Unmasking healthcare supply chain cost drivers in the United States

IF 4.5 Q1 MANAGEMENT Benchmarking-An International Journal Pub Date : 2023-06-08 DOI:10.1108/bij-02-2023-0072
Jean C. Essila, J. Motwani
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Abstract

PurposeThis study aims to focus on the supply chain (SC) cost drivers of healthcare industries in the USA, as SC costs have increased 40% over the last decade. The second-most significant expense, the SC, accounts for 38% of total expenses in a typical hospital, while most other industries can operate within 10% of their operating cost. This makes healthcare centers supply-chain-sensitive organizations with limited facilities for high-quality healthcare services. As the cost drivers of healthcare SC are almost unknown to managers, their jobs become more complex.Design/methodology/approachGuided by pragmatism and positivism paradigms, a cross-sectional study has been designed using quantitative and deductive approaches. Both primary and secondary data were used. Primary data were collected from health centers across the country, and secondary data were from healthcare-related databases. This study examined the attributes that explain the most significant variation in each contributing factor. With multiple regression analysis for predicting cost and Student's t-tests for the significance of contributing factors, the authors of this study examined different theories, including the market-based view and five-forces, network and transaction cost analysis.FindingsThis study revealed that supply, materials and services represent the most significant expenses in primary care. Supply-chain cost breakdown results in four critical factors: facility, inventory, information and transportation.Research limitations/implicationsThis study examined the data from primary and secondary care institutions. Tertiary and quaternary care systems were not included. Although tertiary and quaternary care systems represent a small portion of the healthcare system, future research should address the supply chain costs of highly specialized organizations.Practical implicationsThis study suggests methods that can help to improve supply chain operations in healthcare organizations worldwide.Originality/valueThis study presents an empirically proven methodology for testing the statistical significance of the primary factors contributing to healthcare supply chain costs. The results of this study may lead to positive policy changes to improve healthcare organizations' efficiency and increase access to high-quality healthcare.
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揭露美国医疗保健供应链成本驱动因素
本研究旨在关注美国医疗保健行业的供应链(SC)成本驱动因素,因为供应链成本在过去十年中增加了40%。第二重要的支出是SC,占一家典型医院总支出的38%,而大多数其他行业的运营成本仅为运营成本的10%。这使得医疗保健中心成为供应链敏感型组织,其提供高质量医疗保健服务的设施有限。由于管理人员几乎不知道医疗保健供应链的成本驱动因素,因此他们的工作变得更加复杂。设计/方法论/方法在实用主义和实证主义范式的指导下,采用定量和演绎的方法设计了一项横断面研究。主要和次要数据均被使用。主要数据来自全国各地的卫生中心,次要数据来自卫生保健相关数据库。这项研究检查了解释每个促成因素中最显著差异的属性。本研究运用多元回归分析预测成本,并运用学生t检验检验影响因素的显著性,检验了不同的理论,包括市场观点和五种力量,网络和交易成本分析。研究结果本研究表明,供应、材料和服务是初级保健中最重要的支出。供应链成本分解的结果是四个关键因素:设施、库存、信息和运输。研究局限性/意义本研究调查了来自初级和二级医疗机构的数据。三级和四级保健系统不包括在内。虽然三级和四级医疗保健系统只占医疗保健系统的一小部分,但未来的研究应该解决高度专业化组织的供应链成本问题。实际意义本研究提出了有助于改善全球医疗保健组织供应链运作的方法。原创性/价值本研究提出了一种经过实证验证的方法,用于测试影响医疗保健供应链成本的主要因素的统计显著性。本研究的结果可能会导致积极的政策变化,以提高医疗保健组织的效率和增加获得高质量医疗保健的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
10.40
自引率
16.10%
发文量
154
期刊介绍: Benchmarking is big news for companies committed to total quality programmes. Its enthusiastic reception by many prominent business figures has created high levels of interest in a technique which promises big rewards for co-operating partners. Yet, like total quality itself, it must be understood in its proper context, and implemented single mindedly if it is to be effective - this journal helps companies to decide if benchmarking is right for them, and shows them how to go about it successfully.
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