Strategic contracting practices to improve procurement of health commodities

Arney, Leslie; Yadav, Prashant; Miller, Roger; Wilkerson, Taylor

doi:10.9745/ghsp-d-14-00068

Cited by 43 publications

(51 citation statements)

References 3 publications

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“…Framework contracts are already enacted in countries like Ghana, Kenya, and Zambia, while in others such as Mozambique legislative barriers still prevent their enactment. 223 Even where procurement itself is effective, post-procurement management of commodities is critical, as the experience of Ghana's CMS illustrates.…”

Section: Section 6 Access To Essential Health Commoditiesmentioning

confidence: 99%

The path to longer and healthier lives for all Africans by 2030: the Lancet Commission on the future of health in sub-Saharan Africa

et al. 2017

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Section: Section 6 Access To Essential Health Commoditiesmentioning

confidence: 99%

The path to longer and healthier lives for all Africans by 2030: the Lancet Commission on the future of health in sub-Saharan Africa

et al. 2017

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“…The results of strategic purchasing in developed countries indicate that in a country like the US, through strategic purchasing contracts, the price of four expensive drugs is 24% lower than the average price offered by drug suppliers. [ 10 ]…”

Section: Introductionmentioning

confidence: 99%

Pharmaceutical strategic purchasing requirements in Iran: Price interventions and the related effective factors

Bastani¹,

Dinarvand²,

Samadbeik³

et al. 2016

J Res Pharm Pract

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Objective:Pharmaceutical access for the poor is an essential factor in developing countries that can be improved through strategic purchasing. This study was conducted to identify the elements affecting price in order to enable insurance organizations to put strategic purchasing into practice.Methods:This was a qualitative study conducted through content analysis with an inductive approach applying a five-stage framework analysis (familiarization, identifying a thematic framework, indexing, mapping, and interpretation). Data analysis was started right after transcribing each interview applying ATLAS.ti. Data were saturated after 32 semi-structured interviews by experts. These key informants were selected purposefully and through snowball sampling.Findings:Findings showed that there are four main themes as Pharmaceutical Strategic Purchasing Requirements in Iran as follows essential and structural factors, international factors, economical factors, and legal factors. Moreover, totally 14 related sub-themes were extracted in this area as the main effective variables.Conclusion:It seems that paying adequate attention to the four present themes and 14 sub-themes affecting price can enable health system policy-makers of developing countries like Iran to make the best decisions through strategic purchasing of drugs by the main insurers in order to improve access and health in the country.

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“…For example, in the UK a ‘framework’ route might be equally successful, especially with limited scope of requirements, since it is likely to cost less. While in general, framework agreements are a useful and effective approach for smaller purchasing decisions, these are usually not indicated for major procurements such as comprehensive EPR systems 5. The reasons for this include the fact that not all EPR providers may be available through the framework process, thus reducing the scope of potential vendors, and frameworks are based on preselected criteria, which may be beneficial in specific circumstances but when considering enterprise EPR solutions, the scale and complexity of requirements may be incompatible with a framework approach.…”

Section: Discussionmentioning

confidence: 99%

Lessons learned from a comprehensive electronic patient record procurement process—implications for healthcare organisations

Priestman

Collins

Vigne

et al. 2019

BMJ Health Care Inform

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BackgroundThis study describes learning from procurement of a comprehensive electronic patient record (EPR/electronic health record (EHR)), system for a specialist clinical academic institution.MethodRetrospective review of procurement process in addition to evaluation of peer-reviewed literature in the field.ResultsMain lessons learned include the importance of detailed preparation of organisational requirements/specifications and organisational ‘readiness’. Early staff involvement, resulting in ownership of the selected system by the organisation was a key achievement. The scoring process used required significant resource commitment but, despite being extensive in scope, provided relatively poor distinction between suppliers, despite significant variation in supplier self-scoring. Other elements, such as demonstrations and site visits, provided superior evaluation of functional abilities, and specification requirements should be regarded as threshold evaluation.ConclusionWhile principles should be followed, the procurement process must be modified to meet the needs of the specific organisation, in terms of its clinical activities, digital maturity, existing infrastructure and budget.

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Strategic contracting practices to improve procurement of health commodities

Abstract: Practices such as flexible, pre-established framework agreements can improve timeliness and cost of procurement and help improve commodity security. Addressing legislative barriers and building technical capacity in contract management may facilitate the use of such practices.

Cited by 43 publications

References 3 publications

The path to longer and healthier lives for all Africans by 2030: the Lancet Commission on the future of health in sub-Saharan Africa

The path to longer and healthier lives for all Africans by 2030: the Lancet Commission on the future of health in sub-Saharan Africa

Pharmaceutical strategic purchasing requirements in Iran: Price interventions and the related effective factors

Lessons learned from a comprehensive electronic patient record procurement process—implications for healthcare organisations

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