加强医疗保健供应链以促进全民健康覆盖:肯尼亚的实证审查

KENNEDY OTIENO PANYA, JOSHUA OLANGO ABUYA, PhD
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引用次数: 0

摘要

本研究的主要目的是找出卫生供应链在促进肯尼亚全民健康覆盖方面的作用。具体而言,该研究确定了库存优化、供应链数据分析、供应链整合和战略采购对肯尼亚实现全民健康覆盖(UHC)的影响。本研究采用描述性研究设计。与大多数桌面研究一样,这项研究严重依赖于二手数据。该研究审查了关于供应链管理和全民健康覆盖的期刊文章、未发表的论文和会议论文。本文采用桌面方法来提供研究目标的答案。具体来说,本文使用了描述性的方法从同行评审的出版物中收集信息,如期刊文章、组织报告和书籍。该研究发现,由于许多挑战,肯尼亚实现全民健康覆盖仍然难以实现,其中包括由于资源分配和使用不当而导致的不同医疗服务的不平等获得,医疗人员数量短缺,医疗人员分布不均,国家卫生系统无法有效应对流行病,卫生部门腐败,慢性病负担不断增加,流行病学问题以及人口结构转型(非传染性疾病急剧增加)、卫生领导和治理问题、加强卫生采购活动的必要性等众多问题。该研究建议,决策者必须致力于实施实现全民健康覆盖的战略。它们还必须进行卫生筹资改革,以调动更多的卫生筹资,并确保现有的卫生资金得到最佳和公平的利用。国家应重新调整其卫生筹资战略,不再侧重于缴费、自愿的健康保险,而是认识到增加卫生保健资金至关重要。关键词:库存优化,供应链,供应链集成,战略采购引文:Panya, K. O., &阿布亚,j.o.(2023)。加强医疗保健供应链以促进全民健康覆盖:肯尼亚的实证审查。商业战略杂志;变革管理,10(4),233 - 260。http://dx.doi.org/10.61426/sjbcm.v10i4.2746。
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STRENGTHENING HEALTHCARE SUPPLY CHAIN TO FACILITATE UNIVERSAL HEALTH COVERAGE: AN EMPIRICAL REVIEW IN KENYA
The main objective of this study was to find out the effect of health supply chain in facilitating Universal Health Coverage in Kenya. Specifically, the study identified the effect of Inventory Optimization, Supply Chain Data Analytics, Supply Chain Integration and the influence of Strategic Purchasing on the achievement of Universal Health Coverage (UHC) in Kenya. The research design employed in this study was descriptive. This study relied heavily on secondary data as is the case with most desktop research study. The study reviewed journal articles, unpublished papers and conference papers on Supply Chain Management and Universal Health Coverage. The paper employed a desktop approach to provide answers to the research objectives. Specifically, the paper used a descriptive approach to gather information from peer reviewed publications such as, journal articles, organizations reports and books. The study found that the attainment of UHC in Kenya had remained elusive due to many challenges, which included unequal access to different healthcare services due to poor distribution and use of resources, shortfall in the number of medical personnel, skewed distribution of healthcare workforce, inability of the country’s health system to deal effectively with epidemics, corruption in the health sector, the growing burden of chronic diseases, epidemiological as well as a demographic transition with a steep increase among non-communicable diseases (NCDs), health leadership and governance issues, the need to strengthen health purchasing activities, among other myriads of issues. The study recommended that policy makers must purpose to implement strategies to deliver UHC. They must also undertake health financing reforms to mobilize more financing for health and ensure that available funds for health are used optimally and equitably. The state should reorient its health financing strategy away from a focus on contributory, voluntary health insurance, and instead recognize that increased healthcare funding is critical. Key Words: Inventory Optimization, Supply Chain, Supply Chain Integration, Strategic Purchasing CITATION: Panya, K. O., & Abuya, J. O. (2023). Strengthening healthcare supply chain to facilitate universal health coverage: An empirical review in Kenya. The Strategic Journal of Business & Change Management, 10 (4), 233 – 260. http://dx.doi.org/10.61426/sjbcm.v10i4.2746.
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