Nagitta Oluka Pross, Mkansi Marcia, Kajjumba George William
Department of Economics and Managerial Sciences, Uganda Management Institute, Kampala, Uganda.
Department of Operations Management, University of South Africa, Pretoria, South Africa.
Glob Adv Health Med. 2021 Mar 30;10:21649561211002126. doi: 10.1177/21649561211002126. eCollection 2021.
This study sought to examine the contribution of relationship building (in terms of collaboration, information sharing and supply chain interdependence) on the availability of malaria treatment pills in public hospitals in Sub-Saharan Africa using data from Uganda.
By means of a cross-sectional survey research design, the study used a questionnaire strategy to collect quantitative data. Out of the 320 questionnaires that were distributed in 40 public hospitals, 283 were answered and returned, which yielded an 88% response rate. Structural equation modelling (SEM) was used to establish the relationship between measured variables and latent constructs.
Drawing on the survey results, the confirmatory factor analysist and the Structural Equation Modelling clearly demonstrate that relationship building (in terms of collaboration, information sharing and supply chain interdependence) significantly influences the availability of Artemisinin-based combination therapies in public general hospitals in Uganda.
Policy-makers should focus on developing cheaper information technology tools to exchange information regarding stock levels, forecasting, quantification, orders, and dispensing. This study developed a measurement model for an inter-hospital relationship, using relational view theory, and it employs dimensions in terms of information sharing and supply chain interdependence to predict and explain the availability of malaria pills in government hospitals.
本研究旨在利用来自乌干达的数据，考察关系构建（在协作、信息共享和供应链相互依存方面）对撒哈拉以南非洲公立医院疟疾治疗药物可及性的贡献。
通过横断面调查研究设计，本研究采用问卷调查策略收集定量数据。在40家公立医院发放的320份问卷中，283份得到回答并返回，回复率为88%。采用结构方程模型（SEM）来建立测量变量与潜在构念之间的关系。
根据调查结果，验证性因子分析和结构方程模型清楚地表明，关系构建（在协作、信息共享和供应链相互依存方面）显著影响乌干达公立综合医院基于青蒿素的联合疗法的可及性。
政策制定者应专注于开发更廉价的信息技术工具，以交流有关库存水平、预测、量化、订单和配药的信息。本研究利用关系视角理论开发了一种医院间关系的测量模型，并采用信息共享和供应链相互依存方面的维度来预测和解释政府医院疟疾药物的可及性。
