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Factors affecting procurement of wound care products: a qualitative study of hospital managers and clinicians' views.
- Source :
- Australian Health Review; 2021, Vol. 45 Issue 1, p66-73, 8p
- Publication Year :
- 2021
-
Abstract
- Objective. To identify factors that influence procurement and disinvestment decisions for wound care products in the acute care setting. Methods. A qualitative descriptive study was undertaken. Eighteen face-to-face semi-structured interviews were conducted with purposively sampled senior clinical and non-clinical managers from three Australian acute care hospitals with responsibility for consumables procurement and disinvestment decisions. Data were coded and analysed thematically. Results. Three main themes (Systems and triggers, Evidence-free zone, Getting the governance right) with subthemes were identified that reflect that: (1) procurement processes were often ad hoc and workarounds common. Disinvestment was poorly understood and opportunities were missed to reduce use of low value products; (2) product selection was commonly based on clinician preference, contractual obligations and information from industry representatives; and (3) improved evidence-based governance and processes are needed to connect procurement and disinvestment decisions and to minimise the influences of clinician preference and industry representatives on product selection. Conclusions. Systematic and evidence-based approaches are needed to strengthen procurement and disinvestment decisions related to consumables such as wound care products and to minimise the purchasing of low-value products Decision-making frameworks should consider cost and clinical effectiveness and enable the identification of opportunities to disinvest from low-value products. [ABSTRACT FROM AUTHOR]
- Subjects :
- ACQUISITION of property
ATTITUDE (Psychology)
COMMERCIAL product evaluation
CRITICAL care medicine
DECISION making
HEALTH facility administration
HEALTH services administrators
HOSPITALS
INTERVIEWING
RESEARCH methodology
MEDICAL personnel
RESEARCH funding
WOUND care
QUALITATIVE research
JUDGMENT sampling
THEMATIC analysis
DATA analysis software
PHYSICIANS' attitudes
MEDICAL coding
DESCRIPTIVE statistics
ECONOMICS
Subjects
Details
- Language :
- English
- ISSN :
- 01565788
- Volume :
- 45
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Australian Health Review
- Publication Type :
- Academic Journal
- Accession number :
- 148533219
- Full Text :
- https://doi.org/10.1071/AH19250