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Exploring risk pooling in hospitals to reduce demand and lead time uncertainty

Author

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  • Gerald Oeser

    (Bielefeld University of Applied Sciences)

  • Pietro Romano

    (University of Udine)

Abstract

Nearly every eighth German hospital faces an elevated risk of bankruptcy. An inappropriate use of inventory management practices is among the causes. Hospitals suffer from demand and lead time uncertainty, and the current COVID-19 pandemic worsened the plight. The popular business logistics concept of risk pooling has been shown to reduce these uncertainties in industry and trade, but has been neglected as a variability reduction method in healthcare operations research and practice. Based on a survey with 223 German hospitals, this study explores how ten risk pooling methods can be adapted and applied in the healthcare context to reduce economic losses while maintaining a given service level. The results suggest that in general risk pooling may improve the economic situation of hospitals and, in particular, inventory pooling, transshipments, and product substitution for medications and consumer goods are the most effective methods in the healthcare context, while form postponement may be unsuitable for hospitals due to the required efforts, delay in treatments, and liability issues. The application of risk pooling in healthcare requires willingness to exchange information and to cooperate, adequate IT infrastructure, compatibility, adherence to healthcare laws and regulations, and securing the immediate treatment of emergencies. Compared to manufacturing and trading companies, hospitals seem to currently neglect the variability reducing effect of risk pooling.

Suggested Citation

  • Gerald Oeser & Pietro Romano, 2021. "Exploring risk pooling in hospitals to reduce demand and lead time uncertainty," Operations Management Research, Springer, vol. 14(1), pages 78-94, June.
    • Handle: RePEc:spr:opmare:v:14:y:2021:i:1:d:10.1007_s12063-020-00171-y
    DOI: 10.1007/s12063-020-00171-y
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    as
    1. Jan A. Van Mieghem, 2007. "Risk Mitigation in Newsvendor Networks: Resource Diversification, Flexibility, Sharing, and Hedging," Management Science, INFORMS, vol. 53(8), pages 1269-1288, August.
    2. Elodie Adida & Po-Ching DeLaurentis & Mark Lawley, 2011. "Hospital stockpiling for disaster planning," IISE Transactions, Taylor & Francis Journals, vol. 43(5), pages 348-362.
    3. Christophe Croux & Catherine Dehon, 2010. "Influence functions of the Spearman and Kendall correlation measures," Statistical Methods & Applications, Springer;Società Italiana di Statistica, vol. 19(4), pages 497-515, November.
    4. Fattore, Giovanni & Petrarca, Giuseppina & Torbica, Aleksandra, 2014. "Traveling for care: Inter-regional mobility for aortic valve substitution in Italy," Health Policy, Elsevier, vol. 117(1), pages 90-97.
    5. Armstrong, J. Scott & Overton, Terry S., 1977. "Estimating Nonresponse Bias in Mail Surveys," MPRA Paper 81694, University Library of Munich, Germany.
    6. Wang, Ke-Ming & Ma, Zu-Jun, 2015. "Age-based policy for blood transshipment during blood shortage," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 80(C), pages 166-183.
    7. Gary D. Eppen, 1979. "Note--Effects of Centralization on Expected Costs in a Multi-Location Newsboy Problem," Management Science, INFORMS, vol. 25(5), pages 498-501, May.
    8. Alkhuzaee, Fahad S. & Almalki, Hamdan M. & Attar, Ammar Y. & Althubiani, Shoeab I. & Almuallim, Wassam Ali & Cheema, Ejaz & Hadi, Muhammad Abdul, 2016. "Evaluating community pharmacists’ perspectives and practices concerning generic medicines substitution in Saudi Arabia: A cross-sectional study," Health Policy, Elsevier, vol. 120(12), pages 1412-1419.
    9. Dimitrios Andritsos & Christopher S. Tang, 2014. "Linking Process Quality and Resource Usage: An Empirical Analysis," Post-Print hal-01099628, HAL.
    10. Simona Baldi & Davide Vannoni, 2017. "The impact of centralization on pharmaceutical procurement prices: the role of institutional quality and corruption," Regional Studies, Taylor & Francis Journals, vol. 51(3), pages 426-438, March.
    11. Paul Joustra & Erik Sluis & Nico Dijk, 2010. "To pool or not to pool in hospitals: a theoretical and practical comparison for a radiotherapy outpatient department," Annals of Operations Research, Springer, vol. 178(1), pages 77-89, July.
    12. Gerald Oeser & Pietro Romano, 2016. "An empirical examination of the assumptions of the Square Root Law for inventory centralisation and decentralisation," International Journal of Production Research, Taylor & Francis Journals, vol. 54(8), pages 2298-2319, April.
    13. Reymondon, Francis & Pellet, Bertrand & Marcon, Eric, 2008. "Optimization of hospital sterilization costs proposing new grouping choices of medical devices into packages," International Journal of Production Economics, Elsevier, vol. 112(1), pages 326-335, March.
    14. Saedi, Samira & Kundakcioglu, O. Erhun & Henry, Andrea C., 2016. "Mitigating the impact of drug shortages for a healthcare facility: An inventory management approach," European Journal of Operational Research, Elsevier, vol. 251(1), pages 107-123.
    15. Dimitrios A. Andritsos & Christopher S. Tang, 2014. "Linking Process Quality and Resource Usage: An Empirical Analysis," Production and Operations Management, Production and Operations Management Society, vol. 23(12), pages 2163-2177, December.
    16. Özalp Özer, 2003. "Replenishment Strategies for Distribution Systems Under Advance Demand Information," Management Science, INFORMS, vol. 49(3), pages 255-272, March.
    17. Hoda Parvin & Shervin Beygi & Jonathan E. Helm & Peter S. Larson & Mark P. Van Oyen, 2018. "Distribution of Medication Considering Information, Transshipment, and Clustering: Malaria in Malawi," Production and Operations Management, Production and Operations Management Society, vol. 27(4), pages 774-797, April.
    18. Adam Diamant & Joseph Milner & Fayez Quereshy & Bo Xu, 2018. "Inventory management of reusable surgical supplies," Health Care Management Science, Springer, vol. 21(3), pages 439-459, September.
    19. Chen, Fisher Chia-Yu & Chen, Chialin, 2003. "The effects of strategic alliances and risk pooling on the load factors of international airline operations," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 39(1), pages 19-34, January.
    20. Frank Wiengarten & Prakash J. Singh & Brian Fynes & Ali Nazarpour, 2017. "Impact of mass customization on cost and flexiblity performances: the role of social capital," Operations Management Research, Springer, vol. 10(3), pages 137-147, December.
    21. Alvaro Almeida & Joana Cima, 2015. "Demand uncertainty and hospital costs: an application to Portuguese public hospitals," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(1), pages 35-45, January.
    22. R. K. Jha & B. S. Sahay & P. Charan, 2016. "Healthcare operations management: a structured literature review," DECISION: Official Journal of the Indian Institute of Management Calcutta, Springer;Indian Institute of Management Calcutta, vol. 43(3), pages 259-279, September.
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