Healthcare supply chain risk management in Rio de Janeiro, Brazil: What is the current situation?

IF 2.4 3区 工程技术 Q2 ENGINEERING, INDUSTRIAL
Pedro P. Senna, Augusto da Cunha Reis, Igor Leão Santos, Ana Cláudia Dias
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引用次数: 3

Abstract

BACKGROUND Public Hospital Managers in Rio de Janeiro must deal with severe budget costs, which is the only source of income of public hospitals. In this sense, Systematic Supply Chain Risk Management can contribute to identifying such risks, assessing their severity, and developing mitigating plans, or even revealing the lack of such plans. Private hospital networks must also map their risks since they are facing a diminishing of demand given that unemployment in Brazil, which is growing in the past years, generates an impossibility of affording private Healthcare. OBJECTIVES The purpose of this paper is to investigate how Supply Chain Risk Management is being applied in Healthcare Supply Chains from Rio de Janeiro -Brazil. This study considers Supply Chains located in the state of Rio de Janeiro. To accomplish this objective, we provide answers to two Research Questions: RQ1 - Is SCRM known as a concept among Rio de Janeiro Healthcare Supply Chains? RQ2 - How are risk identification, risk assessment, and risk mitigation being implemented by companies from the healthcare supply chains in Rio de Janeiro -Brazil? METHODS Our research design is based on four steps: i) Research design; ii) Case selection: iii) Data collection (11 cases selected); iv) Data analysis. RESULTS The interviews revealed that SCRM is an entirely unknown concept among Healthcare Supply Chains from Rio de Janeiro -Brazil. Managers have empirical knowledge of the risks, and they can identify the most hazardous risks and can come up with solutions to mitigate them, nevertheless, in many situations they do not have the authority or the manpower to implement the solutions, at most, managers implement local risk mitigation initiatives that do not consider the supply chains broader context. CONCLUSIONS The healthcare organizations studied by this paper do not apply SCRM. They only apply local isolated solutions not considering a supply chain scope. This can become hazardous since isolated risk mitigation initiatives are often innocuous and have the potential to generate other risks.
巴西里约热内卢的医疗保健供应链风险管理:现状如何?
里约热内卢公立医院的管理者必须应对严峻的预算成本,这是公立医院唯一的收入来源。从这个意义上说,系统供应链风险管理可以帮助识别这些风险,评估它们的严重性,并制定缓解计划,甚至揭示缺乏这样的计划。私营医院网络也必须映射其风险,因为他们面临着需求的减少,因为巴西的失业率在过去几年中不断增长,导致不可能提供私人医疗保健。目的本文的目的是调查供应链风险管理是如何应用于医疗保健供应链从里约热内卢-巴西。本研究考虑了位于里约热内卢州的供应链。为了实现这一目标,我们提供了两个研究问题的答案:RQ1—在里约热内卢医疗保健供应链中,SCRM是一个概念吗?RQ2 -巴西里约热内卢医疗保健供应链中的公司如何实施风险识别、风险评估和风险缓解?研究设计分为四个步骤:1)研究设计;ii)病例选择:iii)数据收集(选择11例);iv)数据分析。结果访谈显示,在巴西里约热内卢的医疗保健供应链中,供应链管理是一个完全未知的概念。管理人员具有风险的经验知识,他们可以识别最危险的风险,并可以提出减轻风险的解决方案,然而,在许多情况下,他们没有权力或人力来实施解决方案,最多,管理人员实施不考虑供应链更广泛背景的当地风险缓解举措。结论本研究所研究的医疗机构未应用供应链管理。他们只应用局部孤立的解决方案,而不考虑供应链范围。这可能是危险的,因为孤立的风险缓解举措往往是无害的,并有可能产生其他风险。
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
Cognition Technology & Work
Cognition Technology & Work ENGINEERING, INDUSTRIAL-
CiteScore
6.90
自引率
7.70%
发文量
26
审稿时长
>12 weeks
期刊介绍: Cognition, Technology & Work focuses on the practical issues of human interaction with technology within the context of work and, in particular, how human cognition affects, and is affected by, work and working conditions. The aim is to publish research that normally resides on the borderline between people, technology, and organisations. Including how people use information technology, how experience and expertise develop through work, and how incidents and accidents are due to the interaction between individual, technical and organisational factors. The target is thus the study of people at work from a cognitive systems engineering and socio-technical systems perspective. The most relevant working contexts of interest to CTW are those where the impact of modern technologies on people at work is particularly important for the users involved as well as for the effects on the environment and plants. Modern society has come to depend on the safe and efficient functioning of a multitude of technological systems as diverse as industrial production, transportation, communication, supply of energy, information and materials, health and finance.
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