Medication supply chain resilience during disasters: exploration of causes, strategies, and consequences applying Strauss and Corbin's approach to the grounded theory

Journal of Pharmaceutical Policy and Practice

Research

Peivand Bastani¹  Ramin Ravangard²  Gholamhossein Mehralian³  Mahnaz Samadbeik⁴  Omid Sadeghkhani⁵  Parisa Bikine⁵ 

[1]College of Health and Human Sciences, Charles Darwin University, 0870, Alice Springs, NT, Australia

[2]School of Dentistry, UQ Oral Health Center, The University of Queensland, 4006, Brisbane, QLD, Australia

[3]Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Science, Shiraz, Iran

[4]Nottingham Business School, Nottingham Trent University, Nottingham, UK

[5]Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran

[6]Student Research Committee, School of Health Management and Information Sciences, Shiraz University of Medical Science, Shiraz, Iran

关键词: Resilience;    Supply chain management;    Disaster;    Qualitative study;    Grounded theory;   

DOI  :  10.1186/s40545-023-00604-6

 received in 2022-09-17, accepted in 2023-08-02,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDue to the importance of procurement of medicines and medical supplies during disasters and the significance of an existing resilient supply chain, the present study aimed to explore the causes, strategies, and consequences of the medication supply chain resilience during the Kermanshah, Iran, earthquake experience in 2018.MethodsThis was a qualitative study based on the grounded theory method. The suggested approach by Strauss and Corbin was used. Thirty-two in-depth and semi-structured interviews were conducted via theoretical sampling, and data were saturated. Open-ended and probing questions were used, and all the interviews were recorded with the prior permission of the participants. Field notes and memoing were also used along with the interviews. Transcribed data were analyzed in three levels of open coding, selective, and axial coding by two researchers with sufficient reflexivity without any conflict of interest.ResultsThe results led to the identification of eight main categories, including "Disaster Management Structure", "Information Management", "Supply Chain Monitoring", "Socio-Cultural Factors", "Planning", "Resource Management", "Medical Service Coverage", and "Waste of time and resources". According to Strauss and Corbin's model, socio-cultural factors and inappropriate structures and planning related to the health system during disasters may waste time and resources.Conclusions"Waste of time and resources” during disasters can be considered the main determinant that can damage the resilience of the medication supply chain. Policymakers need to seek applied strategies for decreasing waste. Socio-cultural interventions, preparedness of information infrastructures and coordination among the stewards and the community during disasters can help the supply chain preserve its resilience and act more effectively.

【 授权许可】

CC BY   
© Dr. Zaheer-Ud-Din Babar and Auckland UniServices Ltd. 2023

【 图 表 】

Fig. 2

Fig. 1