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The objective of this study is to explore the structural attributes of the pharmaceutical industry before the onset of the COVID-19 pandemic by examining the relationship between inventory and firm performance and developing a taxonomy of pharmaceutical firms based on the earns-turns matrix.

This study examines the inventory–firm performance linkage, considering both total inventory and its discrete inventory components in pharmaceutical firms. In addition, this research develops a new taxonomy of pharmaceutical firms based on the earns-turns matrix. A large panel dataset of firms in the US pharmaceutical industry was collected for the period 2000–2019.

The results reveal that strategic groups identified based on this taxonomy show different levels of profitability and inventory turns in the earns-turns matrix. Most pharmaceutical firms moved from the low-right to the top-left section in the earns-turns matrix, indicating that these firms have generally pursued profitability rather than effective inventory management.

This study explores the structural attributes of the pharmaceutical industry using the earns-turns matrix. This two-dimensional analysis may not, however, capture the full complexity of inventory–firm performance dynamics.

The mapping of strategic groups on the earns-turns matrix provides a useful tool for visual representations of the dynamics of strategic groups in terms of financial performance and inventory management performance. Practitioners can use the earns-turns matrix to benchmark their firm's position against their competitors.

This study broadens the scope of operations management research by introducing the earns-turns matrix as an empirical validation tool for operational and strategic management theories. This study emphasizes the effectiveness of the earns-turns matrix in analyzing strategic groups of pharmaceutical firms.

Optimization of dynamics determining distribution performance of pharmaceuticals is vital in realizing Sustainable Development Goal (SDG) number 3 which insists on provision of good health and well-being to the society. This study was designed at unfolding diverse factors that influence the distribution performance of pharmaceuticals in the Medical Stores Department (MSD) of Tanzania.

This study utilized cross-sectional survey strategy in gathering data from 67 staff members working in the MSD using census approach. A structured questionnaire facilitated the collection of quantitative data which were later analyzed using ordinal logistic regression.

The results disclosed that all variables of inventory management, information management system and facility location positively and significantly govern the distribution performance and henceforth rejection of the foreseen null hypothesis.

This study realized dynamics inducing distribution performance of pharmaceuticals but did not cover the role of 3PLS and 4PLS in enhancing the same, and hence, an imminent study ought to seal this gap. Also, having grasped management information system is of strategic pillar, then it would sound imperative to analyze the application of artificial intelligence in distribution system performance.

This paper assimilates the concept of subaspects of supply chain management in footings of distribution management and that of pharmaceuticals and hence multidisciplinary value addition. Also, this study illustrates the applicability of strategic choice theory in strategic management in developing countries through pertinent choice of inventory management, information management system and facility location in triumphing SDGs.

Spurred by the high turnover in the pharmaceutical industry, locating pharmacies inside urban areas along with the high product perishability in this industry, the pharmaceutical supply chain management has recently gained increasing attention. Accordingly, this paper unveils an inventory-routing problem for designing a pharmaceutical supply chain with perishable products and time-dependent travel time in an uncertain environment.

In this study, mathematical programming is employed to formulate a multi-graph network affected by the traffic volume in order to adapt to real-world situations. Likewise, by transforming the travel speed function to the travel time function using a step-by-step algorithm, the first-in-first-out property is warranted. Moreover, the Box–Jenkins forecasting method is employed to diminish the demand uncertainty.

An appealing result is that the delivery horizon constraint in the under-study multi-graph network may eventuate in selecting a longer path. Our analysis also indicates that the customers located in the busy places in the city are not predominantly visited in the initial and last delivery horizon, which are the rush times. Moreover, it is concluded that integrating disruption management, routing planning and inventory management in the studied network leads to a reduction of costs in the long term.

Applying the time-dependent travel time with a heterogeneous fleet of vehicles on the multi-graph network, considering perishability in the products for reducing inventory costs, considering multiple trips of transfer fleet, considering disruption impacts on supply chain components and utilizing the Box–Jenkins method to reduce uncertainty are the contributions of the present study.

Ineffective management inventory of medical products such as blood and vaccines can create severe repercussions for hospitals, clinics or medical enterprises, such as surgery delays and postponements. Inventory sharing is a form of horizontal collaboration that can provide solutions to key actors of the healthcare supply chain (HSC), yet no prior study reviewed this topic.

This study conducts a systematic literature review of thirty-nine inventory-sharing studies in the context of HSCs published from 2012 until early 2022. The descriptive and thematic analyses include chronological distribution, geographical location, comparison between developed/developing regions, stakeholder and incident analysis.

Thematic analysis classified inventory sharing among five product supply chains (blood, medical supplies, medicines, vaccines and generic medical products). Benefits include shortage reduction, cost minimisation, and wastage mitigation. Barriers include (1) IT infrastructure, (2) social systems, (3) cost and (4) supply chain operations. Perishable inventory policies include Fresher-First (FF), Last-Expire-First-Out (LEFO), First-In-First-Out (FIFO) and First-Expire-First-Out (FEFO). The analysis also showed differences between developed and developing countries. The study identifies several future research opportunities that include (1) product utilisation rate, (2) cost reductions, (3) shortage mitigation and (4) waste reduction.

No prior study has systematically reviewed inventory sharing in HSCs to reveal benefits, barriers, patterns and gaps in the current literature. It makes five propositions and develops a research model to guide future research. The study concludes with theoretical and managerial implications.

The primary objective of this article is to examine current procurement, inventory control and management practices in modern healthcare, with a particular focus on the procurement and management of surgical supplies in a prominent public, highly specialized healthcare sector.

This study was conducted in three phases. In Phase 1, the study team interacted with various hospital management stakeholders, including the surgical hospital store, examined the current procurement process and identified challenges. Phase 2 focused on selecting items for a detailed study and collected the qualitative and quantitative details of the store department of the healthcare sector chosen. A detailed study analyzed revenue, output/demand, inventory levels, etc. In Phase 3, a decision-making framework is proposed, and inventory control systems are redesigned and demonstrated for the selected items.

It was observed that the demand for many surgical items had increased significantly over the years due to an increase in disposable/disposable items, while inventories fluctuated widely. Maximum inventory levels varied between 50 and 75%. Storage and availability were important issues for the hospital. It is assumed the hospital adopts the proposed inventory control system. In this case, the benefits can be a saving of 62% of the maximum inventory, 20% of the average stock in the system and optimal use of storage space, improving the performance and productivity of the hospital.

This study can help the healthcare sector administration to develop better systems for the procurement and delivery of common surgical items and efficient resource allocation. It can help provide adequate training to store staff. This study can help improve management/procurement policies, ordering and delivery systems, better service levels, and inventory control of items in the hospital business context. This study can serve as a pilot study to further investigate the overall hospital operations.

This study can help the healthcare sector administration develop better systems for procuring and delivering common surgical items and efficient resource allocation. It can help provide adequate training to store staff. This study can help improve management/procurement policies, ordering and delivery systems, better service levels and inventory control of items in the hospital business context. This study can serve as a pilot study to further investigate the overall hospital operations.

This study is an early attempt to develop a decision framework and inventory control system from the perspective of healthcare inventory management. The gaps identified in real hospital scenarios are investigated, and theoretically based-inventory management strategies are applied and proposed.

The coronavirus disease 2019 (COVID-19) pandemic represents one of the most significant disruptions to supply chains (SCs), stimulating both practitioners and scholars to seek ways to enhance supply chain performance (SCP). Recent advancements in technology, particularly supply chain analytics (SCA) technologies, offer promising avenues for mitigating risks associated with SC disruptions like those posed by the COVID-19 pandemic. However, the existing literature lacks a comprehensive analysis of the connection between SCA and healthcare SC (HSC) performance. To address this research gap, we employed the dynamic capability perspective to investigate the mediating roles of supply chain innovation (SCI), resilience (SCR) and flexibility (SCF) in the relationship between SCA and HSC performance. The study further examined the moderating role of a data-driven culture (DDC).

The proposed model was tested using survey data from 374 managers of healthcare facilities in Ghana. SPSS and Amos were used to analyze the data gathered.

The results showed that while SCA may drive HSC performance, the presence of SCI, SCR and SCF may serve as channels to drive enhanced HSC performance. Additionally, we also found that different levels of a DDC induce varying effects of SCA on SCI, SCR and SCF.

The study’s results have theoretical and practical implications, offering valuable insights for the advancement of SCA in healthcare literature. They also deepen SC managers’ comprehension of how and when SCA can boost HSC performance. However, as the study was limited to healthcare facilities in Ghana, its findings may not be universally applicable.

This study contributes to the literature by demonstrating that SCI, SCR, SCF and a DDC could serve as transformative mechanisms to reap superior HSC outcomes. This study also offers contemporary guidance to managers regarding SCA investment decisions.

This study aims to examine the performance implications of an information governance (IG) framework for managing, controlling access to and securing information, focusing on (1) the performance benefits of an organization's IG orientation and (2) how the configuration of IG orientation and supply chain (SC) strategy type relate to performance outcomes.

This study leverages multiple secondary sources for US hospitals, serving as the context for the study. It also employs cluster analysis to develop an SC strategy taxonomy, namely sophisticated and delivery-focused SC strategies. The proposed research model is tested using a robust regression to mitigate the influence of outliers and produce more accurate estimates.

IG orientation is positively associated with financial performance and patient experience, and IG-oriented hospitals with a sophisticated SC strategy realize more financial benefits and achieve better patient care experiences compared to other configurations. Regardless of SC strategy type, IG-oriented hospitals offer better care experiences than non-IG-oriented hospitals.

This paper offers empirical evidence that a hospital's IG orientation and SC strategy jointly affect financial outcomes and patient experience. For hospitals, an organization-wide framework for governing information streamlines both intra- and inter-organizational information flows and improves care delivery throughout a patient's care experience.

This is one of a few studies that empirically examine the performance implications of governance of information in the domain of supply chain management (SCM). This study also develops an SC strategy taxonomy for the healthcare context and offers a springboard for research in service SC strategy.

The purpose of this study is to extract factors enabling the digital car sharing enterprises' supply chain resilience (SCR), to interpret different factor prioritizations in terms of industry representatives’ assessments and specialties, and to discuss the results by applying and comparing different ranking techniques.

To achieve the purpose, the factors were identified via an in-depth systematic literature review, and next, these factors were examined by industry representatives to gather the decision matrices, then analytic hierarchy process (AHP) and measuring attractiveness by a categorical based evaluation technique (MACBETH) were applied separately to model the decision problem, and finally the findings were interpreted with different participants’ perspectives.

The findings revealed that the AHP and MACBETH provide nearly identical rankings in terms of main factors by implying the significance of the triple bottom line of sustainability. Therefore, the economic, social, and environmental dimensions of sustainability should be accomplished to obtain a resilient digital car sharing enterprise supply chain. In addition, readiness and agility are the other important factors affecting the enterprises’ resilience, and finally, although digitalization seemed to be the least important one, its sub-factor emerged at the top of the ranking list.

Up to the authors’ knowledge, this is the first study in the literature that focuses on the SCR of car sharing companies, a particular type of digital enterprise, and uses AHP and MACBETH to examine the important factors that might affect the SCR of these companies. Practitioners should take the findings of both methods into account when evaluating the results and determine the short- and long-term strategies accordingly.

The study aims to explore the utilisation of Clinical Decision Support (CDS) tools in Tanzanian healthcare facilities by identifying the tools used, the challenges encountered and the adaptive strategies employed by healthcare practitioners. It utilises an Activity Theory (AT) approach to understand the dynamic interactions between healthcare providers, CDS tools and the broader healthcare system.

The research adopts a qualitative approach in two prominent regions of Tanzania, Dar es Salaam and Dodoma. It involves semi-structured interviews with 26 healthcare professionals and key stakeholders across ten healthcare facilities, supplemented by document reviews. The study employs AT to analyse the interactions between healthcare professionals, CDS tools and the broader healthcare system, identifying best practices and providing recommendations for optimising the use of CDS tools.

The study reveals that Tanzanian healthcare practitioners predominantly rely on non-computerised CDS tools, such as clinical guidelines prepared by the Ministry of Health. Despite the availability of Health Information Systems (HIS), these systems often lack comprehensive decision-support functionalities, leading practitioners to depend on traditional methods and their professional judgement. Significant challenges include limited accessibility to updated clinical guidelines, unreliable infrastructure and inadequate training. Adaptive strategies identified include using non-standardised tools like Medscape, professional judgement and reliance on past experiences and colleagues’ opinions.

The investigation was constrained by access limitations because it was challenging to get some respondents to share information. However, a sufficient number of individuals participated in the interviews, and their knowledge was very beneficial in understanding the procedures and tools for clinical decision support.

This study contributes to AT by extending its application to a low-resource healthcare setting, uncovering new dimensions of the theory related to socio-cultural and technological constraints in healthcare facilities in Tanzania. It provides valuable insights into the practical barriers and facilitators of HIS and CDS tool implementation in developing countries, emphasising the need for context-specific adaptations, robust training programs and user-centred designs. The findings highlight the resilience and imagination of healthcare practitioners in adapting to systemic limitations, offering recommendations to enhance clinical decision-making and improve patient care outcomes in Tanzania.

This paper aims at developing a multi-objective mathematical model of circular economy that integrates key concept of leasing as a strategy in addition to reuse, refurbishing, primary recycling, secondary recycling and disposal.

This paper proposes multi-objective fuzzy mixed integer linear programming mathematical model considering multi-product, multi-echelon and multi-capacitated concepts of the circular economy. The three objectives of the proposed model, namely, economic, environmental and social are solved simultaneously using constraint approach to obtain balanced trade-off between the objective functions. The model is validated by solving a case study from the literature. The proposed model is made pragmatic for industrial application by considering multi-external suppliers multi-customer zones, multi-disassembly centers, multi-collection centers and multi-refurbishing centers and accounting for purchasing, processing, transportation, set-up costs and capacity constraints at the same time.

The results show that the leasing of the products improves the economic function in addition to the known environmental improvements. The proposed model also shows that the circular economy can generate the jobs for the unskilled people at different locations.

The proposed model can be further improved by considering the non-linearity due to economy of scale at various centers and in transportation. The model can be further extended to make it multi-period model.

The proposed model of circular economy can be used by the organizations as a policy tool to decide the optimum number of collection centers, disassembly centers, refurbishing centers, recycling centers and disposal centers and their optimum locations and allocations. The organizations can also trade-off among economic, environmental and social benefits of their proposed decisions in circular economy.

The originality of the proposed mathematical model is consideration of leasing as a strategy to have better control over the supply chain for circularity; considering the training of unskilled people for backward supply chain jobs and accounting for primary recycling and secondary recycling separately for economical computation.