A framework to improve supply chain performance through lead time management in Ugandan public health institutions
- Authors: Kabagenyi, Dorothy
- Date: 2023-12
- Subjects: Lean manufacturing -- Management , Business logistics -- Uganda , Medical care -- Uganda , Industrial procurement Inventory control
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10948/65633 , vital:74213
- Description: A well-organised public healthcare supply chain leads to easy accessibility of medical supplies. In order to have healthy populations, it is important for governments to have the required medical supplies in their healthcare facilities at the required time. As such, appropriate lead time management by supply chain actors greatly improves supply chain performance. However, the current public healthcare supply chains in Uganda have challenges that lead to poor quality and inefficient public health supply chain performance. The primary objective of this study was to develop an implementation framework to guide public health institutions in improving supply chain performance through lead time management in Uganda. The study also sought to determine the influence of supply chain optimisation on lead time management. It also sought to examine the influence of supply chain dynamic capabilities on lead time management. The study further examined the influence of supplier performance on lead time management, and sought to examine the influence of lead time management on supply chain performance. The study also sought to assess the mediating effect of lead time management on the relationship between supply chain dynamic capabilities and overall supply chain performance, between supply chain optimisation and overall supply chain performance, as well as between supplier performance and overall supply chain performance. Lastly, the study sought to assess the mediation effect of supply chain optimisation on the relationship between supplier performance and lead time management as well as between supply chain dynamic capabilities and lead time management. A positivist philosophy that allowed quantitative data to be collected from 340 respondents was used in this study. The study used both stratified sampling and simple random sampling without replacement to choose the public healthcare facilities as well as purposive sampling to select the final respondents for the study. An exploratory factor analysis (EFA) was performed in the Statistical Package for Social Sciences (SPSS) Version 25 for factor reduction and dimensional groupings. Confirmatory factor analysis (CFA) and structural equation modeling (SEM) path analysis models were performed in the Analysis of Moments of Structure (AMOS Version 27) software for model fit assessments and hypotheses testing, respectively. A multiple regression analysis was performed in SPSS Version 25 software, and was used for comparison and confirmation of the weak and insignificant result obtained for the unsupported hypothesis (H4) in the SEM hypotheses tests. , Thesis (PhD) -- Faculty of Business and Economic Sciences, School of Management Sciences, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Kabagenyi, Dorothy
- Date: 2023-12
- Subjects: Lean manufacturing -- Management , Business logistics -- Uganda , Medical care -- Uganda , Industrial procurement Inventory control
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10948/65633 , vital:74213
- Description: A well-organised public healthcare supply chain leads to easy accessibility of medical supplies. In order to have healthy populations, it is important for governments to have the required medical supplies in their healthcare facilities at the required time. As such, appropriate lead time management by supply chain actors greatly improves supply chain performance. However, the current public healthcare supply chains in Uganda have challenges that lead to poor quality and inefficient public health supply chain performance. The primary objective of this study was to develop an implementation framework to guide public health institutions in improving supply chain performance through lead time management in Uganda. The study also sought to determine the influence of supply chain optimisation on lead time management. It also sought to examine the influence of supply chain dynamic capabilities on lead time management. The study further examined the influence of supplier performance on lead time management, and sought to examine the influence of lead time management on supply chain performance. The study also sought to assess the mediating effect of lead time management on the relationship between supply chain dynamic capabilities and overall supply chain performance, between supply chain optimisation and overall supply chain performance, as well as between supplier performance and overall supply chain performance. Lastly, the study sought to assess the mediation effect of supply chain optimisation on the relationship between supplier performance and lead time management as well as between supply chain dynamic capabilities and lead time management. A positivist philosophy that allowed quantitative data to be collected from 340 respondents was used in this study. The study used both stratified sampling and simple random sampling without replacement to choose the public healthcare facilities as well as purposive sampling to select the final respondents for the study. An exploratory factor analysis (EFA) was performed in the Statistical Package for Social Sciences (SPSS) Version 25 for factor reduction and dimensional groupings. Confirmatory factor analysis (CFA) and structural equation modeling (SEM) path analysis models were performed in the Analysis of Moments of Structure (AMOS Version 27) software for model fit assessments and hypotheses testing, respectively. A multiple regression analysis was performed in SPSS Version 25 software, and was used for comparison and confirmation of the weak and insignificant result obtained for the unsupported hypothesis (H4) in the SEM hypotheses tests. , Thesis (PhD) -- Faculty of Business and Economic Sciences, School of Management Sciences, 2023
- Full Text:
- Date Issued: 2023-12
An assessment of opportunities for implementing lean management in the healthcare supply chain of selected clinics in the East London area
- Authors: Beja, Fezekile Sydwell
- Date: 2013
- Subjects: Lean manufacturing -- Management , Business logistics -- South Africa -- East London , Medical care -- South Africa -- East London
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: vital:8899 , http://hdl.handle.net/10948/d1020958
- Description: When the current South African government came into power two decades ago they inherited a fragmented health care system whose main focus was on the tertiary care level. The strategy of the current government was to re-focus the whole health care system and prioritize primary health care system. That included setting up district health care systems and building primary health care centres in the areas within the communities in order to make health care accessible to everybody. Due to financial difficulties the majority of the people staying in these communities solely depend on these clinics as they cannot afford to buy health care services in the private sector. The study seeks to assess the current medication supply chain to these clinics with a view of coming up with recommendations that, when implemented, will ensure that the supply of medication by the clinics is able to meet the demands of their patients. Lean management is a system that was started in the manufacturing sector and because of its success there it was later adopted by the service industry. Lean is a system that seeks to eliminate all forms of waste and improve the quality of the service rendered to the satisfaction of the customer/patient. Literature review and discussion of lean implementation is discussed extensively. The findings of the study are presented, analyzed and discussed. In these findings it is noted that the system is functioning very well but there are challenges in these clinics that need to be addressed. Recommendations of how lean management can be implemented successfully to optimize the functioning of the current system are discusse The permission received from the Department of Health to conduct this study came with contractual obligations that the researcher promised to honour. One of those requirement stated clearly that the findings of the study should not be published anywhere without the permission of the Department (see addendums A & C). It is under that premise that the researcher wants to bring this to the attention of the relevant university departments, with the hope of ensuring that this contractual obligation is honoured.
- Full Text:
- Date Issued: 2013
- Authors: Beja, Fezekile Sydwell
- Date: 2013
- Subjects: Lean manufacturing -- Management , Business logistics -- South Africa -- East London , Medical care -- South Africa -- East London
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: vital:8899 , http://hdl.handle.net/10948/d1020958
- Description: When the current South African government came into power two decades ago they inherited a fragmented health care system whose main focus was on the tertiary care level. The strategy of the current government was to re-focus the whole health care system and prioritize primary health care system. That included setting up district health care systems and building primary health care centres in the areas within the communities in order to make health care accessible to everybody. Due to financial difficulties the majority of the people staying in these communities solely depend on these clinics as they cannot afford to buy health care services in the private sector. The study seeks to assess the current medication supply chain to these clinics with a view of coming up with recommendations that, when implemented, will ensure that the supply of medication by the clinics is able to meet the demands of their patients. Lean management is a system that was started in the manufacturing sector and because of its success there it was later adopted by the service industry. Lean is a system that seeks to eliminate all forms of waste and improve the quality of the service rendered to the satisfaction of the customer/patient. Literature review and discussion of lean implementation is discussed extensively. The findings of the study are presented, analyzed and discussed. In these findings it is noted that the system is functioning very well but there are challenges in these clinics that need to be addressed. Recommendations of how lean management can be implemented successfully to optimize the functioning of the current system are discusse The permission received from the Department of Health to conduct this study came with contractual obligations that the researcher promised to honour. One of those requirement stated clearly that the findings of the study should not be published anywhere without the permission of the Department (see addendums A & C). It is under that premise that the researcher wants to bring this to the attention of the relevant university departments, with the hope of ensuring that this contractual obligation is honoured.
- Full Text:
- Date Issued: 2013
An assessment of perceptions of lean opportunities in hospital management
- Authors: Labuschagne, Gertruida
- Date: 2013
- Subjects: Lean manufacturing -- Management , Hospitals -- Waste minimization , Hospitals -- Administration
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: vital:8777 , http://hdl.handle.net/10948/d1012958
- Description: This is a quantitative study. The primary research objective is to investigate the importance of hospital management’s involvement when implementing lean elements in healthcare. In reality, incidents and quality problems are prime reasons why healthcare leaders are calling for redesign in healthcare delivery and systems. This paper presents a proposal for developing a lean culture in healthcare facilities equipped with managers who will be able to drive the implementation of lean elements from the top down, making use of multidisciplinary teams, including physicians, to deliver value-added services. This study ultimately endeavors to indicate the importance of management, multidisciplinary teams and physician involvement in implementing lean principles in healthcare successfully. “If we keep doing what we’re doing, we’re going to keep getting what we’re getting.” – Stephen Covey. The reasons why lean management is a particularly important strategy in healthcare currently, includes the following: •The need to reduce waste in healthcare cost; •The need to improve quality and on-time processes; •Fast-paced technological changes; •Ever-increasing patient expectations; and •The need to standardise processes and systems to get the high-quality results anticipated (Chalice, 2010).
- Full Text:
- Date Issued: 2013
- Authors: Labuschagne, Gertruida
- Date: 2013
- Subjects: Lean manufacturing -- Management , Hospitals -- Waste minimization , Hospitals -- Administration
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: vital:8777 , http://hdl.handle.net/10948/d1012958
- Description: This is a quantitative study. The primary research objective is to investigate the importance of hospital management’s involvement when implementing lean elements in healthcare. In reality, incidents and quality problems are prime reasons why healthcare leaders are calling for redesign in healthcare delivery and systems. This paper presents a proposal for developing a lean culture in healthcare facilities equipped with managers who will be able to drive the implementation of lean elements from the top down, making use of multidisciplinary teams, including physicians, to deliver value-added services. This study ultimately endeavors to indicate the importance of management, multidisciplinary teams and physician involvement in implementing lean principles in healthcare successfully. “If we keep doing what we’re doing, we’re going to keep getting what we’re getting.” – Stephen Covey. The reasons why lean management is a particularly important strategy in healthcare currently, includes the following: •The need to reduce waste in healthcare cost; •The need to improve quality and on-time processes; •Fast-paced technological changes; •Ever-increasing patient expectations; and •The need to standardise processes and systems to get the high-quality results anticipated (Chalice, 2010).
- Full Text:
- Date Issued: 2013
- «
- ‹
- 1
- ›
- »