Enhancing hospital supply chain performance: A relational view and empirical test

Chen, Daniel Q., et al. “Enhancing Hospital Supply Chain Performance: A Relational View and Empirical Test.” Journal of Operations Management, vol. 31, no. 6, Sept. 2013, pp. 391–408. DOI.org (Crossref), doi:10.1016/j.jom.2013.07.012.

Hospitals and other healthcare organizations comprised 17.9% of the US 2011 GDP (pg 391)

Usually, 45% of an HCO’s operating budget goes to supplies and materials. Nearly every part of an HCO’s clinical operations depend on a wide variety of supplies, many of which are very expensive, perishable or require constant updates/maintenance (pg 391)

There is no universal numbering classification system for HC supplies, making it difficult to compare products, collect data, or decide if materials are interchangeable. Many supply purchases are made on physician preference (or the ones requesting materials are different from the ones ordering the materials). Additionally, there is a vast network of specialized suppliers that needs to be considered, including the rapid innovations in medical and technological equipment. (pg 392)

Key Aspects of Supply Chain Integration: Information Technology Integration, Knowledge Exchange, and Trust. (pg 393)

Supply Fulfillment Measures: Cost, Quality, Speed, and Flexibility (pg 395)

Research model. (pg 396)
  • H1: Positive association between Hospital-Supplier Integration and Supply Chain Performance (pg 395)
  • H2: Positive association between Knowledge Exchange and Hospital-Supplier Integration (pg 395)
  • H3: Positive association between IT Integration and Hospital-Supplier Integration (pg 396)
  • H4: Positive association between IT Integration and Knowledge Exchange (pg 396)
  • H5: Positive association between Trust and Hospital-Supplier Integration (pg 397)
  • H6: Positive association between Trust and Knowledge Exchange (pg 397)
  • H7: Trust will have a greater impact on Knowledge Exchange for hospitals that experience a more uncertain environment” (pg 397)
  • H8: With greater Trust, Knowledge Exchange will affect Hospital-Supplier Integration more (pg 398)
  • H9 and H10: In multi hospital systems, Trust and IT Integration will have a greater affect on Knowledge Exchange (pg 398)
Main model with moderating variables (pg 403)

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