RESUMEN
Given the potential benefits of Group Purchasing Organizations in cost-containment efforts for hospitals on supplies and purchased services, an important question that remains unanswered is what conditions support or hinder the utilization of GPOs by hospitals. Therefore, this study explores the relationship between GPO use by hospitals and their market and organizational characteristics. Data on hospital GPO utilization and other organizational characteristics were combined with secondary hospital market characteristics. Panel logistic regression with random effects and state and year fixed effects analysis was used to examine the relationship between hospitals' utilization of GPO services and hospitals' organizational and market characteristics. Overall, the majority of hospitals utilized the services of GPOs. Specifically, the number of hospitals utilizing the services of GPOs increased slightly from 3290 (72.2%) in 2004 to 3337 (74.4%) in 2013. In regression analyses, hospitals utilizing the services of GPOs operated in an external environment with mixed levels of munificence, more dynamism, and less competition. Specifically, hospitals operating in a less munificent environment are more likely to utilize the services of GPOs. The study findings provide organizational decision-makers and policymakers' insights into how certain market and organizational factors influence hospital strategy choice, in this case, the use of GPOs.
Asunto(s)
Adquisición en Grupo/métodos , Modelos Organizacionales , Departamento de Compras en Hospital/métodos , Competencia Económica/economía , Competencia Económica/tendencias , Adquisición en Grupo/normas , Adquisición en Grupo/tendencias , Costos de la Atención en Salud/normas , Costos de la Atención en Salud/estadística & datos numéricos , Recursos en Salud/economía , Recursos en Salud/provisión & distribución , Hospitales/normas , Hospitales/tendencias , Humanos , Departamento de Compras en Hospital/normas , Departamento de Compras en Hospital/tendencias , Estados UnidosRESUMEN
Healthcare group purchasing organizations (GPOs) are considered to play an integral role in the healthcare supply chain by keeping prices low and helping all members of the healthcare system achieve their objectives. China has been exploring GPOs in the field of drug procurement since 2015, and there are currently three GPO models in Shanghai, Shenzhen, and Guangzhou. Although the three models operate differently and they have each been examined, they have all achieved certain results and demonstrated the ability to control drug expenditures. In 2018, the National Healthcare Security Administration implemented a national centralized drug procurement policy, also known as the 4 + 7 procurement policy ("4+7 Policy"). This policy context has also led to changes in the strategy for development of GPOs in China. GPOs need to explore strategies that do not overlap with the scope of 4 + 7 procurement, and they need to develop dynamic and personalized procurement plans that are more in line with first-line clinical practices to have a synergistic effect in combination with the "4+7 Policy." In the future, GPOs will grow rapidly in China. The number of GPOs need to be increased to prevent monopolies, and GPOs need to expand their diversified value-added services to perform more tasks in terms of supply chain management and data analysis.
Asunto(s)
Costos de los Medicamentos , Adquisición en Grupo/economía , Adquisición en Grupo/métodos , Política de Salud/economía , China/epidemiología , Costos de los Medicamentos/tendencias , Adquisición en Grupo/tendencias , Política de Salud/tendencias , HumanosRESUMEN
Strategic purchasing of health care services is widely recommended as a policy instrument. We conducted a review of literature of material drawn from the European Observatory on Health Systems and Policies Health Systems in Transition series, other European Observatory databases, and selected country-specific literature to augment the comparative analysis by providing the most recent healthcare trends in ten selected countries. There is little evidence of purchasing being strategic according to any of the established definitions. There is little or no literature suggesting that existing purchasing mechanisms in Europe deliver improved population health, citizen empowerment, stronger governance and stewardship, or develop purchaser organization and capacity. Strategic purchasing has not generally been implemented. Policymakers considering adopting strategic purchasing policies should be aware of this systemic implementation problem. Policymakers in systems with strategic purchasing built into policy should not assume that a purchasing system is strategic or that it is delivering any expected objectives. However, there are individual components of strategic purchasing that are worth pursuing and can provide benefits to health systems.
Asunto(s)
Atención a la Salud/economía , Adquisición en Grupo/tendencias , Política de Salud , Servicios de Salud/economía , Personal Administrativo , Europa (Continente) , Programas de Gobierno , Adquisición en Grupo/métodos , Política de Salud/tendencias , HumanosAsunto(s)
Adquisición en Grupo/economía , Gestión de la Información/economía , Medicina Estatal/economía , Control de Costos/métodos , Adquisición en Grupo/tendencias , Humanos , Gestión de la Información/organización & administración , Gestión de la Información/normas , Medicina Estatal/normas , Medicina Estatal/tendencias , Reino UnidoAsunto(s)
Conservación de los Recursos Energéticos/métodos , Equipos y Suministros de Hospitales/normas , Adquisición en Grupo/tendencias , Administración de Materiales de Hospital/métodos , Administración de Residuos/métodos , Conservación de los Recursos Energéticos/economía , Equipos y Suministros de Hospitales/clasificación , Humanos , Servicio de Mantenimiento e Ingeniería en Hospital , Administración de Materiales de Hospital/economía , Administración de Materiales de Hospital/tendencias , Estados UnidosAsunto(s)
Adquisición en Grupo/organización & administración , Sector de Atención de Salud/tendencias , Internet/economía , Programas Informáticos/economía , Competencia Económica , Adquisición en Grupo/tendencias , Sector de Atención de Salud/organización & administración , Sistemas de Información , Diseño de Software , Estados UnidosAsunto(s)
Industria Farmacéutica/estadística & datos numéricos , Sector de Atención de Salud/estadística & datos numéricos , Departamento de Compras en Hospital/estadística & datos numéricos , Ahorro de Costo/estadística & datos numéricos , Diagnóstico por Imagen/economía , Diagnóstico por Imagen/instrumentación , Industria Farmacéutica/economía , Industria Farmacéutica/tendencias , Adquisición en Grupo/economía , Adquisición en Grupo/estadística & datos numéricos , Adquisición en Grupo/tendencias , Sector de Atención de Salud/tendencias , Encuestas de Atención de la Salud , Humanos , Departamento de Compras en Hospital/economía , Departamento de Compras en Hospital/tendencias , Estados UnidosAsunto(s)
Adquisición en Grupo/estadística & datos numéricos , Sector de Atención de Salud/estadística & datos numéricos , Leyes Antitrust , Competencia Económica , Regulación Gubernamental , Adquisición en Grupo/economía , Adquisición en Grupo/tendencias , Sector de Atención de Salud/tendencias , Encuestas de Atención de la Salud , Relaciones Públicas , Estados UnidosRESUMEN
There's change afoot among drug distributors, who are hitting manufacturers with new fees. Those pricing pressures are expected to be felt elsewhere in the industry. "I think the impact will eventually ... be felt in some way by providers in increased cost or lack of product," says Larry Dooley, left, of Novation.