necessitysubstituting
Necessitysubstituting is a concept used in decision analysis and operations management to describe the deliberate replacement of a required resource with an acceptable substitute when the original resource is unavailable, unaffordable, or restricted. It applies when an item or service is treated as a necessity within a system, yet constraints compel a different option to preserve function or outcomes.
Scope and distinction: The term covers both hard necessities (medical consumables, energy inputs) and soft necessities
Process: Define the essential function and performance requirements; inventory possible substitutes and their trade-offs; evaluate availability,
Examples: during medical supply shortages, clinicians may substitute a preferred drug with a therapeutically equivalent alternative;
Ethical and practical considerations: substitutions can affect quality, safety, and equity. Decisions should consider risk, long-term