Procurement in public & private hospitals in Australia and Costa Rica–a comparative case study

Alexander Budgett, Mohan Gopalakrishnan, Eugene Schneller

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

This article summarizes exploratory research conducted on supply chain management practices in public hospital systems in the Australian State of Victoria and in Costa Rica. Victoria is the site of a clearly articulated (centralized) supply chain strategy as opposed to Costa Rica, where there is a strong presence of government procurement rules but no such articulated strategy. Importantly, both systems have mixed governance structures (public vs private) and had a willingness to share information pertaining to their purchasing practices. Relatively open-ended interviews, analyzed utilizing MAXQDA 11, allowed us to scrutinize the influence of public policy, supply chain integration, supply chain/clinician collaboration, value analysis teams and group purchasing. We found that centralization of procurement was prevalent in public hospitals in both countries, with more regional centralization in Victoria, Australia due to its size. Also, Private hospital systems are encouraged to take advantage of the centralized procurement policy of the government in both the countries. While standardization was achieved in both countries by better integrating procurement and information technology functions, collaboration between clinicians led to more standardization.

Original languageEnglish (US)
Pages (from-to)56-67
Number of pages12
JournalHealth Systems
Volume6
Issue number1
DOIs
StatePublished - Mar 1 2017

Fingerprint

Private Hospitals
Victoria
Supply chains
Costa Rica
Public Hospitals
Purchasing
Standardization
Group Purchasing
Value engineering
Practice Management
Supply chain management
Public Policy
Information technology
Interviews
Technology
Research

Keywords

  • centralized procurement
  • health care supply chain
  • integration and collaboration
  • value-analysis

ASJC Scopus subject areas

  • Health Policy
  • Health Informatics
  • Health Information Management
  • Computer Science Applications

Cite this

Procurement in public & private hospitals in Australia and Costa Rica–a comparative case study. / Budgett, Alexander; Gopalakrishnan, Mohan; Schneller, Eugene.

In: Health Systems, Vol. 6, No. 1, 01.03.2017, p. 56-67.

Research output: Contribution to journalArticle

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