Determinantes en la coordinación de actores y su efecto en el desempeño de la cadena de suministro hospitalaria en un ambiente lean

dc.contributor.advisorAdarme Jaimes, Wilsonspa
dc.contributor.authorRuíz Orjuela, Erika Tatianaspa
dc.contributor.researchgroupSociedad, economía y productivadad SEPROspa
dc.date.accessioned2024-04-15T19:35:37Z
dc.date.available2024-04-15T19:35:37Z
dc.date.issued2024-03-15
dc.descriptionilustraciones, diagramas, gráficasspa
dc.description.abstractLa coordinación en la gestión de la cadena de suministro hospitalaria (CSH) es esencial para mejorar la calidad y eficiencia de la atención médica. Esta investigación evaluó empíricamente la relación entre los determinantes de la coordinación en la CSH, así como sus efectos sobre el desempeño mediados por un entorno lean. El estudio es cuantitativo de tipo explicativo y predictivo, se desarrolló en tres fases: Se caracterizó la CSH entre proveedores e instituciones de salud, identificando los determinantes de coordinación; se empleó PLS-SEM para examinar las relaciones del modelo, utilizando datos de 108 IPS Colombianas de alta complejidad; se evaluó las relaciones de moderación, mediación y la capacidad predictiva del modelo, y se propuso un marco de estrategias de mejora con base en los resultados. Los determinantes: institucionalidad, información y TIC, capital humano y social influyen en la coordinación de la CSH. La coordinación tiene un efecto positivo en el desempeño asistencial, financiero y técnico. Además, la coordinación influye en la adopción de prácticas lean, y estas median en esta relación. La naturaleza jurídica de las IPS modera la relación entre determinantes y coordinación. Los aportes de la investigación contribuyen a la teoría de la gestión de la cadena de suministro empleando teoría de redes y visión basada en recursos. Se sugiere seguir investigando acerca de la aplicación del modelo desde otras perspectivas relacionales y evaluarlo en diferentes contextos. (Texto tomado de la fuente).spa
dc.description.abstractCoordination in hospital supply chain management (HSCM) is crucial for enhancing the quality and efficiency of healthcare delivery. This research empirically assessed the relationship between coordination determinants in HSCM and their effects on performance in a lean environment. The study, quantitatively explanatory and predictive in nature, unfolded in three phases: First, the HSCM was characterized between suppliers and healthcare institutions, pinpointing coordination determinants. Next, PLS-SEM was employed to scrutinize the model relationships, utilizing data from 108 Colombian IPS. Finally, moderation, mediation relationships, and predictive capacity of the model were evaluated, culminating in a proposed improvement strategy based on the findings. Determinants such as institutional framework, information and ICT, and human and social capital influence coordination in HSCM. Coordination exerts a positive impact on performance in clinical, financial, and technical aspects. Moreover, coordination influences the adoption of lean practices, with these practices mediating this relationship. The legal nature of IPS does not moderate the coordination-performance relationship, but it does moderate the relationship between determinants and coordination. The research contributions advance supply chain management theory, incorporating network theory and resource-based view. Further exploration from alternative relational perspectives and contextual evaluations are recommended for future research endeavors.eng
dc.description.degreelevelDoctoradospa
dc.description.degreenameDoctor en Ingenieríaspa
dc.description.researchareaMétodos y modelos de optimización y estadística en ingeniería industrial y administrativaspa
dc.format.extentiv, 200 páginasspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.instnameUniversidad Nacional de Colombiaspa
dc.identifier.reponameRepositorio Institucional Universidad Nacional de Colombiaspa
dc.identifier.repourlhttps://repositorio.unal.edu.co/spa
dc.identifier.urihttps://repositorio.unal.edu.co/handle/unal/85915
dc.language.isospaspa
dc.publisherUniversidad Nacional de Colombiaspa
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotáspa
dc.publisher.facultyFacultad de Ingenieríaspa
dc.publisher.placeBogotá, Colombiaspa
dc.publisher.programBogotá - Ingeniería - Doctorado en Ingeniería - Industria y Organizacionesspa
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.licenseReconocimiento 4.0 Internacionalspa
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/spa
dc.subject.ddc650 - Gerencia y servicios auxiliares::658 - Gerencia generalspa
dc.subject.decsEquipos y Suministros de Hospitalesspa
dc.subject.decsEquipment and Supplies, Hospitaleng
dc.subject.proposalCadena de suministro hospitalariaspa
dc.subject.proposalCoordinaciónspa
dc.subject.proposalDeterminantesspa
dc.subject.proposalDesempeñospa
dc.subject.proposalGestión de cadenas de suministrospa
dc.subject.proposalHospital supply chaineng
dc.subject.proposalCoordinationeng
dc.subject.proposalDeterminantseng
dc.subject.proposalPerformanceeng
dc.subject.proposalSupply chain managementeng
dc.subject.wikidataLean manufacturingspa
dc.subject.wikidataLean manufacturingeng
dc.subject.wikidataAdministración de la cadena de suministrospa
dc.subject.wikidatasupply chain managementeng
dc.titleDeterminantes en la coordinación de actores y su efecto en el desempeño de la cadena de suministro hospitalaria en un ambiente leanspa
dc.title.translatedDeterminants of actor coordination and their impact on hospital supply chain performance in a lean environmenteng
dc.typeTrabajo de grado - Doctoradospa
dc.type.coarhttp://purl.org/coar/resource_type/c_db06spa
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
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dc.type.driverinfo:eu-repo/semantics/doctoralThesisspa
dc.type.redcolhttp://purl.org/redcol/resource_type/TDspa
dc.type.versioninfo:eu-repo/semantics/acceptedVersionspa
dcterms.audience.professionaldevelopmentInvestigadoresspa
dcterms.audience.professionaldevelopmentPúblico generalspa
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa

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