scholarly journals INVESTIGATING COOPERATIVE PURCHASING PERFORMANCE - A SURVEY OF PURCHASING PROFESSIONALS IN DUTCH HOSPITALS

2018 ◽  
Vol 2 (1) ◽  
pp. 133 ◽  
Author(s):  
Cees Johannes Gelderman ◽  
Jelle De Jonge ◽  
Jos Schijns ◽  
Janjaap Semeijn

Aim: Cooperative purchasing is considered a promising area for lowering the cost in the health care sector, although recent initiatives show mixed results. The purpose of this study is to find a thorough explanation for the performance of cooperative purchasing in healthcare by investigating the role of trust, commitment, organizational factors (i.e. group formality, and IT system effectiveness) and interpersonal skills (i.e. teamwork skills, and communication).Design/research method: A conceptual model for the performance of cooperative purchasing was developed. This model was empirically validated using a survey of 88 Dutch hospital purchasing professionals.Conclusions/findings: Analysis shows a significant impact of trust and commitment in cooperative purchasing groups on performance. Group formality and teamwork skills appear to be essential for achieving trust and cooperative purchasing performance. We also found a positive impact of IT system effectiveness on commitment, not on trust. Positive feelings about the group and positive expectation about the continuity of the group can be stimulated through effective IT systems. Since proper IT support is often neglected in many healthcare organizations, management efforts to improve IT systems could truly facilitate the tactical purchasing process of cooperative purchasing in hospitals.Originality/value of the article: Many cooperative purchasing initiatives suffer from conflicts over the allocation of savings, time, and costs. Despite the growing importance of cooperative purchasing, few empirical studies have explored the effects on hospital performance. Our study extends previous research by investigating the relationships between trust, commitment, and the performance of cooperative purchasing (1) and the impact of organizational factors and interpersonal skills on trust and commitment in purchasing groups within a healthcare context (2).

Organizacija ◽  
2016 ◽  
Vol 49 (1) ◽  
pp. 28-41 ◽  
Author(s):  
Urban Šebjan ◽  
Samo Bobek ◽  
Polona Tominc

Abstract Background and Purpose: Information solutions for analytical customer relationship management CRM (aCRM IS) that include the use of analytical tools are becoming increasingly important, due organizations’ need for knowledge of their customers and the ability to manage big data. The objective of the research is, therefore, to determine how the organizations’ orientations (process, innovation, and technology) as critical organizational factors affect the attitude towards the use of the analytical tools of aCRM IS. Design/Methodology/Approach: To measure the orientation of the organization (process, innovation, and technology), we redesigned the existing scale, which was validated using exploratory factor analysis. In the next phase, we created a model by which we examined the impact of the organization’s stance in relation to the use of the analytical tools of aCRM IS, where we used multiple regression analysis. The model was verified on a sample of Slovenian Organizations (n=105), which use the analytical tools of aCRM IS for analyzing the data they have on their customers and business partners. Results: In the study we found that all critical factors of the organization, specifically process, technology, and innovation orientation, have a positive impact on the attitudes towards using the analytical tools of aCRM IS. Innovation orientation is particularly important and has the strongest influence on the attitude towards using the analytical tools of aCRM IS. We found that innovation orientation on new ideas, methods, and approaches has the strongest effect, followed by the impact of innovation orientation on acceptance of novelty. Conclusion: The more innovation-, technology-, and process-oriented organizations are, the more positive their attitude towards using the analytical tools of aCRM IS. The study is particularly important for organizations that are introducing an aCRM IS into their business system.


2019 ◽  
Vol 35 (S1) ◽  
pp. 17-18
Author(s):  
Americo Cicchetti ◽  
Marco Marchetti ◽  
Irene Gabutti ◽  
Stefania Boccia ◽  
Maria Lucia Specchia ◽  
...  

IntroductionUnderstanding of the role of contextual factors in determining the real value of health technologies is one of the major challenges for the use of Health Technology Assessment (HTA) methodology within hospitals. Moreover, the responsibility of assessing hospital performance is problematic. Although a number of managerial tools are available to appraise outcomes, there is little evidence on the role of contextual variables and how they might contribute to hospital performance.MethodsBased on three extensive literature reviews, a pragmatic framework has been developed to understand interactions between organizational factors and health technologies on hospitals’ performance. Three main causal relationships emerge: (i) direct relationship between contextual factors and performance; (ii) an effect of contextual factors on the capability of technologies to “produce value”; (iii) an influence of organizational factors on clinical evidence-based decision-making. This pragmatic framework was designed within the IMPACT HTA EU Horizon 2020 Research Project.ResultsThe contextual dimensions are ascribable to five domains: organizational structure; managerial accounting tools; information, communication and technology (ICT) tools; human resource management (HRM) tools; hospital-based HTA procedures. The impact of contextual factors on technologies’ ability to produce value is highly overlooked in literature. Some effort in this sense exists only in the analysis of health information technologies. Moreover, among the contextual dimensions, only HRM tools have inspired a lively debate. The definition of hospital performance is amenable to multiple domains: accessibility, appropriateness, efficiency, safety and patient centeredness (continuity of care).ConclusionsAlthough hospital performance is a pivotal topic in the healthcare sector, a deep understanding of how contextual factors may affect it is missing. The theoretical framework developed provides a tool to understand the multiple dimensions able to affect hospital performance. On one hand contextual dimensions may provide a direct effect on hospital performance. On the other, they may affect the extent to which technologies are capable of producing value.


Sensors ◽  
2019 ◽  
Vol 19 (19) ◽  
pp. 4318 ◽  
Author(s):  
Alfredo Pérez Fernández ◽  
Guttorm Sindre

Privacy has long been an important issue for IT systems that handle personal information, and is further aggravated as technology for collecting and analyzing massive amounts of data is becoming increasingly effective. There are methods to help practitioners analyze the privacy implications of a system during the design time. However, this is still a difficult task, especially when dealing with Internet of Things scenarios. The problem of privacy can become even more unmanageable with the introduction of overspecifications during the system development life cycle. In this paper, we carried out a controlled experiment with students performing an analysis of privacy implications using two different methods. One method aims at reducing the impact of overspecifications through the application of a goal-oriented analysis. The other method does not involve a goal-oriented analysis and is used as a control. Our initial findings show that conducting a goal-oriented analysis early during design time can have a positive impact over the privacy friendliness of the resulting system.


2017 ◽  
Vol 30 (5) ◽  
pp. 467-486 ◽  
Author(s):  
Razilya Shakirova

Purpose The purpose of this paper is to investigate the factors that may influence support of public-private partnerships (PPPs) by government employees potentially involved in designing and implementing cross-sectoral collaborations. Design/methodology/approach Based on an original survey of government employees in the USA, this study explores the impact of individual, organizational and environmental factors on their support for PPPs by employing ordinary least squares regression. Findings Among the individual factors, involvement in PPPs and concerns for efficiency have been identified as factors having positive impact on government employees’ support for PPPs. Male government employees seem to be less supportive of PPPs than female government employees. Environmental factors such as public opinion and appointed agency heads positively influence government employees’ views of PPPs. No evidence for the significant impact of organizational factors on government employee perceptions of PPPs was found. Research limitations/implications Factors influencing government employees’ attitudes may also have an effect on employees’ behaviors when involved in PPPs. Further studies may clarify how attitudes are translated into behaviors and how they influence the performance of PPPs. Investigations into government employees’ views of PPPs before and after their actual involvement in partnerships may allow for identifying changes in employees’ support for PPPs and their possible causes. Originality/value This study investigates the impacts of individual, organizational and environmental factors on government employees’ support for partnerships with the private sector that remain under-researched in the literature.


2020 ◽  
Author(s):  
Erjon Curraj

Small and medium enterprises (SMEs) in Albania, similar to other markets, operate in complex, fast-paced and unpredictable environments due to their size and nature. In our contemporary knowledge-based economy, business is constantly changing, and SMEs are thus continually faced with the challenge to find new and innovative ways to improve and adapt to the rapid transformations. As a result, there is a growing interest and necessity for SMEs to explore and adapt new and innovative mechanisms for better decision making, which will then lead to improved performance and competitiveness. Digitalization of SMEs with the use of Business Intelligence (BI) and Knowledge Management (KM) systems is one such innovative instrument open to SMEs for a better performance and increased competitiveness. The research for this doctoral thesis is then set precisely in this configuration whereby: on one hand the current level of adoption and use of advanced ICTs and technological innovation within SMEs, or business digitalization as will be coined later, is relatively limited due to a variety of factors; and on the other hand ICTs themselves as technological systems or tools as well as part of business landscape, i.e. ICT as a sector, are a major driver of innovation, modernization and growth for the Albanian economy. This doctoral thesis addresses the gap in the current state of research regarding the development, adoption and use of advanced ICTs systems, i.e. business digitalization, within SMEs. In addition, the research for the doctoral thesis expands the challenge to the impact of business digitalization on performance of SMEs in Albania. Clearly, SMEs have been selected as the central ground of research not only to contribute towards filling a research gap in management and ICTs studies in Albania, but also because of the central role that SMEs play in Albanian economy and their future potential in the digital world. The results show that business digitalization impacts positively the overall performance of SMEs in Albania. Size, age and location of the SME dominate performance and are related to the business digitalisation more than strategy. Also, the entrepreneurial characteristics of the owner – manager also impact the digitalization. Having a clear business plan was also found to be important when it comes to using BI. SMEs in Albania are a vital part of the national economy and the research shows that there is growing interest in ICTs, digitalisation, BI and KM, but innovation is still at relatively low levels due to financial and human resources, which are limited. However, the research highlights that SMEs are very flexible and easy to adopt to change and when this is combined with a visionary owner- manager they tend to move towards business digitalisation. Another finding of this study is that digitalisation have lead SMEs to reconsider and re-conceptualise their business models attempting to move towards innovations that impact performance. Also, the concept of business model innovations is also gaining ground in SMEs in Albania. Findings show that the use of BI and other digitalisation processes is mainly driven by strategic and innovation related motives that are internal to the company and the owner-manager. The use of BI as a result of external technological factors also plays a role. Analysis of the findings show that the use of BI and digitalisation have a positive impact on business performance. The findings of this research paper have practical implications for the SMEs sector in Albania not only in providing an assessment of the current use of BI, but also in exploring the benefits and potential usage of BI as a necessary activity for deriving improved performance. Findings of this research can be used by owners-managers to better understand how firms can engage with digitalisation and BI and how their adoption and implementation affect business performance. Another implication for business sector is that digitally mature companies have better performance and thus derive more revenue and become more competitive. Finally, the research shows that digitization has a variety of dimensions and can be understood differently by different SMEs, owner-managers and staff, but it is a major contributor to business performance. Future research is needed to explore further the role of digitalisation processes in SMEs in Albania particularly related to enabling and hindering factors. In addition, further research is needed regarding the business model innovations, particularly in terms of human and organizational factors. This study is one of the first research contributions in the case of Albania to analyse the impact of digitalization, specifically the impact of BI on SMEs in Albania.


2018 ◽  
Vol 20 (2) ◽  
pp. 105-124 ◽  
Author(s):  
Harry Bouwman ◽  
Shahrokh Nikou ◽  
Francisco J. Molina-Castillo ◽  
Mark de Reuver

Purpose This paper aims to explore how digital technologies have forced small- to medium-sized enterprises (SMEs) to reconsider and experiment with their business models (BMs) and how this contributes to their innovativeness and performance. Design/methodology/approach An empirical study has been conducted on 338 European SMEs actively using social media and big data to innovate their BMs. Four in-depth case studies of companies involved in BM innovation have also been carried out. Findings Findings show that the use of social media and big data in BMI is mainly driven by strategic and innovation-related internal motives. External technology turbulence plays a role too. BMI driven by social media and big data has a positive impact on business performance. Analysis of the case studies shows that BM is driven by big data rather than by social media. Research limitations/implications Research into big data- and social media-driven BMs needs more insight into how components are affected and how SMEs are experimenting with adjusting their BMs, specifically in terms of human and organizational factors. Practical implications Findings of this study can be used by managers and top-level executives to better understand how firms experiment with BMI, what affects business model components and how implementation might affect BMI performance. Originality/value This paper is one of the first research contributions to analyse the impact of digitalization, specifically the impact of social media and big data on a large number of European SMEs.


2016 ◽  
Vol 30 (3) ◽  
pp. 354-371 ◽  
Author(s):  
Goce Gavrilov ◽  
Elena Vlahu- Gjorgievska ◽  
Vladimir Trajkovik

Purpose – Information systems play a significant role in the improving of health and healthcare, as well as in the planning and financing of health services. Fund’s Information System is an essential component of the information infrastructure that allows assessment of the impact of changes in health insurance and healthcare for the population. The purpose of this paper is to give a brief overview of the affection of e-services and electronic data exchange (between Fund’s information systems and other IT systems) at the quality of service for insured people and savings funds. Design/methodology/approach – The authors opted for an exploratory study using the e-services implemented in Health Insurance Fund (HIF) of Macedonia and data which were complemented by documentary analysis, including brand documents and descriptions of internal processes. In this paper is presented an analysis of the financial aspects of some e-services in HIF of Macedonia by using computer-based information systems and calculating the financial implications on insured people, companies and healthcare providers. Findings – The analysis conducted in this paper shows that the HIF’s e-services would have a positive impact for the insured people, healthcare providers and companies when fulfilling their administrative obligations and exercising their rights. Originality/value – The analysis presented in this paper can serve as a valuable input for the healthcare authorities in making decisions related to introducing e-services in healthcare. These enhanced e-services will improve the quality service of the HIF.


Author(s):  
Ali Otarkhani ◽  
Sajad Shokouhyar ◽  
Sajad Salehi Pour

A gap exists in the extant literature on linking information technology governance vis-à-vis hospital performance. Specifically, this work offers insights to fill this gap by adopting the COBIT 5 framework and ISO 38500 standards in examining the relationship between IT governance principles and balanced scorecard (BSC) dimensions of hospital performance. The proposed study investigated the influence of IT governance on Tehran's hospitals' performance. Data were gathered and analyzed from fifty-three (53) questionnaires administered to Health Information Systems (HIS) professionals and IT managers. Results showed that all IT governance dimensions have a positive correlation with hospital performance and IT governance has a significant positive impact on Tehran's hospitals' performance.


2020 ◽  
Vol 8 (6) ◽  
pp. 2066-2071

Although the concepts of Learning Organization (LO) and Organizational Learning (OL) have been in use for about three decades, the realty of learning practices is still doubted. This study attempts to investigate the impact of some carefully selected organizational and managerial factors on the OL through the mediating role of IT infrastructure. The findings of this study revealed that management style as a managerial factor and strategic orientation as an organizational factor has a direct positive impact on OL. In addition, the results confirmed that IT infrastructure has mediating impact between managerial factors and OL. Accordingly, the study recommends that more open and flexible styles are needed to encourage OL. Additionally, prompting of OL requires a strategic actions and consideration


ORBIT ◽  
2020 ◽  
pp. 166-181
Author(s):  
Laurence J. Alison ◽  
Chloë Barrett-Pink ◽  
Frances Surmon-Böhr ◽  
Neil D. Shortland ◽  
Emily K. Alison ◽  
...  

This chapter examines the impact of the UK National Counter-Terrorism Training program (Alcyone). Alcyone is a 6-day course that provides the following: (1) psychological training in Observing Rapport Based Interpersonal Techniques (ORBIT), (2) input on pre-interview briefing, and (3) legislation and input on safety interviewing. Approximately 80% of the course involves scenario-based role-play with additional knowledge checks and short lecture inputs. The chapter details the analysis used to assess the program’s impact. Multivariate analysis of variance revealed that Alcyone-trained officers showed a significantly greater reliance on adaptive interpersonal skills that had been taught in the course and demonstrated significantly fewer maladaptive interpersonal behaviors that they had been taught to avoid. There was also a significant increase in the use of rapport-based behaviors and a greater extraction of information from the suspects. Although several other factors may also account for an increase in yield, the increase in all the aspects that these officers had been taught in the course provides support that the course had a positive impact. This has implications for interview training programs and for the dissemination of evidence-based practice for counterterrorism interviewing.


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