University of Twente Student Theses


On the Role of Procurement in Inter-Organisational Staff Pooling in Healthcare

Bouma, Simone (2022) On the Role of Procurement in Inter-Organisational Staff Pooling in Healthcare.

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Abstract:Introduction: In the Netherlands, different pressures on healthcare exist. One of them is the shortage of medical staff. Therefore, different opportunities to reduce this shortage are researched. The opportunity focused on in this research is the pooling of personnel in healthcare institutions. Pooling describes the collection of human resources in one pool and the distribution of it as needed. To make pooling a success, it is important to have suitable contracting arrangements between the pooling parties. As this is a relatively new field in literature and practice, it is crucial to get an overview of what contracting implies and how it can be applied to pooling. Therefore, this research addresses how contracting arrangements can support the arrangements between pooling organisations. Methodology: To answer the research question, a qualitative exploratory research methodology was followed. First, a literature review gained background knowledge on pooling and contracting, followed by 12 semi-structured interviews with experts on contracting and participants in pooling in healthcare. Third, Design Science Research, originally from engineering, helped to develop a contracting guidance. Findings: The findings indicate that experts in contracting, HRM and purchasing and participants in pooling agree on the importance of stakeholder involvement in the process, the high importance of communication and trust in a relationship, a flexible job design and the goal to cooperate rather than compete for nursing staff. These findings allowed the development of a checklist that pooling participants could look at to understand what to consider when they want to contract. Surprisingly, all the factors are more of a relational than a contractual nature. Implications: The case studies and the findings help future pooling participants to get the recipe together for a successful pooling of care staff. The checklist needs further evaluation and development to remain helpful in the future.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Programme:Business Administration MSc (60644)
Keywords:Staff shortage, Resource pooling, Flexible staffing, Purchasing, Contracting, Design Science Research
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