Challenges in medicine procurement through GeM in a tertiary care hospital in northeast India

  • 0Department of Hospital Administration, #Base Hospital, Guwahati, Assam, India.

|

|

Summary

This summary is machine-generated.

Government e-marketplace (GeM) procurement of medical supplies faces significant supply chain challenges. Key issues include vendor non-quotation, price rejections, and supply failures, impacting healthcare delivery.

Area Of Science

  • Healthcare Supply Chain Management
  • Public Health Procurement
  • E-governance in Healthcare

Background

  • The Government e-marketplace (GeM) is a recent initiative for procuring medical items.
  • Tertiary care hospitals in India are increasingly utilizing GeM for essential supplies.
  • Understanding procurement challenges is crucial for effective healthcare delivery.

Purpose Of The Study

  • To assess bottlenecks, procedural pitfalls, and delays in GeM procurement at a tertiary care hospital.
  • To analyze the gap between demanded and received medical items through GeM.
  • To identify key factors hindering the medical supply chain via e-procurement.

Main Methods

  • Retrospective analysis of 12 months of procurement data from a hospital's procurement cell.
  • Comparison of total demand for medicines and consumables via GeM against actual received quantities.
  • Identification of major bottlenecks in the e-procurement process.

Main Results

  • Significant shortfall in received medical items: 46.1% of medicines and 77.5% of consumables were received against demand.
  • Major identified bottlenecks include vendor non-quotation, price negotiation rejections, and vendor failure to supply.
  • The study highlights substantial discrepancies in the GeM medical supply chain.

Conclusions

  • Vendor-related issues (non-quotation, price rejection, supply failure) are critical bottlenecks in GeM procurement.
  • Recommendations include vendor base enhancement, price negotiation flexibility, and onboarding reliable pharmaceutical companies.
  • Optimizing GeM procurement is essential for improving supply chain management and healthcare delivery.

Related Concept Videos

Issues And Trends In Healthcare Delivery System 01:29

5.6K

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...

Tertiary Healthcare System 01:21

1.7K

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...

Secondary Healthcare System 01:11

1.4K

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...

Introduction To Health Care Delivery System 01:18

2.6K

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...

Methods Of Healthcare Delivery System 01:26

3.1K

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...

Methods of Documentation VI: Case Management Model 01:15

559

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...