Supply chain innovation and organizational performance in the healthcare industry

Systemic innovation for operationalising bioeconomy: A qualitative content analysis

The purpose of the paper is to explore the attributes of systemic innovation that align with bioeconomy. The potential of systemic innovation, an overarching concept based on cooperation and integration along and across (emerging) value chains, to drive transitions towards bioeconomy has received limited attention. Therefore, this study aims to address this gap in knowledge. Through a systematic literature review followed by qualitative content analysis, we examine the drivers and obstacles to implementing a bio-based economy and explore which elements of systemic innovation could best facilitate these transitions. Findings suggest that systemic innovation facilitates the operationalisation of the bioeconomy by uniting stakeholders from diverse sectors and encouraging the acquisition of complementary knowledge, crucial factors in fostering innovation and driving disruptive changes. This enhances bioeconomy efficiency and competitiveness against fossil-based economies. However, systemic innovation is not a singular concept; rather, it encompasses various systemic characteristics, highlighting the need for concept harmonisation. The paper synthesises existing literature on systemic innovation in the bioeconomy, providing a framework for interdisciplinary research. By incorporating diverse systemic approaches into bioeconomic innovation, it bridges disciplinary divides and identifies key considerations for analysing sustainability transitions.

Diagnosing patient flow issues in the emergency department: an Australasian hospital case study

PURPOSE

This study investigates how a hospital can increase the flow of patients through its emergency department by using benchmarking and process improvement techniques borrowed from the manufacturing sector.

DESIGN/METHODOLOGY/APPROACH

An in-depth case study of an Australasian public hospital utilises rigorous, multi-method data collection procedures with systems thinking to benchmark an emergency department (ED) value stream and identify the performance inhibitors.

FINDINGS

High levels of value stream uncertainty result from inefficient processes and weak controls. Reduced patient flow arises from senior management's commitment to simplistic government targets, clinical staff that lack basic operations management skills, and fragmented information systems. High junior/senior staff ratios aggravate the lack of inter-functional integration and poor use of time and material resources, increasing the risk of a critical patient incident.

RESEARCH LIMITATIONS/IMPLICATIONS

This research is limited to a single case; hence, further research should assess value stream maturity and associated performance enablers and inhibitors in other emergency departments experiencing patient flow delays.

PRACTICAL IMPLICATIONS

This study illustrates how hospital managers can use systems thinking and a context-free performance benchmarking measure to identify needed interventions and transferable best practices for achieving seamless patient flow.

ORIGINALITY/VALUE

This study is the first to operationalise the theoretical concept of the seamless healthcare system to acute care as defined by Parnaby and Towill (2008). It is also the first to use the uncertainty circle model in an Australasian public healthcare setting to objectively benchmark an emergency department's value stream maturity.

Analysis of social barriers to sustainable innovation and digitisation in supply chain

Organisations are consistently becoming more and more conscious about sustainability issues that are being raised on various platforms by regulatory bodies and other social activists. Digitisation of supply chains and other technologies like recycling has emerged as one solution that helps achieve sustainability goals by bringing more transparency into the system regarding emissions. Adopting these sustainability and digitisation-related technologies in the supply chain is a major issue, and there are many social issues related to their implementation and adoption. This study aims to identify social barriers to sustainable innovations and digitisation in the supply chain. A total of eight barriers are identified and analysed using BWM and DEMATEL methodologies. The results indicate that work-related circumstances and employment disruptions are the most prominent social barriers, which also influence other barriers. Organisations need to hire and train manpower in skills related to sustainable and digitisation technologies to secure their jobs and facilitate the adoption of these technologies in the supply chain.

A generic sustainable performance management system for hospital supply chain: design & analysis

The assessment of the hospital supply chain management represents a key challenge by virtue of the complexity of the healthcare sector. The purpose of this study is to introduce a hybrid approach that helps hospital administrators to clearly identify, evaluate, and narrow the key performance criteria for their supply chain. The methodology attempts to minimise information loss, reduce the fuzziness and subjectivity of the collected data and describes the interdependence among criteria. The proposed generic framework can be valuable for hospitals organisations aiming for a sustainable performance decision-making process. The combination of the Fuzzy Delphi method and Structural Equation Modelling proved to be effective in determining the pillars driving the sustainable performance of the hospital supply chain.

Just-in-time approach in healthcare inventory management: Does it really work?

Healthcare organizations need to efficiently use their available resources, improve their productivity, reduce operating costs, and provide high-quality services. Just in time (JIT) is an approach that has benefited the healthcare industry in these regards, improving patient outcomes by reducing waste and non-value-adding activities. As such, our main purpose in this study was to discuss the use of JIT systems in healthcare inventory management and highlight their importance, as well as explore the advantages and limitations of JIT systems in healthcare management systems. We also explored supply chain issues in healthcare during the COVID-19 pandemic and provide strategies and recommendations for improvement.

“Expecting the unexpected?” Uncovering role expectation differences in a Dutch hospital

The aim of this study was to empirically investigate differences in role expectations, among the stakeholders involved, about the devolved personnel management role of front-line managers (FLMs). In particular, we researched the role expectation differences between FLMs, their middle managers, and Human Resource (HR) practitioners. In total, nineteen semi-structured interviews have been conducted involving eleven FLMs, eight middle managers, and two HR practitioners working at the same Dutch hospital. Most discovered role expectation differences were related to how FLMs should execute their HR tasks (i.e., process ambiguity). FLMs were often uncertain if their role enactment met those of their middle managers and/or HR practitioners, herewith indicating role stress. Our findings underline the importance of paying attention to role expectations’ differences in aligning components of the HRM-performance relationship. Future research could include the role expectations of other important stakeholders, such as: subordinates and top management. The outcomes of this empirical work are translated into four interventions to diminish FLMs’ role stress.

Cost analysis of supply chain management of Da Vinci surgical instruments: A retrospective study

BACKGROUND: Da Vinci surgery is used extensively, but the high costs of the surgical instrument are a serious clinical and management problem. OBJECTIVE: To reduce the cost of the Da Vinci robotic surgical instrument supply chain. METHODS: Patients were selected from the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. Control group patients underwent Da Vinci robot-assisted surgery between January 2019 and June 2019 (control group). Patients who were operated with the same robot from July 2019 to December 2019 were selected as the experimental group (SCM group). The cost analysis and comparison were carried out to integrate instrument sets, working hours, workforce expenditure, and direct and indirect expenses. RESULTS: Compared with the control group, the number of instrument packages was lower (4.5 ± 1.4 vs. 11.5 ± 1.6, P< 0.001) and the personnel’s awareness of the instruments was higher (92.3 ± 4.2 vs. 83.4 ± 3.7, P< 0.001) in the SCM group. The SCM group showed lower processing time per device (8.1 ± 1.6 vs. 44.2 ± 5.6 min, P< 0.001) and lower costs per surgical instrument (RMB 11.5 ± 2.3 vs. 60.3 ± 10.2, P< 0.001). CONCLUSION: The application of the supply chain management can reduce the costs of robotic surgery, improve work efficiency and decrease the failure rate of instruments.

Healthcare performance management using integrated FUCOM-MARCOS approach: The case of India

AIMS

The goal of this research is to propose a simpler and more efficient model for evaluating healthcare establishments (HCEs). With this motivation, this study aims to discover key performance indicators (KPIs) that affect HCE performance, present a ranking model for KPIs in Indian HCEs, and evaluate Indian HCEs using the identified and prioritised KPIs.

MATERIAL AND METHODS

Through extensive literature review and expert opinions, this research identifies the various KPIs in HCEs, classifies them into six main categories, and prioritises them using the full consistency method (FUCOM). Further, well-known HCEs across northern India were evaluated and ranked using Measurement Alternatives and Ranking according to Compromise Solution.

RESULTS

The 'technology adoption related indicators' is found as the most important main KPIs, whereas 'adequate number of hospital beds and bathrooms (IE5)' as the most dominating sub-category KPIs. Also, amongst the 20 evaluated Indian HCEs 'healthcare establishment-1 (HCE1)' was found to be the best performing HCE while 'healthcare establishment-12 (HCE12)' was found to be the worst-performing HCE. The stability and consistency of the results are ascertained by performing sensitivity analysis and comparing the results with other existing methodologies.

CONCLUSION

The findings of this study are quite important for HCEs management to fully comprehend the key areas to improve upon so that managers can improve medical standards in a targeted manner. The developed prioritisation model and methodology shown in this paper will help and motivate managers and intellectuals of HCEs to evaluate and improve the HCE's performance.

Enhancing Competitive Capabilities of Healthcare SCM through the Blockchain: Big Data Business Model’s Viewpoint

The reasons why supply chain management (SCM) needs blockchain technology include simplification of transaction procedures, time and cost reductions, and reliability improvement. This study emphasizes the necessity of introducing a blockchain-based joint logistics system to strengthen the competency of medical SCM and proposes a healthcare supply chain management (HSCM) competency measurement item through an analytic hierarchy process. The variables needed for using blockchain-based joint logistics are the performance expectations, effort expectations, promotion conditions, and social impact of the unified theory of acceptance and use of technology (UTAUT) model, as well as the HSCM competency results in increased reliability and transparency, enhanced SCM, and enhanced scalability. By analyzing the importance of securing reliability based on blockchain technology in the establishment of a supply chain network for HSCM competency, we reveal that joint logistics can be achieved, and synergistic effects can be created by implementing the integrated database to secure HSCM competency. Strengthening partnerships, such as joint logistics, will eventually lead to HSCM competency. In particular, HSCM should seek ways to upgrade its competitive capabilities through big data analysis based on the establishment of a joint logistics system.

IMPACTS OF ENVIRONMENTAL UNCERTAINTY ON FIRMS’ INNOVATION CAPABILITY AND STAKEHOLDER VALUE: EVIDENCE FROM THE AUSTRALIAN COURIER INDUSTRY

COVID-19 pandemic has drawn great attention to environmental uncertainty. The current paper attempts to conceptually develop and empirically validate a research framework that explains how the firms’ environmental uncertainty influences their innovation capability and stakeholder value. Drawing on contingency theory, resource dependence theory, and stakeholder theory, this study develops a conceptual framework for the related constructs and employs a partial least squares structural equation modelling (PLS-SEM) to test the suggested framework. The empirical results validate both measurement (outer) and structural (inner) models. They indicate that environmental uncertainty is negatively associated with the innovation capability and stakeholder value while innovation capability is positively related to both internal and external stakeholder value. The results also show that internal stakeholder value positively affects external stakeholder value. Providing valuable insights into logistics and supply chain management, our study contributes to research in environmental uncertainty and innovation management based on the stakeholder theory.

Big data analytics capability and supply chain performance: the mediating roles of supply chain resilience and innovation

Purpose

Big data analytics (BDA) capabilities can affect supply chain performance in several ways. The main purpose of this study was to understand how BDA capabilities could affect supply chain performance through supply chain resilience and supply chain innovation.

Design/methodology/approach

The study adopted a cross-sectional approach to collect survey-based responses to examine the hypotheses. Accordingly, 187 responses were collected and analyzed using partial least squares (PLS) in the SmartPLS3.

Findings

The results showed that BDA capabilities improve supply chain performance through resilience and innovation of the supply chain.

Originality/value

The present study also contributed to the existing literature by demonstrating the mediating role of supply chain resilience and supply chain innovation between BDA capabilities and supply chain performance. In this context, some theoretical and managerial implications were proposed and discussed.

Innovation for organizational sustainability: the role of HR practices and theories

Purpose

This paper aims to estimate the influence of HR practices and theories on organizational sustainability. The research also examines the role of innovation as a mediator among the relationship of HR practices and theories and organizational sustainability.

Design/methodology/approach

The research is based on the survey conducted among 386 employees of logistics firms across India. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) approaches were used for analysis. Approach proposed by Baron and Kenny (1986) was used to test the mediating effect.

Findings

The study finds that HR practices and theories have positive and significant influence on organizational sustainability. The research also reveals that after introducing innovation as a construct, it partially mediated the association of HR practices and theories and organizational sustainability.

Originality/value

The study inspects the extent to which innovation can acts as a mediator between the relationship of HR practices and theories and organizational sustainability in logistics sector in India, which has not been established in past studies.

Smoothing It Out: Military Health Care Supply Chain in Transition

Health care provision in the US can be characterized by its ongoing consolidation of systems and facilities in its efforts to achieve clinical and business integration. An important goal in health care systems is integration to reduce fragmentation and gain value. Functional integration has a long history of association with clinical performance. Supply chain can dramatically support the goals of cost avoidance, improved clinical outcomes, and buffer the system from external dependencies. This paper examines the efforts by the Department of Defense to consolidate the medical supply chain and explores lessons for and from the civilian health sector supply chain.

The impact of counterfeit risk management on healthcare supply chain performance: an empirical analysis

Purpose

This study develops and tests a model exploring the relationship between supply chain (SC) counterfeit risk management and performance in the healthcare supply chain (HCSC).

Design/methodology/approach

In the proposed theoretical model, HCSC counterfeit risk management is characterized by HCSC counterfeit risk orientation (HCRO), HCSC counterfeit risk mitigation (HCRM) and HCSC risk management integration (HRMI), while performance is represented by healthcare logistics performance (HLP) and healthcare organization overall performance (HOP). Partial least squares structural equation modeling (PLS-SEM) and survey data from 55 HCSC managers are used to test the research hypotheses.

Findings

HCRO has a significant positive effect on HCRM, while HCRM has a positive impact on HRMI. With respect to HLP, HCRM has a nonsignificant effect, while HRMI has a significant impact, thus confirming the important mediating role of HRMI. Finally, HLP has a significant positive effect on the overall performance of healthcare organizations.

Research limitations/implications

All study participants were from the United States, limiting the generalizability of the study findings to different countries or regions. The sample size employed in the study did not allow the authors to distinguish among the different types of healthcare organizations.

Originality/value

This study delineates between a healthcare organization's philosophy toward counterfeiting risks vs actions taken to eliminate or reduce the impact of counterfeiting on the HCSC. By offering firm-level guidance for managers, this study informs healthcare organizations about addressing the challenge of counterfeiting in the HCSC.

The effect of supply chain quality management on supply chain performance: the indirect roles of supply chain agility and innovation

Purpose

The current study seeks to investigate how supply chain quality management (SCQM) and supply chain agility (SCA) and innovation (SCI) have an impact on supply chain performance (SCP) and how SCQM affects SCP through the mediating role of SCA and SCI capabilities.

Design/methodology/approach

In line with the research objective, a quantitative model was applied, and a multi-item survey questionnaire was developed to collect primary data. A random sample of 284 manufacturing firms belonging to different industries was used. The measurement model was assessed for validity and reliability, and satisfactory levels of these tests were demonstrated. Research hypotheses were examined using structural equation modeling (SEM).

Findings

The results of the current study have significant implications in regard to the further improvement of SCP through SCQM. The study also found that SCQM plays a key role across the entire SC network in facilitating and developing SCA and SCI capabilities. The remarkable findings of the current study revealed the indirect effect of SCQM on SCP through SCA and SCI. These results broaden the work of previous studies which identified the positive effects of SCQM on performance by providing meaningful insights into SCQM's role in promoting SCA and SCI capabilities, which, in turn, further improves SCP.

Originality/value

This study addresses a gap in the literature concerning the effect of SCQM on SCP. In addition, it is the first study, to the best of the researchers' knowledge, to explore the role of two major SC capabilities, namely, SCA and SCI on the SCQM–SCP relationship. Moreover, the present study addresses a questionable issue in the literature regarding practices that conceptualize SCQM. Several studies confuse SCQM practices with internal quality management (QM) practices. This study defines SCQM as consisting of collaborative QM practices with external SC members and proposes five related practices for measuring SCQM.

Key determinants of quality in the pharmaceutical supply chain

Purpose

Empirical studies on the supply chain quality management (SCQM) of the pharmaceutical sector are scarce and scattered. This paper investigates a set of key quality determinants in the pharmaceutical sector to offer a holistic quality control framework for its supply chain (SC).

Design/methodology/approach

A mixed-method design was used. A focused group discussion with seven pharmaceutical SC managers summarized the narratives of the SCQM in this sector and helped to develop a questionnaire. The survey data were collected from the managers of 299 pharmaceutical firms.

Findings

The statistical results show the key determinants are leadership (LS), customer focus (CF), process integration and management (PIM), supplier relations (SR), quality practice (QP), human resource practices (HRP) and safety (SF). Unlike many other sectors, in the pharmaceutical SC, logistics and inventory costs have been proved to be not as important as other measures in the eyes of the SC managers and as part of SCQM performance measures, which can be a result of the priority systems influenced by the World Health Organization standards.

Originality/value

The study is distinctive in its scope as is carried out in a developing country with focus on concept of SCQM with reference to pharmaceutical SC. It shows great potential for further studies and improvements in logistics and warehousing in this sector, for the interest of the pharmaceutical SC managers and regulators who aim to ensure safety and quality in the health-care sector.

Towards a strategic innovation framework to support supply chain performance

Purpose

This paper aims to determine how a strategic innovation framework that integrates the concepts of innovation function, dynamic performance management (DPM) and system-dynamics (SD) modelling can measure performance in a supply chain (SC).

Design/methodology/approach

The paper provides a strategic innovation framework for an SC by considering three steps. First, a systemic intervention is presented based on the innovation functions that influence SC performance. Second, an analysis of the system's performance is proposed. Third, a model SD-based simulation is designed. The developed framework is explained by employing a case study of the Colombian pig sector SC.

Findings

The results reveal that identifying and synchronising the system's performance drivers associated with the innovation functions could improve the inventory in the SC.

Practical implications

On the one hand, managers can use the proposed framework to evaluate the innovation investments and understand their impact on operation performance (e.g. on inventories). On the other hand, policymakers may support decision-making to improve policy design (e.g. through investment in R&D).

Originality/value

Few studies discuss the impacts of innovation functions on SC performance. This paper aims to fill this theoretical gap and to contribute to the literature by suggesting a novel framework which includes innovation functions.

Artificial intelligence-driven innovation for enhancing supply chain resilience and performance under the effect of supply chain dynamism: an empirical investigation

Supply chain resilience (SCRes) and performance have become increasingly important in the wake of the recent supply chain disruptions caused by subsequent pandemics and crisis. Besides, the context of digitalization, integration, and globalization of the supply chain has raised an increasing awareness of advanced information processing techniques such as Artificial Intelligence (AI) in building SCRes and improving supply chain performance (SCP). The present study investigates the direct and indirect effects of AI, SCRes, and SCP under a context of dynamism and uncertainty of the supply chain. In doing so, we have conceptualized the use of AI in the supply chain on the organizational information processing theory (OIPT). The developed framework was evaluated using a structural equation modeling (SEM) approach. Survey data was collected from 279 firms representing different sizes, operating in various sectors, and countries. Our findings suggest that while AI has a direct impact on SCP in the short-term, it is recommended to exploit its information processing capabilities to build SCRes for long-lasting SCP. This study is among the first to provide empirical evidence on maximizing the benefits of AI capabilities to generate sustained SCP. The study could be further extended using a longitudinal investigation to explore more facets of the phenomenon.

A dual-factor theory of WTs adoption in aged care service operations – a cross-country analysis

Purpose

This study focuses on the adoption of wearable technologies in a context where care-providing organizations can offer, in collaboration with caregivers, better care. Drawing on dual-factor theory and from the caregiver perspective, this study identifies and examines factors of technology adoption in four developing countries.

Design/methodology/approach

This study was undertaken using a quantitative approach. A survey was distributed among 1,013 caregivers in four developing countries in Asia including Iran, Azerbaijan, Turkmenistan and Iraq and collected quantitative data for model validation and hypotheses analysis. Building on the technology adoption literature, we identified six constructs that impact the behavioral intention of caregivers to use wearable technologies in aged care-providing organizations.

Findings

Our dual-factor model was successfully validated, and all hypotheses were supported. However, different results were found in the selected countries within the cross-country analysis.

Originality/value

This study has significant implications for the study of emerging technologies in aged care service operations. It provides a theoretical framework that may be adapted for future research, enabling practitioners in aged care to better understand the crucial role of technology adoption in service operations. Less attention was paid to the adoption of wearable technologies in aged care, particularly in developing countries, where healthcare services in aged care impose heavy costs on care providers.

Supply chain innovation research: content analysis based review

Purpose

The purpose of this paper is to analyze research methodologies and publication trends across geographical regions in the field of supply chain innovation (SCI) and provide a discussion of future research in the SCI.

Design/methodology/approach

Using a content analysis approach, this paper investigates 26 years of SCI research based on a sample of 473 journal articles published in 77 peer-reviewed international journals.

Findings

There has been an increasing focus on empirical quantitative research design as compared to empirical qualitative, conceptual quantitative and conceptual qualitative designs in the field of SCI. Continued research interest in SCI from all parts of the world including North America, Europe and Asia illustrates the importance of SCI in the broader field of management.

Research limitations/implications

The inclusion of a large number of journals provides greater confidence in the identified trends. However, as the top-tier journals publish only the most rigorous studies, considering all journals as equally weighted will give rise to a mixed pool of studies. Identifying trends from this mixed pool may provide more comprehensiveness at the cost of inclusion of non-core journals of the field.

Originality/value

The current study builds a holistic view of the methodological progress made so far in the field of SCI.

The relationship between quality and governance mechanisms

Purpose

Recent literature has highlighted the importance of quality and governance in supply networks. Usually, the relationships between the actors are complex, comprising both formal and informal interactions. Despite recent advances in quality and governance in supply networks, extant literature highlights the lack of quality in healthcare supply-chain networks in relation to governance mechanisms. This paper aims to investigate the role of governance mechanisms and their influence on the quality of healthcare supply networks, and assumes that governance instruments can support quality performance.

Design/methodology/approach

A multiple-case research approach was employed. Six organisations in the Brazilian healthcare sector were analysed (four operate only with renal replacement therapy, one is a material supplier, and one operates with renal replacement therapy and collective procurement).

Findings

Findings showed that there is no formalised supply network structure in these organisations. A possible consequence of this is that the supply-network governance is dominated by informal relationships. In the quality dimension, managers' awareness is limited, but there are mechanisms in place to control the quality of the materials.

Practical implications

Healthcare managers can actively invest in the social aspects of the relationship between buyer and supplier, such as trust and commitment, thus increasing responsiveness in patient care. However, this informal procedure can lead to problems with tracking and reliability, ultimately leading to quality problems. Therefore, it is recommended that formal and informal governance instruments be used jointly to improve service quality.

Originality/value

This study suggests that the integration of formal and informal mechanisms of governance can improve the quality of supply networks. Additionally, if the administrative process is purely formal, network relationships and their efficiency will be impaired.

The nexus between supply chain analytic, innovation and robustness capability

Purpose

By drawing on knowledge-based view, this paper aims to test causal model linking supply chain analytics, innovation, robustness capability and firm age. More specifically, the mediating role of supply chain innovation on supply chain analytics and robustness capability link and the moderating role of firm age.

Design/methodology/approach

Survey data were procured from companies operating in the United Arab Emirates using a simple random sampling technique. The obtained data were analyzed with variance-based structural equation modeling (PLS-SEM).

Findings

The findings from PLS-SEM revealed that supply chain innovation fully mediate supply chain analytics and robustness capability associations. Findings from multi-group analysis (MGA) denote that firm age did not moderate any of the paths of the research model. Suggesting that the associations are similar for old, mid-aged and younger firms.

Originality/value

This work demonstrates that supply chain analytic is valuable tool that can foster innovation and robustness in supply chain. This work is among the first to scrutinize the variation among old, mid-aged and younger firms in supply chain analytics research stream. The paper concludes with implications for theory and practice.

Supply chain innovations for additive manufacturing

Purpose

Additive manufacturing (AM) involves the renewal of production systems and also has implications for firms’ supply chains. Innovations related to AM supply chains are, so far, insufficiently understood, but their success will require firms’ awareness of their systemic nature and their firm-specific implications. The purpose of this paper is to explore the supply chain innovations dealing with AM in business-to-business supply chains.

Design/methodology/approach

An exploratory qualitative research design is used. Interviews were conducted in 20 firms, workshops were organized to map AM-related processes and activities, and supply chain innovations were analyzed.

Findings

This study reveals practical changes in supply chains and requirements for AM-related supply chain innovations. While earlier research has centered on technology or firm-specific AM implementations, this study shows that fully leveraging AM will require innovations at the level of the supply chain, including innovations in business processes, technology and structure, as well as supportive changes in the business environment. These innovations occur in different parts of the AM supply chain and are emphasized differently within different firm types.

Research limitations/implications

This research was conducted in one country in the context of the machine building and process industry with a limited data set, which limits the generalizability of the results. The results offer an analytical framework and identify new research avenues for exploring the innovations in partial or complete AM supply chains.

Practical implications

The results offer a framework to assess the current state and future needs in AM-related supply chain innovations. Practical ideas are proposed to enhance AM adoption throughout firms’ supply chains. These results are important to managers because they can help them position their firms and guide the activities and collaborations with other firms in the AM supply chain.

Originality/value

This study draws attention to the supply chain innovations required when firms adopt AM in their processes. The generic supply chain innovation framework is enhanced by adding the business context as a necessary component. Implementation of AM is shown to depend on the context both at the level of the supply chain and the firm’s unique role in the supply chain. The holistic view taken reveals that successful AM technology adoption requires broad involvement from different firms across the supply chain.

Sustainable Supply Chain Management Practices and Sustainable Performance in Hospitals: A Systematic Review and Integrative Framework

Hospital supply chains are responsible for several economic inefficiencies, negative environmental impacts, and social concerns. However, a lack of research on sustainable supply chain management specific to this sector is identified. Existing studies do not analyze supply chain management practices in an integrated and detailed manner, and do not consider all sustainable performance dimensions. To address these gaps, this paper presents a systematic literature review and develops a framework for identifying the supply chain management practices that may contribute to sustainable performance in hospitals. The proposed framework is composed of 12 categories of management practices, which include strategic management and leadership, supplier management, purchasing, warehousing and inventory, transportation and distribution, information and technology, energy, water, food, hospital design, waste, and customer relationship management. On the other side, performance categories include economic, environmental, and social factors. Moreover, illustrative effects of practices on performance are discussed. The novelty of this document lies in its focus on hospital settings, as well as on its comprehensiveness regarding the operationalization of practices and performance dimensions. In addition, a future research agenda is provided, which emphasizes the need for improved research generalizability, empirical validation, integrative addressing, and deeper analysis of relationships between practices and performance.

Implementation of Collaborative Activities for Sustainable Supply Chain Innovation: An Analysis of the Firm Size Effect

This study examines the effects of collaborative and implementation activities on environmental performance for sustainable supply chain management. Specifically, the proposed research investigates the moderating effect of firm size on the effect relationships. The structural equation modeling with AMOS 23.0 was employed to test hypotheses. The results confirm the positive effects of collaborative activities on environmental performance and the positive relationship between collaborative activities and green certification programs in both small and medium enterprises (SMEs) and large-sized firms. Contrary to general belief, firm size did not moderate the relationship between autonomous collaborative activities and green activities. However, other relationships were supported in the research model, thus firm size partially moderates the relationships of collaborative activities with implementation activities and environmental performance. The study demonstrates that implementation activities play a key role in improving collaborative activities with suppliers and vendors for sustainable supply chain innovation. Additionally, it contributes to the practice of sustainable supply chain innovation as well as to efficiency through collaborative activities in the supply chain process.

Blockchain Technology in Healthcare: A Comprehensive Review and Directions for Future Research

One of the most important discoveries and creative developments that is playing a vital role in the professional world today is blockchain technology. Blockchain technology moves in the direction of persistent revolution and change. It is a chain of blocks that covers information and maintains trust between individuals no matter how far they are. In the last couple of years, the upsurge in blockchain technology has obliged scholars and specialists to scrutinize new ways to apply blockchain technology with a wide range of domains. The dramatic increase in blockchain technology has provided many new application opportunities, including healthcare applications. This survey provides a comprehensive review of emerging blockchain-based healthcare technologies and related applications. In this inquiry, we call attention to the open research matters in this fast-growing field, explaining them in some details. We also show the potential of blockchain technology in revolutionizing healthcare industry.

The impact of Big Data analytics and data security practices on service supply chain performance

Purpose

The purpose of this paper is to investigate the effects of Big Data analytics, data security and service supply chain innovation capabilities on services supply chain performance.

Design/methodology/approach

The paper draws on the relational view of resource-based theory to propose a theoretical model. The data were collected through survey of 145 service firms.

Findings

The results of this study found that the Big Data analytics has a positive and significant relationship with a firm’s ability to manage data security and a positive impact on service supply chain innovation capabilities and service supply chain performance. This study also found that most service firms participating in this study used Big Data analytics to execute existing algorithms faster with larger data sets.

Practical implications

A main recommendation of this study is that service firms empower a chief data officer to establish the data needed and design the governance of data in the company to eliminate any security issues. Data security was a concern if a firm did not have ample data governance and protection as the information was shared among members of service supply chain networks.

Originality/value

Big Data analytics are a useful technology tool to forecast market preference based on open source, structured and unstructured data.

Healthcare supply chain management: literature review and some issues

Purpose

The purpose of this paper is to examine the causal linkages among supply chain practices, effectiveness of supply chain performance (SCP) and organizational performance (OP) in Indian healthcare industries.

Design/methodology/approach

This paper is helpful in developing a framework for linking a healthcare supply chain practice to its OP, and thus identifies how such a linkage can be connected to the effectiveness of SCP. Such effort also enables the authors to derive a set of recommended supply chain practices for SC performance.

Findings

From the literature review, this paper finds that, in the context of Indian healthcare industries, efficient SC performance may play a critical role for overall OP improvement, as there is a close interrelationship between supply chain management (SCM) practices and SCP that may have a more significant effect on OP improvement.

Research limitations/implications

The principle limitation of the paper is that it is performed only in a particular industry and with a questionnaire survey which could be extended in future for other industries also. Another limitation of the paper is that it is focused only on the SCP of medical device and equipment supply chain which is a small portion of the whole healthcare supply chain, and therefore requires further research covering various other domains of healthcare supply chain. Another limitation of the study is that the sample survey has been taken from only one respondent per company at one point of time which may create biasness in the results. Thus, future research should collect data through multiple members from the organization.

Practical implications

This study contributes to know the effect of SCM practices on healthcare SCP and provides a practical and useful tool to evaluate the extent of effectiveness of SCP and finally their impact on the healthcare OP. Finally, this study provides conceptual and descriptive literature regarding SCM practices that leads to improvement in healthcare performance.

Social implications

This study adds to the knowledge on healthcare SCM performance by exploring the relationship between supply chain practices, healthcare SCP and healthcare OP and by developing and testing a research framework thus help in improving patient satisfaction.

Originality/value

This study attempts to show how the potential benefits of supply chain practices can no longer be ignored in healthcare supply chain.

ISO 9001 and supply chain quality in the USA

Purpose

The purpose of this paper is to explore the nature of ISO 9001 certification and diffusion in the USA in relation to organizational supply chain position, quality maturity, and supplier quality maturity.

Design/methodology/approach

Data for comparison in this study comes from an e-mail survey questionnaire of supply chain professionals across the USA. A pilot survey was initially e-mailed to 100 supply chain professionals and preliminary data from 27 respondents were used to revise the questionnaire. Respondents to the revised questionnaire returned 565 e-mailed questionnaires out of 2,924 active e-mail addresses.

Findings

The results suggest that companies adopting ISO 9001 are likely doing so as part of an overall quality management program more so than from direct market pressure. It appears that ISO 9001 certification rates differ by organizational position in the supply chain. ISO 9001 certified organizations are more likely to have quality programs of greater maturity and suppliers with greater quality maturity than organizations that are not ISO 9001 certified. Certified organizations are also more likely to use suppliers that are ISO 9001 capable or certified than non-ISO 9001 organizations.

Research limitations/implications

Not all industry groups or supply chain positions were well-represented due to some small sub-group sizes.

Practical implications

The study of ISO 9001 certification in US organizations has been lacking in the literature. Given the weak adoption rate of ISO 9001 in the USA, this study helps characterize ISO 9001 certification from a supply chain perspective and explores possible reasons for low certification rates.

Originality/value

This research extends the knowledge of quality management in the supply chain by studying ISO 9001 certification in relation to supply chain position and differences in quality maturity between certified and non-certified organizations in the USA.

Investigating the relationship between supply chain innovation, risk management capabilities and competitive advantage in global supply chains

Purpose

The purpose of this paper is to propose and validate a theoretical model to investigate whether supply chain (SC) innovation positively affects risk management capabilities, such as robustness and resilience in global SC operations, and to examine how these capabilities may improve competitive advantage.

Design/methodology/approach

A theoretical model was developed from extant studies and assessed through the development of a large-scale questionnaire survey conducted with South Korean manufacturers and logistics intermediaries involved in global SC operations. The data were analysed using confirmatory factor analysis and structural equation modelling to validate the suggested model.

Findings

It was found that innovative SCs have a discernible positive influence on all dimensions of risk management capability, which in turn has a significant impact on enhancing competitive advantage. Therefore, this work provides evidence for the importance of SC innovation and risk management capability in supporting competitive advantage.

Research limitations/implications

This study contributes to providing an empirical understanding of the strategic retention of SC innovation and risk management capabilities in the SC management discipline. Furthermore, it confirms and expands existing theories about innovation and competitive advantage.

Practical implications

The finding provides firm grounds for managerial decisions on investment in technology innovation and process innovation.

Originality/value

This research is the first of its kind to empirically validate the relationships between SC innovation, risk management capabilities and competitive advantage.

The effect of trust with suppliers on hospital supply chain performance

Purpose

The purpose of this paper is to investigate the effect of trust with suppliers on hospital-supplier integration (SI) and hospital supply chain (SC) performance. Additionally, the mediating effect of SI on trust-hospital SC performance is investigated.

Design/methodology/approach

A research model and hypotheses were developed based on literature review. The study is based on survey data collected from 152 respondents in 55 private hospitals in Jordan. The proposed hypotheses were tested using structural equation modeling.

Findings

The paper finds that trust with suppliers has a positive impact on hospital-SI and hospital SC performance. Hospital-SI partially mediates the relationship between trust and hospital SC performance.

Practical implications

The findings of this research provide useful insights into the role of trust in boosting SC performance in the healthcare sector. High levels of SI not only improve hospital SC performance but also enhance the transformation of trust benefits into SC performance.

Originality/value

This research is one of the limited studies that investigated the effect of trust on hospital-SI and hospital SC performance in the healthcare sector. To the best of the authors’ knowledge, this is the first study to investigate those relationships in the Middle East in general and in Jordan in particular.

Transportation costs do matter: simulation study from hospital investment decision

Purpose

Most OECD countries will have a considerable challenge ahead with an ageing population and necessary health care produced for retired people. Healthcare costs have increased continuously from the mid-1990’s in Finland, and growth is likely to continue in the future, as the amount of older inhabitants is increasing. Furthermore, transportation of patients and their visitors between homes and hospitals is a large component of the total health carehealth care related costs. This paper aims to estimate transport-related costs and develop ways to decrease these costs.

Design/methodology/approach

A system dynamics simulation model was developed to examine different scenarios for patients and their visitor transportation to hospitals until the year 2040. Model is driven by age distribution of the region and likely by development of the total population. All parameter values were defined based on real-life observations.

Findings

Patients’ need to travel to hospitals is likely to continue to grow. In addition, quality of travel will change as older retired people are not willing or able to use their own transportation equipment or public transportation modes – this is the main reason for higher transportation costs of patients. Transportation is typically conducted via taxis, private cars and ambulances. Therefore, it is critical that people from the region are able to access hospital services with short proximity.

Research limitations/implications

Simulation study is limited to one hospital investment decision in Finland. Distances and population densities as well as transportation mode alternatives differ from more populous regions in the world.

Practical implications

Research findings stressed the importance of keeping their own hospital operations within the region and placing them in a better location. In an alternative case, where a hospital decision would have been abandoned, total transportation costs during 2012-2040 would have increased by at least the same amount that a new hospital is assumed to cost.

Originality/value

This research is one of the first from the health care sector, where patient transportation modes and ageing is being dealt with in the context of new investments. Patient transportation is often an overlooked issue, which bears significant costs, especially as people age.

Towards a calculative model of supply chain enabling IT implementation

Purpose

Research provides inconsistent findings regarding motivations for the implementation of information technology (IT) in the supply chain. Two main theoretical perspectives emerge from the literature. The first predicts a logical progressive implementation of technology over time. The second views situational factors as moderating progressive implementation over time. We propose a third, calculative IT implementation model and empirically assess the validity of these diverging models.

Design/methodology/approach

We took a qualitative, theory-testing approach. Cross-sectional surveys conducted in 2001 and 2011 – yielding responses from 62 matching firms – showed dynamic IT implementation patterns over time and allowed the selection of nine case studies for comparison.

Findings

Results provide substantial support for a calculative model alongside the situational and progressive perspectives. This model addresses three problematic assumptions that underpin the progressive and situational perspectives: (1) that IT implementation will follow logical stages, (2) that implementation of these technologies represents a rational choice, and (3) that managers implement these technologies to improve the performance of entire supply chains.

Research limitations/implications

The empirical investigations were limited to Australian manufacturers. Further studies should extend the generalisability of the findings and study the phenomenon in different contexts.

Practical implications

The study enhances practitioners’ understanding of the difficulties and complexities of IT implementation decisions among supply chain partners. Such an understanding may motivate managers to pursue IT adoption that goes beyond addressing locally focused performance metrics.

Originality/value

Our findings make a significant theoretical and practical contribution and provide the basis for isolating and operationalising the calculative model for further empirical testing.

Towards an Empirical-Relational Model for Supply Chain Innovation

Innovation is the key to sustainable performance in the current competitive market. Supply chains being network of firms entangled in exchange relationships; innovation in supply chains cannot be fully achieved without effective supply chain relationships. Hence the current study explores empirically the influence of dominant relational attributes viz. trust, commitment, communication, cooperation, coordination on supply chain (SC) innovation. As environmental uncertainty can moderate these relationships, hence the author includes the same as a moderating variable in the model. Based on a web based survey of 132 logistics professionals, the findings largely provide support for the proposed relationships.

A problem-solving routine for improving hospital operations

PURPOSE

The purpose of this paper is to examine empirically why a systematic problem-solving routine can play an important role in the process improvement efforts of hospitals.

DESIGN/METHODOLOGY/APPROACH

Data on 18 process improvement cases were collected through semi-structured interviews, reports and other documents, and artifacts associated with the cases. The data were analyzed using a grounded theory approach.

FINDINGS

Adherence to all the steps of the problem-solving routine correlated to greater degrees of improvement across the sample. Analysis resulted in two models. The first partially explains why hospital workers tended to enact short-term solutions when faced with process-related problems; and tended not seek longer-term solutions that prevent problems from recurring. The second model highlights a set of self-reinforcing behaviors that are more likely to address problem recurrence and result in sustained process improvement.

RESEARCH LIMITATIONS/IMPLICATIONS

The study was conducted in one hospital setting.

PRACTICAL IMPLICATIONS

Hospital managers can improve patient care and increase operational efficiency by adopting and diffusing problem-solving routines that embody three key characteristics.

ORIGINALITY/VALUE

This paper offers new insights on why caregivers adopt short-term approaches to problem solving. Three characteristics of an effective problem-solving routine in a healthcare setting are proposed.