Strategic purchasing in the market of advanced medical equipment: an applied model for developing countries

Bastani, Peivand; Hakimzadeh, Seyyed Mostafa; Rezapour, Aziz; Panahi, Sirous; Tahernezhad, Ali; Sheikhotayefeh, Mostafa

doi:10.1016/j.hlpt.2020.05.003

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…Our study also spans participation across different hospital departments, showing a broad range of experiences mirrored across different care delivery departments. Studies do exist for other countries but tend to focus on decision-making on high-tech or high-cost medical equipment (for example Iran [ 28 ], the Czech Republic [ 29 ] and the Netherlands [ 30 ]). One notable exception is the study by Ham et al which looked at logistics across a whole hospital, not just for materials management also based in The Netherlands [ 31 ], and here also the lack of integration and silo functioning was found.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing procurement behaviour and decision-making: an exploratory qualitative study in a UK healthcare provider

Boulding

Hinrichs

2021

BMC Health Serv Res

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Background In 2016 the UK Department of Health and Social Care published the results of a comprehensive review of efficiency in hospitals, identifying “unwarranted variation” in procurement (or purchasing) practices for materials, supplies and devices. Addressing this variation in materials and supplies procurement practice has been identified as particularly important for creating efficiencies in health service delivery. However, little is known about the behaviour and experiences of front-line individuals who make these procurement decisions, which has implications for the development of strategies to improve efficiency. The objective of this study is to improve understanding of the factors influencing procurement behaviour and decisions among requisitioners who use an internal electronic procurement portal for medical supplies and equipment, and identify areas where efficiency could be improved. Methods Qualitative semi-structured individual interview study, following approximately 70 h of exploratory observations on site. The study context was a large London National Health Service (NHS) healthcare provider (the Trust), where we focussed primarily on purchases managed by a large hospital. Participants were drawn from requisitioners from multiple directorates across the Trust (n = 15; of these n = 2 clinical staff members, n = 13 non-clinical). Results Four factors stood out in our analysis as directly affecting procurement decisions: (1) a high level of variation in electronic purchasing and inventory management procedures throughout the Trust, (ii) an inaccurate and cumbersome search facility on the internal electronic procurement platform, exacerbated by poor IT skills training and support (iii) an inefficient purchase approvals system and (iv) multiple working sites and cluttered environments. We observed that these factors led requisitioners to employ a variety of strategies or so-called ‘workarounds’ to overcome the challenges they encountered, including stockpiling, relying on internal and supplier relationships, by-passing procedures to save time, purchasing outside existing agreements to save cost, and (re) delegating purchasing responsibilities among requisitioner staff - which both addressed and created difficulties. Conclusions Working with the assumption that staff ‘workarounds’ indicate where main issues lie, we offer four possible explanations to why they occur: (a) to maintain services and prepare for future care requirements, (b) to save on costs for the organisation, (c) to develop skills and development in purchasing and (d) to break silos and work collaboratively. These four explanations help provide initial starting points for improving efficiencies in health supplies’ procurement processes.

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Section: Discussionmentioning

confidence: 99%

Factors influencing procurement behaviour and decision-making: an exploratory qualitative study in a UK healthcare provider

Boulding

Hinrichs

2021

BMC Health Serv Res

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“…It is observed from these audit reports that Sedibeng District Municipalities spend billions of rands on purchases and procurement of basic unmet needs such as health, education, environmental cleanliness, drinking water in homes, recreation and sport. However, these municipalities perform poorly in terms of service delivery due, amongst other factors, to issues such as corruption, lack of purchasing skills capacity and poorly managed supply bases (Mello, 2018) Purchasing is a strategic and continuous process for improving an organisation's performance by deciding on what, how and from whom to purchase goods and services, as well as ensuring timeous delivery according to the specifications (Bastani et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Assessing purchasing technical skills as a precondition for effective purchasing management within Sedibeng District Municipality, South Africa

Omoruyi

Ntshingila

2021

Journal of Contemporary Management

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Background: Globally, purchasing competence within an organisation is key to organisational change and costsavings through the development of product and supplier processes. Purchasing competence enables effective coordination and development of efficient procurement processes that create value for the organisation. Due to limited resources, escalating competition, increasing quality awareness of customers, as well as growing complexity within a supply chain, purchasing professionals worldwide are forced to develop new purchasing competence in order to achieve enhanced purchasing and firm performance.Purpose of study: Within the Sedibeng District Municipalities, progression in procurement is slow, which may be due to a lack of knowledge and capabilities necessary to implement change. Researchers have indicated that most South Africa Municipalities are not performing well in terms of service delivery due to the challenges that they face, mostly emanating from purchasing and supply management functions. Although, corruption is usually considered the main challenge prohibiting service delivery, lack of purchasing skills and knowledge can also contribute to the poor performance of these municipalities. This research study, therefore, seeks to determine the influence of purchasing capabilities on supply-based management and purchasing performance within the Sedibeng District Municipalities.Design/Methodology/Approach: A quantitative approach was used, with 250 questionnaires being distributed to the participants using a convenient sampling technique. Results/Findings: The research findings of this study showed that Sedibeng District Municipalities need to prioritise their staff's purchasing technical skills and emphasised that they should invest in other issues in O OMORUYI L NTSHINGILA Assessing purchasing technical skills as a precondition for effective purchasing management within Sedibeng District Municipality,

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Strategic purchasing in the market of advanced medical equipment: an applied model for developing countries

Cited by 2 publications

References 23 publications

Factors influencing procurement behaviour and decision-making: an exploratory qualitative study in a UK healthcare provider

Factors influencing procurement behaviour and decision-making: an exploratory qualitative study in a UK healthcare provider

Assessing purchasing technical skills as a precondition for effective purchasing management within Sedibeng District Municipality, South Africa

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