Healthcare supply chain risk management in Rio de Janeiro, Brazil: What is the current situation?

BACKGROUND: Public hospital managers in Rio de Janeiro must deal with severe budget costs, which is the only source of income of public hospitals. In this sense, systematic supply chain risk management can contribute to identifying such risks, assessing their severity, and developing mitigating plans, or even revealing the lack of such plans. Private hospital networks must also map their risks since they are facing a diminishing of demand given that unemployment in Brazil, which is growing in the past years, generates an impossibility of affording private healthcare. OBJECTIVE: The purpose of this paper is to investigate how supply chain risk management is being applied in healthcare supply chains from Rio de Janeiro - Brazil. This study considers supply chains located in the state of Rio de Janeiro. To accomplish this objective, we provide answers to two Research Questions: RQ1 - Is SCRM known as a concept among Rio de Janeiro healthcare supply chains? RQ2 - How are risk identification, risk assessment, and risk mitigation being implemented by companies from the healthcare supply chains in Rio de Janeiro - Brazil? METHOD: Our research design is based on four steps: i) Research design; ii) Case selection: iii) Data collection (11 cases selected); iv) Data analysis. RESULTS: The interviews revealed that SCRM is an entirely unknown concept among healthcare supply chains from Rio de Janeiro - Brazil. Managers have empirical knowledge of the risks, and they can identify the most hazardous risks and can come up with solutions to mitigate them, nevertheless, in many situations they do not have the authority or the manpower to implement the solutions, at most, managers implement local risk mitigation initiatives that do not consider the supply chains broader context. CONCLUSION: The healthcare organizations studied by this paper do not apply SCRM. They only apply local isolated solutions not considering a supply chain scope. This can become hazardous since isolated risk mitigation initiatives are often innocuous and have the potential to generate other risks.

Promising research fields in supply chain risk management and supply chain resilience and the gaps concerning human factors: A literature review.

BACKGROUND: Recent studies concerning supply chain management have shown that topics such as supply chain risk management (SCRM) and supply chain resilience (SCRes) are the new trends in supply chain management. Initial studies in the early 2000s developed frameworks to identify, measure and mitigate risks and assess/evaluate the degree of resilience of a company or supply chain. Recently, a large variety of studies has emerged, including more conceptual and review studies as well as more sophisticated, quantitative studies. However, studies on human-related factors are still lacking, and there is no systematic method to answer questions such as "What literature is available concerning human factors related to SCRM and SCRes?", "Which human factors contribute to SCRes?" and "Which human factor can amplify SC Risks?" OBJECTIVE: The main goal of this paper is to conduct a systematic literature review to identify human factors that impact supply chain resilience and supply chain risk management. METHOD: This study was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method. The objective of using this review protocol is to ensure that the review has the minimum amount of bias due to research expectations. RESULTS: This study highlighted a summary of human-related risk and resilience factors as well as a discussion about these preliminary findings. CONCLUSIONS: As our main conclusion, we highlight that human factors may generate significant risks in the supply chain, nevertheless, there are other human factors that must be nourished to obtain SCRes.

Limnological characteristics and seasonal changes in density and diversity of the phytoplanktonic community at the Caçó pond, Maranhäo State, Brazil

Seasonal changes of the phytoplanktonic community and limnological abiotic characteristics of Caçó pond (Maranhäo State, Brazil) was evaluated from two field researches during the rainy (April 1999) and dry (November 1999) seasons. Measurements of twelve chemical and physical variables and phytoplankton collections were carried out at eight sampling stations. The Chlorophyceae and Cyanobacteria groups were in highest fractions during the rainy and dry seasons, respectively. The limnological abiotic variables showed a homogenous spatial distribution. The cluster analysis, using Bray-Curtis distance, distinguished two major groups, represented by the most common and abundant species in both the periods. The results showed that the climate regime, due to the seasonal changes in pluviosity, was a determinant over the phytoplanktonic community structure at Caçó pond