TY - JOUR

T1 - Applying a modified care delivery value chain for procurement strategy development: The case of anti-HIV/AIDS and tuberculosis institutions

AU - Иванов, Андрей Евгеньевич

AU - Гиленко, Евгений Валерьевич

AU - Panteleev, Alexander

AU - Rossi, Ekaterina

PY - 2025

Y1 - 2025

N2 - In this study, Porter’s value chain methodology is modified and applied to procurement strategy development of institutions countering HIV/AIDS and tuberculosis (TB). The healthcare value chain (VC) methodology involves modeling of hospital care by means of the VC-model, dividing hospital activities into ones implemented in its subdivisions (logistics, production, marketing), and supporting ones (finance HR, procurement, etc.), and the care delivery value chain (CDVC) which for a specific disease structures the process of providing care, considering the contribution of all types of activities to the fixed components of patient value (accessing, measuring, informing) at each of its stages. In the paper, (1) CDVC of TB-institutions is developed, (2) CDVC-model is modified by means adding logistics chain link and fourth component of patient value (patient’s well-being), (3) modified CDVC model is applied to develop the procurement strategy of HIV/AIDS institutions. This study (1) combines VC and CDVC within a modified VC-model; (2) develops a methodology of applying this model to construct a procurement strategy for institutions in question; (3) suggests some measures to prevent suppliers from collusive behavior. The paper develops models discovering collusive behavior and thus contributes to higher quality of anti-AIDS medicine and reagents and to lower their costs. The paper promotes procurement integrity and patient orientation of the procurement strategy. The paper suggests fullfledged TB CDVC and opens ways to apply modified CDVC to develop procurement strategy.

AB - In this study, Porter’s value chain methodology is modified and applied to procurement strategy development of institutions countering HIV/AIDS and tuberculosis (TB). The healthcare value chain (VC) methodology involves modeling of hospital care by means of the VC-model, dividing hospital activities into ones implemented in its subdivisions (logistics, production, marketing), and supporting ones (finance HR, procurement, etc.), and the care delivery value chain (CDVC) which for a specific disease structures the process of providing care, considering the contribution of all types of activities to the fixed components of patient value (accessing, measuring, informing) at each of its stages. In the paper, (1) CDVC of TB-institutions is developed, (2) CDVC-model is modified by means adding logistics chain link and fourth component of patient value (patient’s well-being), (3) modified CDVC model is applied to develop the procurement strategy of HIV/AIDS institutions. This study (1) combines VC and CDVC within a modified VC-model; (2) develops a methodology of applying this model to construct a procurement strategy for institutions in question; (3) suggests some measures to prevent suppliers from collusive behavior. The paper develops models discovering collusive behavior and thus contributes to higher quality of anti-AIDS medicine and reagents and to lower their costs. The paper promotes procurement integrity and patient orientation of the procurement strategy. The paper suggests fullfledged TB CDVC and opens ways to apply modified CDVC to develop procurement strategy.

M3 - Article

VL - 1

SP - 130

EP - 158

JO - International Journal of Public Procurement

JF - International Journal of Public Procurement

SN - 1949-2332

IS - 1

ER -