increases due to accessibility restrictions, modes of transport, population dispersion and long distances. Proper management of these chains is essential to preserve the health of the population. For this reason, the state, as the regulatory body of the health system, should design strategies that fit the context of these regions and ensure maximum coverage of health services. In Colombia, this situation is mainly reflected in public health programs for poor and vulnerable territories, limiting the availability of medicines in a timely manner to the population, generating high rates of morbidity and mortality. This research sets out a model for the distribution of medicines of public health interest to remote areas, where there are geographical barriers, it chooses access infrastructure, rurality and dispersion. It is proposed for transport, use air mode by means of UAV vehicles and its possibility of integration with river mode, which is currently the most exploited in the area for the transport of cargo and passengers. The study is carried out using mixed techniques, combining qualitative approaches to the characterization of the current distribution operation in the region, and quantitative for the design of a distribution model using exact mathematical formulation techniques. The results show that making use of intermodal transport with UAV vehicles and boats, distribution time is reduced by 25% and drug availability for the population is improved. This work is carried out within the framework of the project “Technologies in demand management and logistics operation in a health care network in the coastal region of the Department of Chocó. An approach from the beneficiary towards the institutionalism”.
publishDate 2021
dc.date.accessioned.none.fl_str_mv 2021-06-24T18:31:29Z
dc.date.available.none.fl_str_mv 2021-06-24T18:31:29Z
dc.date.issued.none.fl_str_mv 2021-07-17
dc.type.spa.fl_str_mv Trabajo de grado - Maestría
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.content.spa.fl_str_mv DataPaper
Image
Model
Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/79712
dc.identifier.instname.spa.fl_str_mv Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourl.spa.fl_str_mv https://repositorio.unal.edu.co/
url https://repositorio.unal.edu.co/handle/unal/79712
https://repositorio.unal.edu.co/
identifier_str_mv Universidad Nacional de Colombia
Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv spa
language spa
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dc.rights.none.fl_str_mv Derechos reservados de autor, 2021
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dc.rights.license.spa.fl_str_mv Atribución-NoComercial-SinDerivadas 4.0 Internacional
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http://creativecommons.org/licenses/by-nc-nd/4.0/
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dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia
dc.publisher.program.spa.fl_str_mv Bogotá - Ingeniería - Maestría en Ingeniería - Ingeniería Industrial
dc.publisher.department.spa.fl_str_mv Departamento de Ingeniería de Sistemas e Industrial
dc.publisher.faculty.spa.fl_str_mv Facultad de Ingeniería
dc.publisher.place.spa.fl_str_mv Bogotá, Colombia
dc.publisher.branch.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá
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spelling Atribución-NoComercial-SinDerivadas 4.0 InternacionalDerechos reservados de autor, 2021http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Osorio Ramírez, Carlos60b272369b0d9cb055ebbc33f98edecdMoreno Castro, Catalina599c05d1ed787a06462e3cbf904ab188SOCIEDAD, ECONOMIA Y PRODUCTIVIDAD - SEPRO2021-06-24T18:31:29Z2021-06-24T18:31:29Z2021-07-17https://repositorio.unal.edu.co/handle/unal/79712Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/Health supply chains present many problems in the processes of supplying, storing and distributing inputs and medicines, due to uncertainty in demand, diagnostics and short product life cycles. In rural and remote areas, this complexity increases due to accessibility restrictions, modes of transport, population dispersion and long distances. Proper management of these chains is essential to preserve the health of the population. For this reason, the state, as the regulatory body of the health system, should design strategies that fit the context of these regions and ensure maximum coverage of health services. In Colombia, this situation is mainly reflected in public health programs for poor and vulnerable territories, limiting the availability of medicines in a timely manner to the population, generating high rates of morbidity and mortality. This research sets out a model for the distribution of medicines of public health interest to remote areas, where there are geographical barriers, it chooses access infrastructure, rurality and dispersion. It is proposed for transport, use air mode by means of UAV vehicles and its possibility of integration with river mode, which is currently the most exploited in the area for the transport of cargo and passengers. The study is carried out using mixed techniques, combining qualitative approaches to the characterization of the current distribution operation in the region, and quantitative for the design of a distribution model using exact mathematical formulation techniques. The results show that making use of intermodal transport with UAV vehicles and boats, distribution time is reduced by 25% and drug availability for the population is improved. This work is carried out within the framework of the project “Technologies in demand management and logistics operation in a health care network in the coastal region of the Department of Chocó. An approach from the beneficiary towards the institutionalism”.Las cadenas de suministro de salud presentan muchas problemáticas en los procesos de abastecimiento, almacenamiento y distribución de insumos y medicamentos, a causa de la incertidumbre en la demanda, diagnósticos y cortos ciclos de vida de los productos. En zonas rurales y apartadas, esta complejidad aumenta debido a restricciones de accesibilidad, modos de transporte, dispersión poblacional y largas distancias. La adecuada gestión de estas cadenas es esencial para preservar la salud de la población. Por tal motivo, el estado, como ente regulador del sistema de salud, debe diseñar estrategias que se ajusten al contexto de estas regiones y de esa manera, garantizar máxima cobertura de los servicios de salud. En Colombia, esta situación se refleja principalmente en los programas de salud pública para territorios pobres y vulnerables, limitando la disponibilidad de medicamentos de manera oportuna a la población, generando altas tasas de morbilidad y mortalidad. Esta investigación plantea un modelo para la distribución de medicamentos de interés en salud pública para áreas apartadas, tomando como caso de estudio el departamento del Chocó, donde se tienen barreras geográficas, escaza infraestructura de acceso, ruralidad y dispersión. Se propone para el transporte, utilizar el modo aéreo por medio de vehículos UAV y su posibilidad de integración con el modo fluvial, el cual actualmente es el más explotado en la zona para el transporte de carga y pasajeros. El estudio se realiza por medio de técnicas mixtas, combinando enfoques cualitativos para la caracterización de la operación de distribución actual en la región; y cuantitativos para el diseño de un modelo de distribución por medio de técnicas exactas de formulación matemática. Los resultados demuestran que haciendo uso de transporte intermodal con vehículos UAV y lanchas, se reduce el tiempo de distribución en un 25% y se mejora la disponibilidad de medicamentos para la población. Este trabajo se realiza dentro del marco del proyecto “Tecnologías en gestión de demanda y operación logística en red de atención en salud en la región costera del Departamento de Chocó. Un enfoque desde el beneficiario hacia la institucionalidad”.MaestríaMagister en Ingeniería IndustrialInvestigación de operacionesGestión de Operaciones – Logísticaapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Ingeniería - Maestría en Ingeniería - Ingeniería IndustrialDepartamento de Ingeniería de Sistemas e IndustrialFacultad de IngenieríaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá620 - Ingeniería y operaciones afines610 - Medicina y saludSalud PúblicaMorbilidadÁreas RemotasDistribución de MedicamentosGestión de las Cadenas de Suministro en SaludFormulación MatemáticaUAVRemote AreasMathematical FormulationDistribution of MedicinesHealth Care Supply Chain ManagementUAVHealth policyMorbidityModelo para la distribución de medicamentos a comunidades en zonas apartadas de la región costera del departamento del Chocó, ColombiaModel for drugs distribution to communities in remote areas of the coastal region of the department of Chocó, ColombiaTrabajo de grado - Maestríainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionDataPaperImageModelTexthttp://purl.org/redcol/resource_type/TMAbbas, K., Afaq, M., Khan, T. 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