Phân tích các rào cản hoạt động của chuỗi cung ứng chăm sóc sức khỏe được hỗ trợ bởi chính phủ

International Journal of Productivity and Performance Management - Tập 71 Số 8 - Trang 3766-3791 - 2022
Anuj Dixit1, Srikanta Routroy1, Sunil Kumar Dubey2
1Department of Mechanical Engineering, Birla Institute of Technology and Science Pilani, Pilani, India
2Department of Pharmacy, Birla Institute of Technology and Science, Pilani, Pilani, India

Tóm tắt

Mục đíchMục đích của nghiên cứu này là phát triển một phương pháp luận để xác định, phân loại và ưu tiên các rào cản trong chuỗi cung ứng chăm sóc sức khỏe được chính phủ hỗ trợ (GHSCBs).Thiết kế/phương pháp tiếp cậnNghiên cứu này phát triển một nền tảng lý thuyết để xác định và phân tách các GHSCBs liên quan, đồng thời đề xuất một phương pháp 5W2H (hệ thống sản xuất Toyota) kết hợp với phương pháp thử nghiệm và đánh giá quyết định mờ (DEMATEL) để định lượng các mối quan hệ nguyên nhân-kết quả giữa các GHSCBs đã xác định.Kết quảBảy GHSCBs (tức là sự không chắc chắn trong quản lý nhu cầu, thiếu cải tiến và học hỏi liên tục, thiếu quản lý thời hạn, thiếu kiểm toán xã hội, thiết bị kho bãi không có sẵn, thiếu nguồn nhân lực và giám sát cấp cao không đầy đủ) đã được xác định là nhóm nguyên nhân quan trọng mà chính phủ, ban lãnh đạo cấp cao và các nhà quyết định của chuỗi cung ứng chăm sóc sức khỏe được hỗ trợ bởi chính phủ (GHSC) cần phải nỗ lực.Giới hạn/nghiên cứuCác kết quả thu được là cụ thể cho góc nhìn của GHSC Ấn Độ, điều này có thể được mở rộng sang bối cảnh toàn cầu. Tuy nhiên, phương pháp đề xuất có thể là một cơ sở và cung cấp một nền tảng để hiểu và phân tích các tương tác giữa các GHSCBs.Ý nghĩa thực tiễnPhương pháp luận được đề xuất sẽ chỉ ra các lĩnh vực thích hợp để phân bổ nỗ lực và tài nguyên nhằm giảm thiểu tác động của GHSCBs trong việc thực hiện thành công chuỗi cung ứng chăm sóc sức khỏe.Giá trị/độc đáoTheo hiểu biết tốt nhất của các tác giả, đây là nghiên cứu đầu tiên về các rào cản hoạt động cho GHSC ở Ấn Độ nói riêng. Việc sử dụng phương pháp DEMATEL mờ kết hợp với 5W2H để phát triển và phân tích khung lý thuyết của các GHSCBs Ấn Độ là duy nhất trong tài liệu nghiên cứu về các rào cản.

Từ khóa


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