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The organ supply chain

Geography and the inequalities of transplant logistics

Bibliographic Data

ID8964353
AuthorsH Cole (0000-0002-5985-9843, Department of Geography The Pennsylvania State University University Park PA USA, corresponding author)
Year2021
Volume46
Issue4
Pages1008-1021
Publication date2021-04-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueTransactions of the Institute of British Geographers (JOURNAL)
Journal identifiersISSN: 0020-2754 • E-ISSN: 1475-5661
PublisherWiley (PUBLISHER • GB)
DOI10.1111/tran.12458
OpenAlexW3154964084
LanguageEN
Citations received1
References cited46

This paper describes how supply chain management practices are applied to the process of organ transplantation in the USA. While these practices are meant to increase the volume of organs available for transplantation, I argue that they may in fact exacerbate existing inequities of access to treatment. This is an especially pressing issue given that the number of people currently on the organ transplant waiting list far exceeds the number of organs available for transplantation, a situation referred to as the organ shortage crisis . A contributing factor to this disparity is the spatiotemporal distribution of transplant centres, donors, and recipients, considering that the transplant process is so time‐sensitive and time‐intensive. In response, the healthcare industry is developing systems that smooth and accelerate the procurement and delivery of organs, creating a logistical network that is standardised, data‐driven, and able to be deployed at a moment’s notice. However, these new systems draw design inspiration from those originally developed for profit‐based corporate supply chains, and thus risk employing the spatial logics of corporate supply chain management practices. Drawing from interviews with transplant and other medical professionals, I argue that applying these practices to the organ transplant network may end up privileging already‐advantaged patients, when instead, a truly equitable network must attend to the uneven landscape of transplantation in the USA. Furthermore, I argue that these technologies should not necessarily be resisted outright, but rather adopted in the interest of universal access as opposed to the maintenance of profitability

Business · Organ procurement · Organ transplantation · Supply chain · Blood donation and transfusion practices · Marketing · Medicine · Organ Donation and Transplantation · Transplantation

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo

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