Improving resilience of the healthcare supply chain in a pandemic: Evidence from Europe during the COVID-19 crisis

IF 6.8 2区 管理学 Q1 MANAGEMENT Journal of Purchasing and Supply Management Pub Date : 2022-12-01 DOI:10.1016/j.pursup.2022.100748
Alexander Spieske, Maximilian Gebhardt, Matthias Kopyto, Hendrik Birkel
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引用次数: 35

Abstract

The severe scarcity of critical medical supplies caused by the COVID-19 pandemic led to considerable procurement challenges in the healthcare supply chain (HCSC). As ensuring the availability of such supplies during disruptions is critical, the debate on how to increase supply chain resilience in healthcare has gained new momentum. We present empirical evidence from a multi-tier case study spanning nine European medical supplies manufacturers and hospital groups. Based on the resource dependence theory, we investigated procurement-related strategies to improve medical supplies availability. We conducted semi-structured interviews with 39 procurement and supply chain management experts and derived seven propositions on buffering and bridging approaches for managing evolving resource dependencies and thereby strengthening supply chain resilience in a pandemic. Overall, we confirm the resource dependence theory's applicability for explaining companies' mitigation measures in a pandemic disruption. We find that bridging measures within the healthcare supply base, such as offering procurement support for suppliers or leveraging long-term buyer-supplier relationships, are more effective for securing medical supplies than buffering measures. Complementing bridging with buffering, such as extended upstream procurement or resource sharing among hospitals, can lead to superior risk mitigation as capacities of the present supplier base may not suffice. Furthermore, we extend the resource dependence theory by showing that the severity of disruptions caused by a pandemic triggers new forms of buffering external to the HCSC. Both traditional and new buffering measures establish novel flows of medical supplies in the HCSC that can enable higher supply security in a pandemic.

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提高医疗保健供应链在疫情中的抵御能力:新冠肺炎危机期间来自欧洲的证据
COVID-19大流行造成的关键医疗用品严重短缺,导致医疗保健供应链(HCSC)面临相当大的采购挑战。由于在中断期间确保此类供应的可用性至关重要,关于如何提高医疗保健供应链弹性的辩论获得了新的动力。我们提出的经验证据从多层案例研究跨越九个欧洲医疗用品制造商和医院集团。基于资源依赖理论,我们研究了提高医疗用品可得性的采购相关策略。我们对39名采购和供应链管理专家进行了半结构化访谈,并提出了7项关于缓冲和衔接方法的建议,以管理不断变化的资源依赖关系,从而加强大流行期间供应链的复原力。总的来说,我们证实了资源依赖理论在解释大流行中断时公司缓解措施的适用性。我们发现,在医疗保健供应基础内采取过渡性措施,例如为供应商提供采购支持或利用长期买方-供应商关系,比缓冲措施更有效地确保医疗用品的安全。用缓冲来补充桥接,例如扩大上游采购或医院间资源共享,可以更好地减轻风险,因为目前供应商的能力可能不够。此外,我们扩展了资源依赖理论,表明大流行造成的破坏的严重程度会触发HCSC外部的新形式的缓冲。传统和新的缓冲措施都在医疗物资中心建立了新的医疗物资流动,可以在大流行期间提高供应安全性。
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来源期刊
CiteScore
10.30
自引率
18.00%
发文量
31
审稿时长
70 days
期刊介绍: The mission of the Journal of Purchasing & Supply Management is to publish original, high-quality research within the field of purchasing and supply management (PSM). Articles should have a significant impact on PSM theory and practice. The Journal ensures that high quality research is collected and disseminated widely to both academics and practitioners, and provides a forum for debate. It covers all subjects relating to the purchase and supply of goods and services in industry, commerce, local, national, and regional government, health and transportation.
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