Search results

This study aims to identify supply chain (SC) management practices applied to purchasing capable of improving the resilience of the health-care SC and mitigating the effects of material and service disruption during pandemics.

The approach adopted is qualitative and is based on a systematic literature review from the ScienceDirect, Emerald, Wiley and Web of Science databases. After selecting 705 documents, filters are applied, and 52 articles present problems faced by purchasing the health-care SC during the coronavirus disease 2019 (COVID-19) pandemic.

This article suggests five propositions of resilient practices that can increase purchasing resilience in the face of pandemics such as COVID-19. The proposed practices are collaboration, flexibility, visibility, agility and information sharing, which suggest a sequence for the adoption of management practices based on the number of occurrences and importance found in the analysed studies.

This study does not find robust empirical evidence that could categorically state that the results can be replicated in organisations in general. Thus, as a continuation of research, more studies should use an empirical methodology and case analysis to organise different branches. As the human factor was decisive for the results observed in the literature, future research should dedicate part of the studies to the psychological area of professionals. Actions to combat the pandemic were implemented, impacting positively and negatively on the results obtained. Future research on combat actions could indicate which ones should be avoided.

As a result, disruptions are expected to be reduced, and consequently, the resilience of the SC will increase. Accordingly, purchasing processes and procedures can be redefined to positively influence the resilience of the health-care SC. Resilience is related to maintaining the flow of supply, as well as systems and actions aimed at mitigating the effects of disruptions in the hospital’s core business.

Health systems need to respond to society’s needs even in the face of global crises, such as the one faced during the COVID-19 pandemic. The overload in hospitals and the exponential demand for specific medicines and services in the fight against the crisis caused by the COVID-19 pandemic require enormous coordination in procurement by the purchasing sector. This planning aims to ensure that the care provided by health services maintains the flow of value that serves hospitalised patients.

This study introduces a new approach to the recurrent problem of disruption of the health-care SC during a pandemic using a combination of five important management practices. This proves useful for mitigating disruptions and their effects on the health-care SC.

This article investigates how the healthcare sector can reorganize its procurement network to better balance its resilience and cost-minimization objectives.

A single case study was conducted on the procurement of personal protective equipment (PPE) during the first COVID-19 pandemic wave in the Quebec public healthcare network. Interviews were conducted with stakeholders from the supply chain management (SCM) departments at eight public healthcare institutions.

Two major challenges in the early months of the pandemic impacted the development of resilience in the healthcare network. First, peripheral actors’ decisions, which orient procurement objectives, limited the deployment of resilience measures in the supply chain (SC). Second, SC resilience included hundreds of products other than PPE that are critical to the delivery of care. The article illustrates the challenges of SCR, which will inevitably be accompanied by additional costs when purchasing in the public healthcare sector is often focused on the lowest price.

Drawing from the network perspective model, this article examines the actions of Quebec supply network stakeholders through the three phases of SCR: anticipation, response to disruption, and recovery. Finally, the article suggests that decision-makers remove the cost of resilience measures from the purchase price of products, in order to maintain these measures over the long term.

The Covid-19 pandemic generated significant changes in the operating methods of hospital logistics departments. The objective of this research is to understand how these changes took place, what collaboration mechanisms were developed with clinical authorities and, to what extent, logistics and clinical care activities should be decoupled to maximize each area's contribution?

The case study is selected to investigate practices implemented during the COVID-19 pandemic in hospitals in Canada. The pandemic presented an opportunity to contrast practices implemented in response to this crisis with those historically used in this environment.

The strategy of decoupling logistical tasks of an operational nature from clinical activities is well-founded and helps free clinical staff from tasks for which they are not trained. However, the decoupling of operational tasks should be combined with an integration of the clinical information flow to the logistics hub players. With this clinical information, the logistics hub can generate its full potential enabling better inventory management decisions to be made.

The concept of decoupling is studied to identify configurations that offer the best benefits for clinical staff.

This paper aims to investigate the competencies that researchers need to develop and employ for successful collaborative research.

The authors use a reflexive approach built on participant observation of six cases of collaborative research in public procurement and logistics.

The authors identify and explain two major competencies that are required for successful collaborative research. The first is boundary-spanning competence that represents the researchers' ability to move fluidly from the academic milieu to the practitioner's environment. The second is reflexivity competence that allows the researchers to learn from each collaborative research project they participate in and further improve their boundary-spanning competence.

This study goes beyond the list of skills for collaborative research reported in the literature to describe two major competencies that researchers should develop to perform successful collaborative research. This reflection may serve as a starting point for the development of a sociological understanding of the collaborative research field.

‘Collaboration’ and ‘team’ are terms commonly used in literature related to the provision of health care, including rehabilitation. However, the complexity of the phenomena represented by these terms is often overlooked. ‘Collaboration’ is rarely defined, and ‘teams’ are often presented as easily identifiable and stable entities. Simplistic use of these terms often results in different aspects of interprofessional practice being researched and discussed without reference to the ‘messiness’ (the ambiguities and complexities) surrounding professional practice. As a consequence, health professionals may have difficulties in understanding the relevance of such research to their particular situations. This paper explores the complexities of the phenomenon of collaboration and the concept of team, with the aim of highlighting the benefits of researchers embracing rather than simplifying these phenomena. The paper reports on emerging models in action, which is one part of a wider research project exploring collaboration within rehabilitation teams. The research approach was informed by hermeneutic phenomenology. Insights gained through this project led to the development of two models: the first conceptualising collaboration in relation to domains of process, product and players; the other model proposing the notion of collaborative arenas. The model of collaborative arenas recognises the blurred boundaries and interrelated team memberships that occur in rehabilitation teams. Both models informed ongoing data collection and analysis for this research project and have potential to inform conceptualisation of teams and collaboration for other researchers.

According to the most recent theories, the competitiveness of organizations is based on the development of competencies. Core competencies result from greater mastery than competitors of organizational abilities valued by customers. This paper seeks to investigate how a more thorough integration of the supply chain may be associated with greater mastery of operational competencies.

The study is based on a mail survey carried out among Canadian manufacturing companies.

The statistical analyses identified four clusters of respondents with regard to their supply chain management practices. These practices may be either distant or integrated with upstream or downstream partners. The other component of the study made it possible to identify four operational competencies – i.e. cost, delivery, logistic services, and design. It was observed that the group with the most highly integrated supply practices mastered an operational competency in logistic services.

The limited size of the sample and its regional character may limit the generalization of results. The study will therefore be reproduced in other regions of the world.

Very little research has been done on the impact of supply chain management on operational competencies. Using the results of an empirical study, the paper provides a better understanding of the relationship between supply chain management practices and the development of operational competencies. It also offers a somewhat different view of the concept of supply chain integration.

Due to the diversity of its players, the American healthcare sector has experimented with different types of integrated supply chain management systems for medical supplies. In the 1980s, US distributors were offering customers the so‐called stockless replenishment method, whereby the distributor picks and packs products according to the particular needs of each patient care unit and, in most cases, delivers them directly. By the late 1990s, stockless agreements had run out of steam, as distributors sought to optimize the balance between their efforts expended in hospital replenishment and the hospitals’ inventory savings. Among the various reflections and initiatives aimed at finding such a new balance, we focused on the experience of a Quebec (Canada) hospital adopting a hybrid version of the stockless system, under which the distributor supplied high‐volume products for the patient care unit in case quantities, leaving the institution’s central stores to break down bulk purchases of low‐volume products into point‐of‐use format (eaches). The study reveals marginal benefits from the hybrid method for both the institution and the distributor. However, it also reveals the importance of the manufacturer’s role with respect to packing formats, and demonstrates that the rearrangement of storage areas can generate substantial savings, opening the way to means for improving the healthcare sector supply chain.

Over the last decade, competition in the manufacturing sector has increased as globalization and customer requirements have evolved. Now, organizations are competing not only with their internal capabilities but also on their abilities to leverage capabilities in the supply chain. Recent studies suggest that strategic alignment in the supply chain, assessed by the degree of matching between supply management and market requirements, is critical for the success of organizations in the global marketplace. The purpose of this paper is to examine the possible linkage between strategic alignment (or lack of) in the supply chain, based on the traditional competitive priorities (i.e. cost, quality, flexibility and delivery), and the type of interactions with suppliers.

Strategic alignment in the supply chain was measured by the difference between customer's requirements and the emphasis that the organization puts on these same requirements in dealing with its suppliers. The types of interactions were assessed by six items, three of them to measure the degree of arm's length practices and the other three to assess the degree of cooperation with suppliers. The empirical analysis used data from 512 manufacturing companies in Canada surveyed in 2003 and 2005. Linear regressions were conducted to test a series of four hypotheses linking alignment in the supply chain and the type of interactions with suppliers.

Interactions with suppliers that are increasingly based on cooperation were found to be linked with a better alignment of competitive priorities that are characteristic of responsive supply chains. An unexpected result was the positive link between arm's length interactions and delivery, a dimension that is also associated with responsive supply chains.

The choice of interactions with suppliers can be critical in the alignment of competitive priorities in the supply chain. A limitation is that the empirical analysis rests on data collected from one respondent per organization.

This paper contributes to research by providing empirical evidence of the link between the type of interactions with suppliers and the alignment of competitive priorities in the supply chain.

For many farm families and operators across the OECD countries, off‐farm income has become a major determinant of their well‐being. The purpose of this paper is to investigate the potential role of off‐farm employment as a risk management tool among farm operators.

A two‐part model is applied to a longitudinal farm‐level data set for about 20,000 Canadian farms, from 2001 to 2006, in order to estimate the relationship between farm income risk and the decision to participate in the off‐farm labor market and the level of off‐farm employment income.

The variability of farm market revenue is found to be positively related to the likelihood of off‐farm work and the level of off‐farm employment income, in particular for operators of relatively large farms. Hence, farm operators' production decisions appear to be conditioned on an income portfolio that includes a substantial amount of off‐farm income for all sizes of farms.

These results reinforce the need to consider the portfolio effect induced by the integration of farm resources within the non‐farm sector. This is particularly relevant to risk management farm policies that have typically considered decisions made in the agricultural sector in isolation.

This paper uses a true farm‐level panel data set to investigate the relationship between farm income risk and off‐farm work. The size of the data set also allows the robustness of the results across farm typologies and size to be tested. This study contributes to the understanding of structural changes in the farm sector, and their potential implications for both rural and agricultural policies.