Centro Federal de Educação Tecnológica Celso Suckow da Fonseca (CEFET), Rio de Janeiro, Brazil.
Work. 2022;72(2):511-527. doi: 10.3233/WOR-205216.
Public hospital managers in Rio de Janeiro must deal with severe budget costs, which is the only source of income of public hospitals. In this sense, systematic supply chain risk management can contribute to identifying such risks, assessing their severity, and developing mitigating plans, or even revealing the lack of such plans. Private hospital networks must also map their risks since they are facing a diminishing of demand given that unemployment in Brazil, which is growing in the past years, generates an impossibility of affording private healthcare.
The purpose of this paper is to investigate how supply chain risk management is being applied in healthcare supply chains from Rio de Janeiro - Brazil. This study considers supply chains located in the state of Rio de Janeiro. To accomplish this objective, we provide answers to two Research Questions: RQ1 - Is SCRM known as a concept among Rio de Janeiro healthcare supply chains? RQ2 - How are risk identification, risk assessment, and risk mitigation being implemented by companies from the healthcare supply chains in Rio de Janeiro - Brazil?
Our research design is based on four steps: i) Research design; ii) Case selection: iii) Data collection (11 cases selected); iv) Data analysis.
The interviews revealed that SCRM is an entirely unknown concept among healthcare supply chains from Rio de Janeiro - Brazil. Managers have empirical knowledge of the risks, and they can identify the most hazardous risks and can come up with solutions to mitigate them, nevertheless, in many situations they do not have the authority or the manpower to implement the solutions, at most, managers implement local risk mitigation initiatives that do not consider the supply chains broader context.
The healthcare organizations studied by this paper do not apply SCRM. They only apply local isolated solutions not considering a supply chain scope. This can become hazardous since isolated risk mitigation initiatives are often innocuous and have the potential to generate other risks.
里约热内卢的公立医院管理者必须应对严重的预算成本，这是公立医院唯一的收入来源。在这种情况下，系统的供应链风险管理可以帮助识别这些风险，评估其严重程度，并制定缓解计划，甚至可以发现缺乏这些计划。私人医院网络也必须对其风险进行规划，因为巴西的失业率在过去几年中不断上升，导致越来越多的人无法负担私人医疗保健，这对他们的需求产生了影响。
本文旨在调查供应链风险管理在巴西里约热内卢的医疗保健供应链中的应用情况。本研究考虑了位于里约热内卢州的供应链。为了实现这一目标，我们回答了两个研究问题：RQ1-供应链风险管理在里约热内卢的医疗保健供应链中是否被视为一个概念？RQ2-里约热内卢的医疗保健供应链中的公司如何实施风险识别、风险评估和风险缓解？
我们的研究设计基于四个步骤：i）研究设计；ii）案例选择；iii）数据收集（选择了 11 个案例）；iv）数据分析。
访谈结果表明，SCRM 在巴西里约热内卢的医疗保健供应链中完全是一个未知的概念。管理者对风险有经验性的认识，他们能够识别最危险的风险，并提出缓解风险的方案，但在许多情况下，他们没有实施这些方案的权力或人力，最多管理者只是实施一些不考虑供应链更广泛背景的局部风险缓解措施。
本文研究的医疗保健组织没有应用 SCRM。他们只应用局部孤立的解决方案，而不考虑供应链的范围。这可能会带来危险，因为孤立的风险缓解措施通常是无害的，但有可能会产生其他风险。
