Elmer Bakker

A strategic case for e-adoption in healthcare supply chains

A growing body of literature suggests that greater benefits of e-business will be obtained when e-business is integrated throughout a supply chain. However, organizations are still cautious in adopting e-business technologies. This paper examines whether a strategic case for e-commerce can be recognised and the factors that influence e-adoption, using e-business development models, a contingency approach and a stakeholder approach. The paper explores the link of e-commerce with strategy and the potential strategic benefits, risks and problems. This paper analysed e-adoption in four diverse healthcare supply chains in the context of the English National Health Service (NHS). The fieldwork showed there is of limited use of e- in supply chains; there are key problems associated with perceived benefits and costs by different actors both within organisations and within the chain. The paper proposes a framework to link the case for e-commerce with the achievement of strategic objectives across three inter-related domains-health, supply and business.

Public procurement of innovations, diffusion and endogenous institutions

Purpose – Public procurement has been increasingly seen as an important innovation policy tool. One neglected aspect of the public procurement of innovation is, however, diffusion. The purpose of this paper is to counter this neglect by exploring how institutional coordination may affect the diffusion of innovations procured by a public agency.Design/methodology/approach – A case study including semi‐structured interviews and the consulting of different documents were used to study how institutions and institutional coordination affect the adoption and diffusion of innovation.Findings – Several endogenous institutions were identified that act as barriers to the diffusion of innovation throughout an organisation. Attempts to re‐design and negate these barriers were also identified.Research limitations/implications – Institutional analysis of innovation has a tendency to be limited to formal and exogenous institutions. The paper underscores the importance of taking into account the endogenous institutional ...The role of the public agency as a pacer of private sector innovation has been emphasised over recent years, especially in the context of the EU. The general ambition has been to encourage public agencies to actively stimulate private sector innovation rather than procure existing products. This has triggered an increased interest among researchers and practitioners to identify best practice examples where public agencies have successfully procured innovation. Rather than addressing this demand-oriented perspective, this paper investigates the role of public agencies as adopters of private-sector innovation. Employing an innovation systems perspective, the paper focuses on institutions as enablers and as barriers of innovation diffusion. The paper presents an explorative case study: the introduction of a new catheter into the English National Health Service and its diffusion among NHS trusts in England. Different institutional factors are identified which have had an affect on the catheter’s adoption and diffusion.

Choosing an organisational form: the case of collaborative procurement initiatives

This paper deals with different organisational forms of collaborative procurement and provides insight into when to use which form. Different forms from the literature are compared with empirical examples to give an overview of forms, which are then described in terms of strategy, skills and organisation. Whilst acknowledging variations, the paper distinguishes between two main forms: virtual networks and third-party organisations. Using empirical data and four theoretical perspectives (transaction cost economics, resource-based view, contingency theory, agency theory), the paper reflects on when which form can be used and presents an overall framework to help choose an organisational form.