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JIT in the hospital industry: An empirical study of the influences of JIT characteristics on consumer satisfaction and costs.

机译：医院行业中的JIT：对JIT特性对消费者满意度和成本的影响的实证研究。

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摘要

This research examined three major questions associated with the adoption of JIT principles for materials management support in hospitals. First, does the adoption of JIT material management principles influence customer satisfaction with resupply support. Secondly, can the adoption of JIT material management principles be correlated to reductions in supply costs. Finally, the research also examined the impact of JIT practices on internal hospital material management resources.;The research was both cross-sectional and longitudinal in nature. The study used the Department of Defense's implementation of prime vendor support contracts across its multi-hospital healthcare system as the experimental setting for examining the influence of JIT practices. Survey data was collected in three stages across an 18 month time frame as the contracts were implemented. Multiple regression models were then used to examine the influence of the JIT practices on cost, customer satisfaction, and internal materials management resources.;In order to explore the influences of the JIT practices on customer satisfaction a measure was constructed around the dimensions of reliability, responsiveness, quality, price, time and control. Reliability and factor analysis of the survey results indicated that it provided a reliable and valid survey based measure of customer satisfaction.;Overall, the research detected positive influences on quality in terms of customer satisfaction associated with the adoption of JIT practices. The data also revealed significant influences from the adoption of JIT practices on the hospitals internal materials management operations. The adoption of JIT practices was associated with increases in supporting inventories and with lower inventories at the supported locations. JIT practices were also associated with decreases in the materials management staff, but also associated with increases in the materials distribution staff. The research failed to detect significant influences from JIT practices on macro indicators of cost as the influences of the JIT philosophy were not significant enough to be detected using macro cost measures against a backdrop of other influential variables.
机译：这项研究检查了与在医院中采用JIT原则进行物料管理支持有关的三个主要问题。首先，采用JIT物料管理原则是否会影响客户对补给支持的满意度。其次，是否可以将JIT物料管理原则的采用与减少供应成本相关联。最后，该研究还检验了准时制实践对医院内部物资管理资源的影响。该研究本质上是横断面的和纵向的。该研究将美国国防部在其多医院医疗保健系统中执行的主要供应商支持合同作为检验JIT做法影响的实验环境。合同执行后，在18个月的时间范围内分三个阶段收集了调查数据。然后，使用多个回归模型来检验JIT惯例对成本，客户满意度和内部物料管理资源的影响。为了探究JIT惯例对客户满意度的影响，围绕可靠性维度构建了一种度量，响应速度，质量，价格，时间和控制力。调查结果的可靠性和因素分析表明，该方法提供了可靠且有效的基于客户满意度的调查指标。总体而言，该研究发现与采用JIT做法相关的客户满意度对质量产生了积极影响。数据还显示，采用JIT惯例对医院内部物料管理业务产生了重大影响。采用准时制做法与支助库存增加以及受支助地点的库存减少有关。准时制做法还与材料管理人员的减少有关，但也与材料分配人员的增加有关。该研究未能发现JIT实践对成本宏观指标的重大影响，因为JIT哲学的影响还不足以在其他有影响力的变量的背景下使用宏观成本测度来检测。

著录项

  • 作者

    Magee, George Daniel.;

  • 作者单位

    The Pennsylvania State University.;

  • 授予单位 The Pennsylvania State University.;
  • 学科 Business administration.;Marketing.;Health care management.
  • 学位 Ph.D.
  • 年度 1997
  • 页码 236 p.
  • 总页数 236
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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