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Examining the role of single versus dual decision-making approach for patient care: Evidence from cardiology patients 检查单一与双重决策方法对患者护理的作用:来自心脏病患者的证据
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-11-17 DOI: 10.1002/joom.1340
Deepa Goradia, Aravind Chandrasekaran

Research in healthcare suggests that repeated interaction between a provider and a patient can support better decision-making, resulting in improved efficiencies. To date, these repeated interactions enabling continuity of care have not been studied in hospital inpatient settings. During a hospital stay, decisions related to patient treatment are usually made by two key decision-makers: the attending physician (AP) and the operating physician (OP). Under the single decision-making approach (S-DMA), the AP and OP are the same; in contrast, under the dual decision-making approach (D-DMA), the AP and OP are different. In recent years, there has been an increasing trend toward the use of D-DMA over S-DMA across U.S. hospitals owing to scheduling conflicts. Although research outside healthcare operations management has argued for benefits from both approaches, their impacts on a patient's hospital stay are unclear. In this study, we address this gap by investigating the effects of S-DMA and D-DMA on patient care outcomes in terms of patient length of stay (LOS), treatment cost, and mortality. Data for our study come from the state of Florida and involve 520,554 cardiology patients treated by 9483 APs and 18,398 OPs at 241 hospitals between 2014 and 2016. We account for both patient and physician selection issues when choosing a particular decision-making strategy. Our results suggest that, on average, using S-DMA is associated with reduced patient LOS and treatment cost but has no effect on mortality. We also find that S-DMA is more beneficial for patients with low comorbidity and low process uncertainty, whereas D-DMA is more beneficial for patients with high comorbidity and high process uncertainty. Our results are robust to alternative explanations. We demonstrate that a single decision-maker offers benefits in the context of healthcare delivery, but dual decision-makers may yield benefits when caring for patients with high comorbidity and high process complexity. We discuss the implications of these findings for appropriately deploying S-DMA and D-DMA in inpatient services.

医疗保健领域的研究表明,医疗服务提供者与患者之间的重复互动有助于做出更好的决策,从而提高效率。迄今为止,还没有人在医院住院环境中研究过这些可实现连续性护理的重复互动。在住院期间,与病人治疗相关的决策通常由两个关键决策者做出:主治医生(AP)和手术医生(OP)。在单一决策法(S-DMA)下,主治医生和手术医生是相同的;相反,在双重决策法(D-DMA)下,主治医生和手术医生是不同的。近年来,由于排班冲突,美国医院越来越倾向于使用 D-DMA 而不是 S-DMA。尽管医疗运营管理之外的研究认为这两种方法都有好处,但它们对患者住院时间的影响尚不明确。在本研究中,我们通过调查 S-DMA 和 D-DMA 在患者住院时间(LOS)、治疗成本和死亡率方面对患者护理结果的影响来填补这一空白。我们的研究数据来自佛罗里达州,涉及 2014 年至 2016 年间 241 家医院的 9483 名 AP 和 18398 名 OP 治疗的 520554 名心脏病患者。在选择特定决策策略时,我们考虑了患者和医生的选择问题。我们的结果表明,平均而言,使用 S-DMA 可缩短患者的住院时间并降低治疗成本,但对死亡率没有影响。我们还发现,S-DMA 对低并发症和低过程不确定性的患者更有利,而 D-DMA 对高并发症和高过程不确定性的患者更有利。我们的结果经得起其他解释的检验。我们证明,在医疗保健服务中,单一决策者能带来益处,但在护理高并发症和高流程复杂性患者时,双决策者可能会带来益处。我们讨论了这些发现对在住院服务中适当部署 S-DMA 和 D-DMA 的影响。
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引用次数: 0
Targeting online sales through last-mile delivery platform integration 通过最后一英里配送平台整合,瞄准线上销售
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-11-09 DOI: 10.1002/joom.1338
Kevin H. Park, Xiaodan Pan, Martin E. Dresner

We analyze channel integration between a last-mile delivery platform and a general merchandise retailer in two distinct stages: (1) platform delivery access (PDA), where the retailer continues to offer standard delivery through its own website but directs customers to the platform's website for new same-day delivery; and (2) integrated delivery access (IDA), where customers can continue to use same-day delivery service at the delivery platform website but can purchase products in a single order with both same-day and standard delivery options at the retailer's website. We perform a quasi-experiment using consumer spending data from retailer, target, and delivery platform, Shipt. We find that PDA provides positive impacts to the delivery platform through increased sales. IDA, on the other hand, increases the retailer's online channel sales but does not impact the delivery platform's sales. Moreover, we find that the positive effects of PDA on the delivery platform's sales are stronger in markets where online grocery penetration is lower, indicating that the effects were likely driven by increased purchases for groceries. Finally, the positive effect of IDA on the retailer's online channel sales is stronger in markets where the retailer has a greater loyal customer base and online grocery penetration is lower.

我们在两个不同的阶段分析了最后一英里配送平台和一般商品零售商之间的渠道整合:(1)平台交付访问(PDA),零售商继续通过自己的网站提供标准交付,但将客户引导到平台的网站进行新的当日交付;(2)综合配送访问(IDA),客户可以继续在配送平台网站上使用当日送达服务,但可以在零售商网站上以当日送达和标准送达两种方式购买单个订单中的产品。我们使用来自零售商、目标和配送平台Shipt的消费者支出数据进行了一个准实验。我们发现PDA通过增加销售额对配送平台产生积极影响。另一方面,IDA增加了零售商的在线渠道销售,但不影响配送平台的销售。此外,我们发现PDA对配送平台销售的积极影响在在线杂货渗透率较低的市场更强,这表明这种影响可能是由杂货购买量的增加所驱动的。最后,IDA对零售商在线渠道销售的积极影响在零售商拥有更大忠诚客户群和在线杂货渗透率较低的市场中更为强烈。
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引用次数: 0
Real-time demands, restaurant density, and delivery reliability: An empirical analysis of on-demand meal delivery 实时需求、餐厅密度和送餐可靠性:按需送餐的实证分析
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-11-07 DOI: 10.1002/joom.1339
Xiaohan Li, Xuequn Wang, Zilong Liu, Jie Zhang, Jiafu Tang

A surge in technological advancements and innovations has spurred the rise of on-demand meal delivery platforms. Despite their widespread appeal, these platforms face two critical challenges (i.e., order batching and demand allocation) in effectively managing the delivery process while maintaining reliability. In response, this study aims to address these two challenges by examining the effects of real-time demands and restaurant density on delivery reliability, as well as how the type of driver (i.e., in-house versus crowdsourced drivers) moderates these effects. We evaluated our model with a unique dataset obtained from one of the top three on-demand meal delivery platforms in China, and our research sheds light on several key findings. Specifically, our study finds inverted U-shaped relationships between real-time demands and delivery reliability and a positive relationship between restaurant density and delivery reliability. In addition, it reveals that crowdsourced drivers perform better than in-house drivers under high real-time demands. This study contributes to the literature by clarifying how delivery reliability can be influenced by real-time demands and restaurant density. The results offer important implications for on-demand meal delivery platforms to improve delivery performance and allocate demands amid complicated market conditions.

技术进步和创新的激增刺激了按需送餐平台的兴起。尽管这些平台具有广泛的吸引力,但在有效管理交付过程的同时保持可靠性方面,它们面临着两个关键挑战(即订单批处理和需求分配)。因此,本研究旨在通过考察实时需求和餐厅密度对交付可靠性的影响,以及司机类型(即内部司机与众包司机)如何调节这些影响,来解决这两个挑战。我们使用从中国三大按需外卖平台之一获得的独特数据集来评估我们的模型,我们的研究揭示了几个关键发现。具体而言,我们的研究发现实时需求与配送可靠性之间存在倒u型关系,餐厅密度与配送可靠性之间存在正相关关系。此外,它揭示了在高实时性要求下,众包司机比内部司机表现更好。本研究通过阐明递送可靠性如何受到实时需求和餐厅密度的影响,为文献做出了贡献。研究结果对按需外卖平台在复杂的市场条件下提高配送性能和分配需求具有重要意义。
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引用次数: 0
When does it pay to be green? The strategic benefits of adoption speed 什么时候需要绿色环保?采用速度的战略效益
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-10-29 DOI: 10.1002/joom.1337
Hung-Chung Su, Wayne Fu, Kevin Linderman

Does the speed of adopting environmental practices impact financial benefits? The strategy literature discusses the contingencies under which firms can gain an early-mover advantage or a late-mover advantage. This research examines the effect of adoption speed on two types of environmental practices: environmental innovation practices (EIP) and environmental management practices (EMP). The results show that early adoption of EIP increases competitive advantage when firms face intense competition. In comparison, we show that early adoption of EMP increases competitive advantage when firms face extremely low competition or have moderate to high levels of slack resources. The study contributes to the literature by revealing the nuances, contingencies, and boundary conditions of when it pays to be green. Prior research shows mixed results when studying firms' decisions to implement environmental practices, which implies that it may not pay to be green. This study shows that firms can get an early mover advantage from environmental practices, but it depends on the type of environmental practices, the firm's internal slack resources, and the firm's external competitive environment.

采用环保措施的速度是否会影响经济效益?战略文献讨论了企业在哪些情况下可以获得先行者优势或后来者优势。本研究探讨了采用速度对两类环境实践的影响:环境创新实践(EIP)和环境管理实践(EMP)。结果表明,当企业面临激烈竞争时,尽早采用环境创新实践会增加竞争优势。相比之下,我们发现,当企业面临极度激烈的竞争或拥有中高水平的闲置资源时,尽早采用 EMP 会增加竞争优势。本研究揭示了绿色经济的细微差别、偶然性和边界条件,为相关文献做出了贡献。以往的研究表明,企业实施环保措施的决策结果好坏参半,这意味着企业可能不会为环保买单。本研究表明,企业可以从环保实践中获得先发优势,但这取决于环保实践的类型、企业的内部闲置资源以及企业的外部竞争环境。
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引用次数: 0
Supply Base attributes and diversion risk in a supply chain for hazardous pharmaceutical products 危险药品供应链中的供应基础属性和转移风险
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-10-27 DOI: 10.1002/joom.1335
Paul F. Skilton, Alan Mackelprang, Ramin Sepehrirad, Ednilson Bernardes

We develop a novel construct, diversion risk, defined as the potential for post-retail diversion that results from increased sales of hazardous goods. We examine diversion risk in the context of prescription opioid sales in the United States. We ask how supply base attributes and nonprofit ownership influence the creation of opioid diversion risk. We use performance-outcome expectancy theory to hypothesize that pharmacies organize supply bases to help them avoid negative evaluations and that nonprofit ownership alters expectancy concerning legal but questionable behavior. We develop and test multilevel hypotheses explaining how supply base complexity, chain size, and nonprofit ownership influence diversion risk. Our analysis of DEA data from 2006 to 2019 finds that after accounting for other attributes, supply base complexity is positively related to diversion risk, within and between firms. Retail chain size is negatively related to diversion risk in the within-firm model, but positively in the between firm model. Testing our nonprofit hypothesis reveals that nonprofit pharmacies also use size and supply base complexity to manage diversion risk. This research sheds light on the dynamics of diversion risk in pharmaceutical supply chains. It has practical implications for the industry, potentially informing future policy and practice addressing this critical issue.

我们开发了一个新的结构,转移风险,定义为潜在的零售后转移的结果,增加销售的危险货物。我们检查在美国处方阿片类药物销售的背景下转移风险。我们询问供应基础属性和非营利性所有权如何影响阿片类药物转移风险的产生。我们使用绩效-结果预期理论假设药房组织供应基地以帮助他们避免负面评价,非营利性所有权改变了对合法但可疑行为的预期。我们开发并检验了多层次的假设,解释了供应基础复杂性、供应链规模和非营利组织所有权如何影响转移风险。我们对2006年至2019年DEA数据的分析发现,在考虑了其他属性后,供应基础复杂性与企业内部和企业之间的转移风险呈正相关。在企业内部模型中,零售连锁店规模与转移风险呈负相关,在企业之间模型中呈正相关。检验我们的非营利性假设表明,非营利性药店也使用规模和供应基础的复杂性来管理转移风险。本研究揭示了制药供应链中转移风险的动态。它对该行业具有实际意义,可能为未来解决这一关键问题的政策和实践提供信息。
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引用次数: 0
Registered reports review for field experiments 实地实验注册报告审查
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-10-15 DOI: 10.1002/joom.1336
Huseyn Abdulla, Rafael Escamilla, Rogelio Oliva

In this editorial, we build upon the increased attention of the operations management (OM) community toward field experiments and the recent publication of the Pre-Approved Research Designs Special Issue that provided an initial test of Registered Reports as a novel review process for field experiments in OM. Addressing lingering concerns voiced by the editorial team and learning from the experiences of journals from other disciplines that implemented Registered Reports, we introduce a new initiative and outline a new review process in the Journal of Operations Management (JOM) to motivate theory-focused field experiments in OM.

Empirical research in OM strives to uphold two key virtues: providing managerially relevant insights and making meaningful theoretical contributions. Field experiments1—testing treatments in controlled digital and physical field settings—tend to possess the managerial relevance virtue because of their strong engagement with key stakeholders and the practical problems that they face. By contrast, the theoretical contributions of a field experiment depend on the extent to which its insights enrich our causal understanding of real-world phenomena. Critically, the degree to which scientific research based on field experiments in OM can be distinguished from consulting engagements and industrial experiments depends on the extent of its contributions to theory. Indeed, there are many different ways of contributing and forms of contribution to OM theory; however, they all serve a common purpose: to build a causal understanding of relevant OM phenomena. Field experiments can most decisively establish this causal understanding in the complexity of real-world operations (Ibanez & Staats, 2019). Thus, OM research that tests theoretically motivated treatments in field settings and provides sufficiently deep causal explanations for the observed effects, while also opening a door for future inquiry, possesses both virtues of empirical research. Consequently, we believe that the field of OM can benefit significantly from such research.

Despite the fact that empirical research employing field experiments as the main methodological approach is on the rise in OM, it has traditionally lagged other disciplines such as economics, marketing, and information systems (Gao et al., 2023). For example, Simester (2017) reports that 37 field experiments were published in the top five marketing journals between 2010 and 2014, a period in which OM published a total of five field experiments in its top five journals (Gao et al., 2023). Between 2005 and 2021, only 31 research articles with field experiments were published in three top-tier OM journals: JOM, Manufacturing & Service Operations Management (MSOM), and Production and

在这篇社论中,我们以运营管理(OM)界对现场实验的日益关注以及最近出版的 "预批准研究设计特刊"(Pre-Approved Research Designs Special Issue)为基础,该特刊对注册报告(Registered Reports)作为运营管理领域现场实验的新型审稿流程进行了初步测试。为了解决编辑团队提出的遗留问题,并借鉴其他学科期刊实施注册报告的经验,我们在《运营管理杂志》(JOM)上推出了一项新举措,并概述了新的审稿流程,以激励运营管理领域以理论为重点的现场实验。运营管理领域的实证研究努力坚持两个关键优点:提供与管理相关的见解,并做出有意义的理论贡献。现场实验1 - 在受控的数字和物理现场环境中测试处理方法 - 往往具有与管理相关的优点,因为它们与主要利益相关者及其面临的实际问题密切相关。相比之下,实地实验的理论贡献取决于其见解在多大程度上丰富了我们对现实世界现象的因果理解。至关重要的是,基于 OM 实地实验的科学研究能在多大程度上区别于咨询参与和工业实验,取决于其对理论的贡献程度。事实上,有许多不同的方法和形式可以为 OM 理论做出贡献;但是,它们都有一个共同的目的:建立对相关 OM 现象的因果理解。实地实验可以在现实世界的复杂运作中最果断地建立这种因果理解(Ibanez &amp; Staats, 2019)。因此,在实地环境中测试理论上的处理方法,并为观察到的效果提供足够深入的因果解释,同时也为未来的探索打开一扇门的 OM 研究,同时具备实证研究的两种优点。尽管采用现场实验作为主要方法论的实证研究在人力资源管理领域呈上升趋势,但它在传统上一直落后于经济学、市场营销和信息系统等其他学科(Gao 等,2023 年)。例如,Simester(2017)报告称,2010 年至 2014 年间,前五大市场营销期刊共发表了 37 篇现场实验论文,而在此期间,OM 在其前五大期刊中共发表了 5 篇现场实验论文(Gao 等人,2023 年)。2005 年至 2021 年间,OM 三大顶级期刊仅发表了 31 篇带有现场实验的研究文章:JOM, Manufacturing &amp; Service Operations Management (MSOM) 和 Production and Operations Management (POM)。这些文章探讨了与运营有关的有趣研究问题,测试了管理处理对运营结果的因果影响,并就如何改进运营流程提出了见解。然而,这些论文中很少有论文是出于理论考虑而发表的,运营管理文献中此类现场实验相对较少,这表明人们错失了利用现场实验做出理论贡献的机会。事实上,在进行现场实验时,OM 现场实验中的处理方法有可能主要以解决问题为导向,缺乏理论建设、阐述或检验重点(Fisher &amp; Aguinis, 2017)。从我们自身的经验来看,当研究伙伴已经有了实施特定疗法以改善组织成果的意图,而研究人员又以严格的方式为测试该疗法做出了贡献时,实地实验合作就更有可能得到实施。这并不是说,测试以解决问题为重点而设计的干预措施就不能带来重要的理论贡献。这种情况在以干预为基础的研究中很常见,研究者在其中扮演了支持变革努力的积极角色(Chandrasekaran 等人,2023 年;Oliva,2019 年)。然而,我们认为,如果在基于实地实验的研究中将解决问题作为优先重点,那么在事前很少考虑重点处理方法的理论背景和意义、其因果影响以及潜在边界条件的情况下,理论贡献可能会不足。此外,现场实验作为一种研究设计,牺牲了背景的普遍性,以便在研究感兴趣的现象时获得更大的现实性(McGrath,1981 年)。
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引用次数: 0
Helping hampered bidders—Do subsidy auctions work as intended? 帮助受阻的投标人--补贴拍卖是否如愿以偿?
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-10-12 DOI: 10.1002/joom.1333
Sanghoon Cho, Joel O. Wooten, Timothy D. Fry

The use of preference or discriminatory auctions, where one class of bidders is offered favored treatment over another class, has received mixed attention in the literature. Research has shown there is often an economic benefit of such policies in procurement auctions thanks to lower costs for buyers as incentives are offered to disadvantaged sellers. In this paper, we study one type of preferential procurement auction: the subsidy. Using a set of controlled experiments, we compare actual bidder behavior to what is predicted in equilibrium and find consistent (but overly aggressive) patterns overall. By testing a common bid strategy assumption, we also identify a behavioral framing bias that may trap sellers in these suboptimal strategies. Finally, we compare subsidies to another common discriminatory mechanism—the price preference—and find evidence that buyers interested in increasing the welfare of disadvantaged sellers should use subsidies instead of price preference auctions, thanks to a surprising difference in outcomes between preference types. Due to the wide use of bid preference auctions to support both policy and social aims, our findings have both financial and societal implications.

使用优惠或歧视性拍卖,即给予一类投标人优于另一类投标人的待遇,在文献中受到的关注不一。研究表明,在采购拍卖中,这种政策往往能带来经济效益,因为向弱势卖家提供了激励措施,从而降低了买方的成本。在本文中,我们研究了一种优惠采购拍卖:补贴。通过一组受控实验,我们将实际投标人的行为与均衡状态下的预测进行了比较,发现两者的行为模式总体上是一致的(但过于激进)。通过检验一种常见的投标策略假设,我们还发现了一种行为框架偏差,这种偏差可能会使卖方陷入这些次优策略中。最后,我们将补贴与另一种常见的歧视机制--价格偏好进行了比较,发现有证据表明,有意增加弱势卖家福利的买方应该使用补贴而不是价格偏好拍卖,这要归功于偏好类型之间令人惊讶的结果差异。由于竞价偏好拍卖被广泛用于支持政策和社会目标,我们的发现对金融和社会都有影响。
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引用次数: 0
Evaluating quality reward and other interventions to mitigate US drug shortages 评估质量奖励和其他干预措施,以减轻美国药品短缺
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-10-08 DOI: 10.1002/joom.1334
Sergey Naumov, In Joon Noh, Hui Zhao

Drug shortages have been persistent in the United States for over a decade, posing serious threats to public health and the healthcare system. While previous research has investigated the causes and effects of drug shortages, there is a dearth of research exploring potential solutions to mitigate this problem. Using a system dynamics model of the US generic drug market, we evaluate the long-term effectiveness of two existing policy interventions (expediting drug approvals and nudging manufacturers to ramp up their production) and the “quality reward” initiative that is being actively explored by the FDA and industry. Our results indicate that while the existing interventions can be helpful in addressing shortages, their long-term effect seems limited. In contrast, quality reward can mitigate drug shortages in a sustainable way. However, a caveat of quality reward is the potential emergence of a monopolistic supply market with negative consequences. We suggest that a carefully designed quality disclosure mechanism can address this issue. To the best of our knowledge, this is the first study to quantitatively and comparatively evaluate the long-term effectiveness of quality reward and other interventions on drug shortages and provide structural explanations for their performance.

十多年来,美国药品短缺问题持续存在,对公众健康和医疗体系构成严重威胁。虽然以前的研究已经调查了药物短缺的原因和影响,但探索缓解这一问题的潜在解决方案的研究却很缺乏。使用美国仿制药市场的系统动力学模型,我们评估了两项现有政策干预的长期有效性(加速药物批准和推动制造商提高产量)以及FDA和行业正在积极探索的“质量奖励”计划。我们的研究结果表明,虽然现有的干预措施有助于解决短缺问题,但其长期效果似乎有限。相比之下,质量奖励可以以可持续的方式缓解药品短缺。然而,质量奖励的一个警告是,垄断供应市场可能出现负面后果。我们建议一个精心设计的质量披露机制可以解决这个问题。据我们所知,这是第一个定量和比较评估质量奖励和其他干预措施对药物短缺的长期有效性,并为其表现提供结构性解释的研究。
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引用次数: 0
Mitigating upstream disruptions: Effects of extended inventories in first- and second-tier suppliers 缓解上游中断:一、二线供应商库存增加的影响
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-09-22 DOI: 10.1002/joom.1332
Christian F. Durach, Yuri Peers, Yimin Wang, Tomas Repasky

This study examines how inventory slack at first- and second-tier suppliers influences buyer performance following an upstream disruption event. We analyze secondary data from buyer, first-tier, and second-tier triads impacted at their upper end by the 2011 Great East Japan Earthquake. By matching buyers in affected triads with similar, largely unaffected firms, we assess post-event performance in relation to triad inventory slack. Results show: (a) inventory slack at the first and second tiers supports buyer performance after the disruption; (b) first-tier inventory slack has a greater impact; (c) buyers with less inventory slack can extract more value from their chains' inventories compared to those with more slack; and (d) first-tier suppliers occupy a pivotal role in bridging the second-tier inventories to the buyer. When competition for the first-tier intensifies, the benefits of having first- and second-tier inventory slack diminish for the buyer. A central contribution of this study is to highlight the importance of resources controlled by chain members with indirect links to the buyer and the bridging role of first-tier suppliers. These insights suggest that for effective risk management, both direct and indirect supply chain resources and their interactions need consideration. Practically, these findings should guide supplier selection, risk management, and investments in supply chain visibility.

本研究考察了上游中断事件后,一级和二级供应商的库存闲置如何影响买方绩效。我们分析了受2011年东日本大地震影响的买家、一线和二线三位一体的二手数据。通过将受影响的三方买家与类似的、基本上未受影响的公司进行匹配,我们评估了与三方库存闲置相关的事后表现。结果表明:(a)一、二级库存闲置对中断后的买方绩效有支持作用;(二)一线库存闲置影响较大;(c)与库存松弛度较高的买家相比,库存松弛度较低的买家可以从其供应链的库存中提取更多的价值;(d)一级供应商在将二级库存传递给买方方面发挥着关键作用。当对一线的竞争加剧时,对买家来说,拥有一线和二线库存闲置的好处就会减少。本研究的一个核心贡献是强调了与买方有间接联系的链成员控制的资源的重要性以及一线供应商的桥梁作用。这些见解表明,为了有效的风险管理,需要考虑直接和间接供应链资源及其相互作用。实际上,这些发现应该指导供应商的选择、风险管理和供应链可见性的投资。
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引用次数: 0
Riding the waves of uncertainty: Towards strategic agility in medicine supply systems 驾驭不确定性的浪潮:实现药品供应系统的战略敏捷性
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-09-20 DOI: 10.1002/joom.1330
Nonhlanhla Dube, Kostas Selviaridis, Kim E. van Oorschot, Marianne Jahre

We investigate how organizations embedded in a supply system collectively respond to risks and seize opportunities arising from crisis events under shifting forms of uncertainty. Using the United Kingdom (UK) medicine supply system as the research context, we explore how decision-makers navigated the effects of an event with knowable implications (UK's European Union exit, 2016–2020) followed by an event with unknowable implications (COVID-19 global pandemic, 2020–2021). We adopt a longitudinal case research design that incorporates causal loop diagramming, to understand the system's responses. We find that learning evolves as crisis events unfold, changing from surface (know-what) to deep (know-why and -how) and at the highest level, it is transcendent. Transcendent learning entails understanding system effects into the future (i.e., beyond the past and present) and in relation to other supply systems (i.e., beyond the UK system). Capabilities to absorb, avoid, and accelerate away from shocks are developed sequentially as learning changes. We contribute to prior research by developing a theory of system-level strategic agility and the adaptation processes that underpin it. The latter hinge on dynamic resource (re)allocation and the continuous (re)configuration of processes, protocols, regulations, and structures.

我们研究了在不确定性变化的形式下,嵌入供应系统的组织如何集体应对风险并抓住危机事件产生的机会。以英国药品供应系统为研究背景,我们探讨了决策者如何应对具有可知影响的事件(英国退出欧盟,2016-2020年)和具有不可知影响的事件(COVID-19全球大流行,2020-2021年)的影响。我们采用纵向案例研究设计,结合因果循环图,以了解系统的反应。我们发现,学习随着危机事件的展开而发展,从表面(知道什么)转变为深层(知道为什么和如何),在最高层次上,它是超越的。超越性学习需要理解系统对未来的影响(即,超越过去和现在)以及与其他供应系统的关系(即,超越英国系统)。吸收、避免和加速远离冲击的能力是随着学习的变化而依次发展起来的。我们通过开发系统级战略敏捷性理论和支撑它的适应过程,为先前的研究做出了贡献。后者取决于动态资源(重新)分配和过程、协议、法规和结构的连续(重新)配置。
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Journal of Operations Management
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