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Indicating the main pressures of physicians and suppliers on Dutch hospitals that hinder value-based procurement

Planje, Ruben (2023) Indicating the main pressures of physicians and suppliers on Dutch hospitals that hinder value-based procurement.

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Abstract:Procurement teams in Dutch hospitals are experiencing higher cost pressures because of rising healthcare expenditures. Evidence of the pressures of the most critical stakeholders on Dutch hospital procurement is missing. Therefore, this study aims to overview the pressures of physicians and suppliers that hinder value-based procurement in Dutch hospitals. This overview was constructed through a case study in the bounded system of five hospitals. Eight interviews were conducted, with five strategic purchasing experts and three medical experts. Overall, the results aligned with the influences of physicians and suppliers mentioned in the literature. After discussing the results, it shows that physicians can put significant pressure on the procurement process with their preference for products but that the reason for this preference is not always transparent for purchasers. The reasons can be personal preferences, confidence with current devices, or supplier influence. The power to declare these preferences comes from the need for physicians’ clinical expertise to select new devices. What hinders value-based procurement is that the purchaser cannot always know the interests behind these preferences because of the lack of transparency between the stakeholders. Suppliers hinder value-based procurement by the lack of transparency on prices and performance data of medical supplies.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science
Programme:International Business Administration BSc (50952)
Link to this item:https://purl.utwente.nl/essays/95605
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