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Make, buy, or ally (MBA) decisions in Central Sterilisation Department in Dutch hospitals : influential factor analysis

Slaghekke, B.I. (2023) Make, buy, or ally (MBA) decisions in Central Sterilisation Department in Dutch hospitals : influential factor analysis.

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Abstract:This qualitative study aims to identify the influential factors in make, buy, or ally decisions for Central Sterilisation Departments (CSDs) and develop a final supporting model. Nine interviews were conducted with individuals in Dutch hospitals, revealing that the make strategy is suitable for urgent or elective care in larger hospitals. Outsourcing CSDs does not lead to direct cost savings due to taxes and hidden costs. Internal CSDs offer flexibility, shorter communication lines, and expertise, positively influencing quality. In-house CSDs tend to have shorter lead times compared to those involving external logistic processes. The relationship of the CSD with the clients, particularly with the Operating Room (OR), is crucial. The undervaluation of CSD, known as "Calimero syndrome," impacts decision-making and workforce motivation. Factors such as costs, flexibility, relationship, expertise, and lead time were validated, but there were deviations from initial expectations regarding costs and communication in buy and ally decisions.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science
Programme:Business Administration MSc (60644)
Link to this item:https://purl.utwente.nl/essays/96215
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