東非地區(qū)的醫(yī)療保健組織在供應(yīng)鏈管理領(lǐng)域面臨眾多挑戰(zhàn),需要通過(guò)管理決策和有效運(yùn)營(yíng)來(lái)解決。本文針對(duì)以埃塞俄比亞為代表的東非發(fā)展中國(guó)家,研究供應(yīng)鏈管理對(duì)醫(yī)療保健服務(wù)質(zhì)量的作用。由于服務(wù)供應(yīng)鏈管理趨向于復(fù)雜化,傳統(tǒng)方法很難有效地應(yīng)對(duì)各種挑戰(zhàn)。雖然已有研究在供應(yīng)鏈風(fēng)險(xiǎn)管理領(lǐng)域取得了一定成果,但鮮有文獻(xiàn)從跨國(guó)角度對(duì)跨行業(yè)部門(mén)的戰(zhàn)略采購(gòu)風(fēng)險(xiǎn)進(jìn)行研究。針對(duì)上述問(wèn)題,本文進(jìn)行了以下研究:（1）探討了社會(huì)關(guān)系、機(jī)構(gòu)支持、機(jī)構(gòu)間合作、外部靈活性等因素對(duì)醫(yī)療保健供應(yīng)鏈風(fēng)險(xiǎn)緩解的影響。研究結(jié)果表明,機(jī)構(gòu)間合作和外部靈活性這兩個(gè)因素對(duì)醫(yī)療保健供應(yīng)鏈風(fēng)險(xiǎn)管理有較大影響,且這一影響在發(fā)展中國(guó)家更為顯著。因此,對(duì)風(fēng)險(xiǎn)管理的監(jiān)測(cè)應(yīng)是衛(wèi)生組織運(yùn)營(yíng)和戰(zhàn)略管理的核心。（2）討論了供應(yīng)鏈管理的五個(gè)維度:供應(yīng)商、規(guī)格、標(biāo)準(zhǔn)、交付和售后服務(wù),并研究其對(duì)埃塞俄比亞醫(yī)療保健部門(mén)的醫(yī)療保健服務(wù)質(zhì)量的影響。其中,服務(wù)質(zhì)量主要考慮了響應(yīng)、信任和安全三個(gè)方面。研究結(jié)果表明,埃塞俄比亞私營(yíng)衛(wèi)生部門(mén)的供應(yīng)商、規(guī)格、標(biāo)準(zhǔn)、分銷和售后服務(wù)的組合與醫(yī)療保健服務(wù)質(zhì)量有關(guān)。（3）提出了由成本、質(zhì)量、靈活性和交付構(gòu)成的競(jìng)爭(zhēng)優(yōu)先級(jí),研究了其對(duì)供應(yīng)鏈管理中供應(yīng)商、... 

【文章來(lái)源】：北京科技大學(xué)北京市 211工程院校 教育部直屬院校

【文章頁(yè)數(shù)】：137 頁(yè)

【學(xué)位級(jí)別】：博士

【文章目錄】：
Acknowledgements
摘要
Abstract
List of Abbreviations
1 Introduction
    1.1 Research background
        1.1.1 Supply chain collaboration among members
        1.1.2 Collaborative strategy among members of the supply chain
        1.1.3 Members of the supply chain
        1.1.4 SCM competition priority
    1.2 Problem statement
    1.3 Research questions
    1.4 Importance of the research
    1.5 Research significance and contribution
        1.5.1 The overall structure of the health system and supply chain
        1.5.2 Development of national policies
        1.5.3 Professionalization of health logistics
2 Literature review and hypotheses development
    2.1 Healthcare SCM in East African countries
        2.1.1 Overview of pharmaceuticals SCM in Kenya
        2.1.2 Overview of pharmaceuticals SCM in Uganda
        2.1.3 Overview of pharmaceuticals SCM in Sudan
        2.1.4 Overview of pharmaceuticals SCM in Tanzania
        2.1.5 Pharmaceuticals SCM system in Ethiopia
        2.1.6 Pharmaceuticals logistic and warehousing system in Ethiopia
    2.2 Healthcare SCM elements
    2.3 Supply chain network
        2.3.1 Health care supply chain network
        2.3.2 Service supply chain network
        2.3.3 Supply chain service quality
    2.4 Supply chain risk management
        2.4.1 Risk mitigation
        2.4.2 Institutional support
        2.4.3 Inter-Agency Collaboration
        2.4.4 External flexibility
    2.5 Role of SCM in healthcare service quality
        2.5.1 Healthcare SCM
        2.5.2 Hospital supply chain
    2.6 Competitive advantage on achieving supply chain capabilities
        2.6.1 The concept of competitive advantage
        2.6.2 Factors affecting competitive advantage
        2.6.3 Determinants of competitive advantage
    2.7 Summary of literature and hypotheses
3 Healthcare service supply chain risk management
    3.1 Methodology
    3.2 Data collection and sampling
        3.2.1 Reliability test
        3.2.2 Discriminant validity
    3.3 Result and analysis
        3.3.1 Path analysis
        3.3.2 Hypothesis testing
    3.4 Discussions
    3.5 Theoretical and managerial implications
    3.6 Conclusion and further research
4 The role of SCM in healthcare service quality
    4.1 Methodology
        4.1.1 Data collection and sample characteristics
        4.1.2 Explanation of the variables
        4.1.3 Techniques for preliminary data analysis
    4.2 Results
        4.2.1 Hypotheses testing
    4.3 Discussion
    4.4 Recommendations and managerial implications
    4.5 Conclusion
5 The impact of competitive advantage on achieving SCC in the healthcaresector
    5.1 Methodology, data collection and sampling
    5.2 Results and hypotheses test
        5.2.1 Measurement of variables
        5.2.2 Hypothesis testing results
    5.3 Recommendations
    5.4 Conclusion and implications
6 Research conclusion, innovative point and limitation
    6.1 Research conclusion
    6.2 Contribution and innovative points
    6.3 Limitations of the research and future directions
References
作者簡(jiǎn)歷及在學(xué)研究成果
學(xué)位論文數(shù)據(jù)集



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