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

ilustraciones, diagramas, gráficas

Autores:: Ruíz Orjuela, Erika Tatiana

Tipo de recurso:: Doctoral thesis

Fecha de publicación:: 2024

Institución:: Universidad Nacional de Colombia

Repositorio:: Universidad Nacional de Colombia

Idioma:: spa

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dc.title.spa.fl_str_mv	Determinantes en la coordinación de actores y su efecto en el desempeño de la cadena de suministro hospitalaria en un ambiente lean
dc.title.translated.eng.fl_str_mv	Determinants of actor coordination and their impact on hospital supply chain performance in a lean environment
title	Determinantes en la coordinación de actores y su efecto en el desempeño de la cadena de suministro hospitalaria en un ambiente lean
spellingShingle	Determinantes en la coordinación de actores y su efecto en el desempeño de la cadena de suministro hospitalaria en un ambiente lean 650 - Gerencia y servicios auxiliares::658 - Gerencia general Equipos y Suministros de Hospitales Equipment and Supplies, Hospital Cadena de suministro hospitalaria Coordinación Determinantes Desempeño Gestión de cadenas de suministro Hospital supply chain Coordination Determinants Performance Supply chain management Lean manufacturing Administración de la cadena de suministro Lean manufacturing supply chain management
title_short	Determinantes en la coordinación de actores y su efecto en el desempeño de la cadena de suministro hospitalaria en un ambiente lean
title_full	Determinantes en la coordinación de actores y su efecto en el desempeño de la cadena de suministro hospitalaria en un ambiente lean
title_fullStr	Determinantes en la coordinación de actores y su efecto en el desempeño de la cadena de suministro hospitalaria en un ambiente lean
title_full_unstemmed	Determinantes en la coordinación de actores y su efecto en el desempeño de la cadena de suministro hospitalaria en un ambiente lean
title_sort	Determinantes en la coordinación de actores y su efecto en el desempeño de la cadena de suministro hospitalaria en un ambiente lean
dc.creator.fl_str_mv	Ruíz Orjuela, Erika Tatiana
dc.contributor.advisor.spa.fl_str_mv	Adarme Jaimes, Wilson
dc.contributor.author.spa.fl_str_mv	Ruíz Orjuela, Erika Tatiana
dc.contributor.researchgroup.spa.fl_str_mv	Sociedad, economía y productivadad SEPRO
dc.subject.ddc.spa.fl_str_mv	650 - Gerencia y servicios auxiliares::658 - Gerencia general
topic	650 - Gerencia y servicios auxiliares::658 - Gerencia general Equipos y Suministros de Hospitales Equipment and Supplies, Hospital Cadena de suministro hospitalaria Coordinación Determinantes Desempeño Gestión de cadenas de suministro Hospital supply chain Coordination Determinants Performance Supply chain management Lean manufacturing Administración de la cadena de suministro Lean manufacturing supply chain management
dc.subject.decs.spa.fl_str_mv	Equipos y Suministros de Hospitales
dc.subject.decs.eng.fl_str_mv	Equipment and Supplies, Hospital
dc.subject.proposal.spa.fl_str_mv	Cadena de suministro hospitalaria Coordinación Determinantes Desempeño Gestión de cadenas de suministro
dc.subject.proposal.eng.fl_str_mv	Hospital supply chain Coordination Determinants Performance Supply chain management
dc.subject.wikidata.spa.fl_str_mv	Lean manufacturing Administración de la cadena de suministro
dc.subject.wikidata.eng.fl_str_mv	Lean manufacturing supply chain management
description	ilustraciones, diagramas, gráficas
publishDate	2024
dc.date.accessioned.none.fl_str_mv	2024-04-15T19:35:37Z
dc.date.available.none.fl_str_mv	2024-04-15T19:35:37Z
dc.date.issued.none.fl_str_mv	2024-03-15
dc.type.spa.fl_str_mv	Trabajo de grado - Doctorado
dc.type.driver.spa.fl_str_mv	info:eu-repo/semantics/doctoralThesis
dc.type.version.spa.fl_str_mv	info:eu-repo/semantics/acceptedVersion
dc.type.coar.spa.fl_str_mv	http://purl.org/coar/resource_type/c_db06
dc.type.content.spa.fl_str_mv	Text
dc.type.redcol.spa.fl_str_mv	http://purl.org/redcol/resource_type/TD
format	http://purl.org/coar/resource_type/c_db06
status_str	acceptedVersion
dc.identifier.uri.none.fl_str_mv	https://repositorio.unal.edu.co/handle/unal/85915
dc.identifier.instname.spa.fl_str_mv	Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv	Repositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourl.spa.fl_str_mv	https://repositorio.unal.edu.co/
url	https://repositorio.unal.edu.co/handle/unal/85915 https://repositorio.unal.edu.co/
identifier_str_mv	Universidad Nacional de Colombia Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv	spa
language	spa
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dc.publisher.spa.fl_str_mv	Universidad Nacional de Colombia
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dc.publisher.branch.spa.fl_str_mv	Universidad Nacional de Colombia - Sede Bogotá
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spelling	Reconocimiento 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Adarme Jaimes, Wilson0c908dec9d14c2b6312f913bc35a53ac600Ruíz Orjuela, Erika Tatiana7ceb7079d74acf63d2607c287a351e3f600Sociedad, economía y productivadad SEPRO2024-04-15T19:35:37Z2024-04-15T19:35:37Z2024-03-15https://repositorio.unal.edu.co/handle/unal/85915Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, diagramas, gráficasLa 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).Coordination 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.DoctoradoDoctor en IngenieríaMétodos y modelos de optimización y estadística en ingeniería industrial y administrativaiv, 200 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Ingeniería - Doctorado en Ingeniería - Industria y OrganizacionesFacultad de IngenieríaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá650 - Gerencia y servicios auxiliares::658 - Gerencia generalEquipos y Suministros de HospitalesEquipment and Supplies, HospitalCadena de suministro hospitalariaCoordinaciónDeterminantesDesempeñoGestión de cadenas de suministroHospital supply chainCoordinationDeterminantsPerformanceSupply chain managementLean manufacturingAdministración de la cadena de suministroLean manufacturingsupply chain managementDeterminantes en la coordinación de actores y su efecto en el desempeño de la cadena de suministro hospitalaria en un ambiente leanDeterminants of actor coordination and their impact on hospital supply chain performance in a lean environmentTrabajo de grado - Doctoradoinfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/acceptedVersionhttp://purl.org/coar/resource_type/c_db06Texthttp://purl.org/redcol/resource_type/TDA. 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Comprehensive Literature Review about Drug Shortages in the Canadian Hospital’s Pharmacy Supply Chain. 2019 International Conference on Engineering, Science, and Industrial Applications, ICESI 2019. https://doi.org/10.1109/ICESI.2019.8863026InvestigadoresPúblico generalLICENSElicense.txtlicense.txttext/plain; charset=utf-85879https://repositorio.unal.edu.co/bitstream/unal/85915/1/license.txteb34b1cf90b7e1103fc9dfd26be24b4aMD51ORIGINAL1053607727.2024.pdf1053607727.2024.pdfTesis de Doctorado en Ingeniería - Industria y Organizacionesapplication/pdf5280098https://repositorio.unal.edu.co/bitstream/unal/85915/2/1053607727.2024.pdfffb1596571590b2eec1461a8f7275231MD52THUMBNAIL1053607727.2024.pdf.jpg1053607727.2024.pdf.jpgGenerated Thumbnailimage/jpeg4976https://repositorio.unal.edu.co/bitstream/unal/85915/3/1053607727.2024.pdf.jpg665ece30469979648b27b500583f5f90MD53unal/85915oai:repositorio.unal.edu.co:unal/859152024-08-23 23:12:21.462Repositorio Institucional Universidad Nacional de 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Determinantes en la coordinación de actores y su efecto en el desempeño de la cadena de suministro hospitalaria en un ambiente lean

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