Bastani Peivand, Sadeghkhani Omid, Ravangard Ramin, Rezaei Rita, Bikine Parisa, Mehralian Gholamhossein
Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
J Pharm Policy Pract. 2021 Dec 30;14(1):115. doi: 10.1186/s40545-021-00399-4.
During disasters or crises, the traditional models of supply chain encounter failure and skewedness under the inevitable and unknown pressures. The procurement and transformation of required equipment to the involved areas is considered as one of the main triggers of decreasing damages and losses during crisis. In this regard, a breakdown in pharmaceutical supply chain can lead to intensive, undesired consequences.
This was a qualitative study applying a grounded theory approach. The study was conducted with attending of 32 informant participants who were qualified in supply chain during natural disasters and crisis. In order to collect the data, deep semi-structured interviews were applied along with investigating the documents, observation, field notes and theoretical memos. For data analysis, a continuous comparison was used according to Corbin and Strauss method.
Results of the study were categorized in 8 main categories as the main themes. "Wasting" appeared as the main factor of the resilience of pharmaceutical and consumable medical equipment supply chain. Wasting included two subthemes of loss of resources and wasting time.
In order to make resilience in pharmaceutical and consumable medical equipment during disasters, it is necessary to reinforce the various dimensions of the resilience model to increase the rate of supply chain responsiveness. This study particularly contributes to broadening and deepening our understanding of how to mitigate the risk of undesirable outcomes of pharmaceutical supply chain during the disasters or crises.
在灾难或危机期间，传统的供应链模式在不可避免且未知的压力下会遭遇失灵和偏差。将所需设备采购并转运至受灾地区被视为危机期间减少损害和损失的主要触发因素之一。在这方面，药品供应链的中断可能会导致严重的不良后果。
这是一项采用扎根理论方法的定性研究。该研究邀请了32名在自然灾害和危机期间具备供应链相关资质的信息提供者参与。为收集数据，采用了深度半结构化访谈，并结合对文件、观察、实地记录和理论备忘录的研究。数据分析采用了基于科尔宾和施特劳斯方法的持续比较法。
研究结果分为8个主要类别作为主要主题。“浪费”被视为药品和一次性医疗设备供应链恢复力的主要因素。浪费包括资源损失和时间浪费两个子主题。
为了在灾难期间增强药品和一次性医疗设备的恢复力，有必要加强恢复力模型的各个维度，以提高供应链的响应速度。本研究特别有助于拓宽和深化我们对如何在灾难或危机期间降低药品供应链不良后果风险的理解。
