Flexible Strategies for Centralized Public Procurement

Albano, Gian Luigi; Sparro, Marco

doi:10.5202/rei.v1i2.17

Cited by 35 publications

(12 citation statements)

References 20 publications

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“…Prior scholarship links centralized procurement systems to more sustainable purchasing (Albano & Sparro, 2010; Alkadry et al, 2019). While centralization could bring cost savings, process efficiency, and demand rationalization, decentralization may enable innovation and improve service quality (Patrucco et al, 2021).…”

Section: Methodsmentioning

confidence: 99%

Buying green in U.S. local government: Internal commitment and responsiveness to external pressures

Dimand

Neshkova

2023

Public Administration

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This study investigates how green purchasing in local governments varies as a function of the organization's internal commitment, operationalized by the stage of institutionalization of green public procurement (GPP), and external pressures from various stakeholder groups. GPP, a value‐based innovation justified on the grounds of intergenerational equity, is an important tool governments can use to mitigate the adverse effects of climate change. Survey data from 210 U.S. local governments reveal that while both external and internal factors are strong predictors of buying green, internal commitment matters relatively more. We also find that earlier stages of GPP institutionalization are more conducive to external influence, albeit the effect differs among stakeholders. Local governments tend to be more likely to buy green when nudged by nonprofits and interest groups, and less so when offered financial incentives by the federal government.

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Section: Methodsmentioning

confidence: 99%

Buying green in U.S. local government: Internal commitment and responsiveness to external pressures

Dimand

Neshkova

2023

Public Administration

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“…The Global Fund-supported initiatives were also instrumental in building capacity by training key personnel for the effective implementation of activities related to the procurement and supply chain management function [8, 29,30]. Better quanti cation and forecasting capabilities (due to data availability through e-LMIS and personnel training), improved warehousing capacity to hold a wide portfolio of products, and direct delivery to facilities through a modern eet could have contributed to the high population coverage reported [26,31,30].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it is sensible to conclude that, the reported health system improvements could not have happened without effective leadership and well-trained staff tasked with coordination and management across the PSCM value chain. It can be further inferred that the training and capacity development measures offered to the NATPHARM personnel were consequential in supporting the broader health system to meet its overall objectives, including improving PSCM performance [2,7,29].…”

Section: Discussionmentioning

confidence: 99%

Lessons from the Global Fund-Supported Procurement and Supply Chain Investments in Zimbabwe: a mixed methods study

Lesego¹,

Were

Tsegaye³

et al. 2023

Preprint

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Introduction Access to essential medicines, vaccines and other health technologies are strategic pillars of any health system. To this end, the Global Fund partnered with the Zimbabwean government to provide end-to-end support to strengthen the procurement and supply chain within the health system. This was accomplished through a series of strategic interventions that included infrastructure and fleet improvement, training of personnel, modern equipment acquisition and warehouse optimisation. Methods The impact assessment employed a convergent mixed methods design, that combines quantitative and qualitative research methods. The quantitative part entailed the analysis of program data covering the period 2018 – 2021. The qualitative part comprised key informant interviews using a structured questionnaire. Informants included stakeholders that were privy to the Global Fund-supported initiatives in Zimbabwe. The data collected through the interviews were transcribed in full and subjected to thematic content analysis. Results Over 90% of public health facilities were covered by the procurement and distribution system. Timeliness of order fulfilment (within 90 days) at the facility level improved from an average of 42% to over 90% within the 4-year implementation period. Stockout rates for HIV drugs and test kits declined by 14% and 49% respectively. Population coverage for HIV treatment for both adults and children remained consistently high despite the increasing prevalence of people living with HIV. The value of expired commodities was reduced by 93% over the 4-year period. Further, there was consensus that support from Global Fund was instrumental in improving the country's procurement and supply chain capacity. Key areas identified include improved infrastructure and equipment, data and information systems, health workforce and financing. The majority of the participants also cited the Global Fund-supported warehouse optimization as critical to improving inventory management practices. Discussion Government and the health donor community, need to collaborate through joint planning and implementation in order to strengthen health systems. Organizational autonomy and sharing of best practices in management while strengthening accountability systems are fundamentally important in the efforts to build institutional capacity.

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“…The practice of centralized procurement, also known as volumebased procurement, has come to occupy a central position as a policy instrument for reducing public spending through increasing the market power of the payer (5)(6)(7)(8)(9). The World Health Organization recommends the use of this method to low-and middle-income countries, and many countries have benefited its introduction (10).…”

Section: Introductionmentioning

confidence: 99%

The impact of centralized coronary stent procurement program on acute myocardial infarction treatments: evidence from China

Jian,

Zhou,

Zhang

2023

Front. Public Health

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BackgroundThe advent of coronary stents has resulted in many more many lives being saved from acute myocardial infarction (AMI). However, the high price associated with this method of treatment also imposes a heavy economic burden on healthcare systems. As a country making significant use of coronary stents, in 2021, China introduced a program around this method of treatment grounded in centralized procurement and it is the focus of this paper to assess the impact of this policy on AMI treatments.MethodsThe patients with AMI are selected as the study group, and the patients with pre-cerebral vascular stenosis are selected as the control group, and individual-level medical insurance settlement data are collected from the years 2018, 2019, and 2021. Differences-in-differences methodology is used to analyze the impacts of this program on the probability changes in respect of AMI patients receiving stent therapy, as well as changes relating to cost, length of stay and 30-day readmission.ResultsThe results show that the reform has led to a reduction in the probability of AMI patients using stents to 51% of the original rate. Additionally, the average cost is shown to have decreased by 41%, and no significant changes can be found in respect of the length of stay and 30-day readmission.ConclusionIn sum, the centralized procurement program is shown to reduce not only the medical expenses incurred by treating patients with AMI, but also the use of coronary stents, resulting in changes to the treatment patterns of patients with AMI.

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Flexible Strategies for Centralized Public Procurement

Cited by 35 publications

References 20 publications

Buying green in U.S. local government: Internal commitment and responsiveness to external pressures

Buying green in U.S. local government: Internal commitment and responsiveness to external pressures

Lessons from the Global Fund-Supported Procurement and Supply Chain Investments in Zimbabwe: a mixed methods study

The impact of centralized coronary stent procurement program on acute myocardial infarction treatments: evidence from China

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