The adjustability helps companies better handle potential issues such as overstocking and unoptimized space in vessels. In Section 2, the relevant literature is presented arguing that complex systems such as the PSC, require well-established strategies to be managed effectively. (2006), Strategic Management of the Health Care Supply Chain, 1st ed., Wiley, San Francisco, CA. (2014) suggested that orchestrating resources and capabilities across the SC could be very challenging, but at the same time creates opportunities of developing an effective system. Those interviews provided data to generalise the qualitative research outputs, as the last interview did not add any consequential data. The journey may take years, during which there are many different players who have roles to fulfill. 184-200. (NOfM) (2016), “The organisation’s aim and objectives”, available at: www.eof.gr/web/guest/information. 3, pp. This interdisciplinary approach is characterised as a revelatory contribution by Nicholson et al. (2009), Clinical Guidelines and Evidence Review for Medicines Adherence: Involving Patients in Decisions about Prescribed Medicines and Supporting Adherence, National Collaborating Centre for Primary Care and Royal College of General Practitioners, London. 147-158. Figure 3 presents in detail the sequence of activities undertaken to achieve the collection and analysis of the qualitative data. To our best knowledge this aspect of the medicines SC via a cross-case analysis is underrepresented in the literature. 41 No. Increasing concerns related to counterfeiting, adulteration, and diversion have resulted in additional regulations that must be complied with. 9 No. (2012), “Lean in healthcare: the unfilled promise?”, Social Science & Medicine, Vol. The final theme emerging from the analysis is the perceived complexity issues of the delivery system. (2014) and Bam et al. Therefore, the striking differences between the two locations are the reasons for selecting them; there are differences between these two countries in terms of their healthcare spending and healthcare structure. Who are the key players/SC partners in the pharmaceutical industry? Corporate relationships with vendors and distributors require the same kind of attention, with regular performance reviews, top-to-top meetings and joint business planning to strengthen partnerships and achieve greater efficiencies. 16 No. In an outsourced model where the order fulfillment takes place within the distribution network, there are many considerations. This model considers the healthcare organisation as a production operation area that needs to be improved. The mutual transparency increases as the relationship deepens and the two parties better understand the value and business each can bring to the other. Capabilities required for inventory management and control should be clearly defined in user requirements specifications (URSs) across the value chain from production of the drug substance to drug product filling and packaging operations (unit of use) through final packaging, labeling, and delivery to the clinical setting and point of patient. The first step on the path to delivering a successful commercial supply chain strategy is to review the business strategy, ensuring that all elements of the storage and distribution network align with the mission and business goals of the enterprise and, more importantly, with the needs of caregivers and patients. Food products are considered to have similar characteristics to pharmaceuticals, considering their short expiration date and their impact on society.
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