Objectives: Patients are classified according to the severity of their condition and graded according to the diagnosis and treatment capacity of medical institutions. This study aims to correctly assign patients to medical institutions for treatment and develop patient allocation and medical resource expansion schemes among hospitals in the medical network.Methods: Illness severity, hospital level, allocation matching benefit, distance traveled, and emergency medical resource fairness were considered. A multi-objective planning method was used to construct a patient allocation model during major epidemics. A simulation study was carried out in two scenarios to test the proposed method.Results: (1) The single-objective model obtains an unbalanced solution in contrast to the multi-objective model. The proposed model considers multi-objective problems and balances the degree of patient allocation matching, distance traveled, and fairness. (2) The non-hierarchical model has crowded resources, and the hierarchical model assigns patients to matched medical institutions. (3) In the “demand exceeds supply” situation, the patient allocation model identified additional resources needed by each hospital.Conclusion: Results verify the maneuverability and effectiveness of the proposed model. It can generate schemes for specific patient allocation and medical resource amplification and can serve as a quantitative decision-making tool in the context of major epidemics.

The COVID-19 pandemic gives humankind a lesson that the outbreak of an emerging infectious disease (EID) is sudden and uncertain. Accurately mastering its dynamics and putting forward an efficient and fair humanitarian logistics plan for personal protective equipment (PPE) remains difficult. This study examines the decision making for humanitarian logistics to answer the question that how to coordinate fairness and efficiency when facing supply-demand imbalance during humanitarian logistics planning in an EID environment. The main contributions include two aspects: (1) The victims' losses in terms of fairness and efficiency in receiving PPE are jointly explored by evaluating their bearing capacity evolution, and then a novel loss function is built to search for a reasonable compromise between fairness and efficiency. (2) A multi-objective optimization model is built, which is solved using the combined use of goal programming approach and improved branch and bound method. Finally, the practicability of the proposed model is tested by an EID case study. The potential advantages of the proposed model and improved approach are discussed.

International diversification has become a crucial measure for firms to realize sustainable development. However, previous studies have drawn inconsistent conclusions on the sustainable performance impact of international expansion. This paper examines the relationships among international diversification, capabilities, and sustainable performance. We provide a theoretical perspective of dynamic capabilities to uncover the impact mechanism of international diversification on firms’ economic and environmental performance. Based on data from Chinese listed manufacturing firms operating overseas, the findings show that international diversification is significant for firms’ sustainable development, and its effect on economic performance and environmental performance is mediated by adaptive capability and innovation capability. The implications for theoretical development and operating practice are discussed.

This study investigates how process manufacturing enterprises can optimize semi-finished inventory (SFI) distribution in delayed production models, with particular attention to differences in cost volatility between single- and multi-period planning scenarios. To address this research gap, we develop a mixed-integer programming model that determines optimal customer order decoupling point (CODP)/product differentiation point (PDP) positions and SFI quantities (both generic and dedicated) for each production period, employing particle swarm optimization for solution derivation and validating findings through a comprehensive case study of a steel manufacturer with characteristic long-period production processes. The analysis yields two significant findings: (1) single-period operations demonstrate marked cost sensitivity to service level requirements and delay penalties, necessitating end-stage inventory buffers, and (2) multi-period optimization generates a distinctive cost-smoothing effect through strategic order deferrals and cross-period inventory reuse, resulting in remarkably stable total costs (≤2% variation observed). The study makes seminal theoretical contributions by revealing the convex cost sensitivity of short-term inventory decisions versus the near-flat cost trajectories achievable through multi-period planning, while establishing practical guidelines for process industries through its empirically validated two-period threshold for optimal order deferral and inventory positioning strategies.