Logistics and procurement outsourcing in the healthcare sector: A comparative analysis |
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Institution: | 1. Cranfield University, School of Management, Cranfield, Bedford, MK43 0AL, UK;2. European University of Rome, Department of Economics, Via Aldobrandeschi 190, 00163, Rome, Italy;3. School of Business Administration, Portland State University, KMC 430K, 631 SW Harrison St, Portland, OR, 97201, USA |
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Abstract: | As outsourcing ventures become more complex, opportunities for synergies and efficiencies increase, but also create longer and more fragmented supply chains which could have disastrous consequences, particularly in a healthcare context. This study investigates the implications of outsourcing on healthcare supply chains by comparing two alternatives: outsourcing from public-to-private and outsourcing from public-to-public. A conceptual framework, adapted from previous literature, has been employed to provide a comprehensive overview of the phenomenon and consider the implications of logistics and procurement outsourcing on the healthcare supply chain structure and performance. The study presents a European cross-country comparison, analysing both the National Health Service (NHS) outsourcing in England (public-to-private outsourcing) and the Regional Health Service (RHS) outsourcing in the Tuscany region (Italy) (public-to-public outsourcing). Specificities and commonalities of the two outsourcing experiences provide suggestions for managers and policy-makers and enhance the current knowledge of outsourcing in the public healthcare sector. |
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Keywords: | Logistics Procurement Outsourcing Public sector NHS England RHS Tuscany |
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