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

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.