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How does the knowledge environment shape procurement practices for orthopaedic medical devices in Mexico?
Myriam Lingg1,2, Kaspar Wyss3,4, Luis Durán-Arenas5,6
1University of Basel, Petersplatz 1, 4003, Basel, Switzerland. myriam.lingg@yahoo.de.
BMC Medical Informatics and Decision Making
|July 9, 2016
Summary
Effective knowledge management in healthcare is crucial for optimal medical device procurement. This study reveals significant gaps in integrating clinical knowledge into orthopaedic device purchasing processes in Mexico.
Area of Science:
- Healthcare Management
- Knowledge Management
- Health Systems Research
Background:
- Healthcare systems often assume effective knowledge utilization, focusing on clinical decision-making.
- Little is known about connecting clinical knowledge to administrative processes like medical device procurement.
Purpose of the Study:
- To analyze knowledge-related factors influencing orthopaedic medical device procurement in Mexico.
- To assess the role of clinical knowledge in procurement and identify areas for improvement.
Main Methods:
- Qualitative study utilizing 48 semi-structured interviews with diverse stakeholders in Mexico.
- Analysis adopted a knowledge-management perspective to examine clinical procedures and procurement.
Main Results:
- Clinical knowledge in orthopaedics is inconsistently generated and poorly managed, inadequately supporting device procurement.
- Deficiencies include poor leadership guidance, knowledge-sharing failures, and underdeveloped structures for information exchange.
- Technological aspects supporting knowledge management are insufficient.
Conclusions:
- Mexico's procurement of orthopaedic medical devices is sub-optimal due to inadequate integration of clinical knowledge.
- Recommendations include integrating clinical knowledge into procurement decisions, providing strong guidance, and implementing technological solutions for better knowledge management.

