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Table 3 Interview responses part 3

From: Case studies for implementing MCDA for tender and purchasing decisions in hospitals in Indonesia and Thailand

 

Thailand hospital tender (n = 4)

Indonesia hospital drug purchasing (n = 4)

Accelerators (number of mentions)

Education in evaluation techniques [3]

National policy [3]

Support/advice [1]

Clarity of criteria [1]

Simple Tools [1]

Training [3]

Leadership support [2]

Practical experience [1]

Association support (Medical and Hospital) [1]

Using local hospital data [1]

Solve conflicts in interest [1]

Access to data [1]

Inhibitors (number of mentions)

Complexity of assessing criteria (all 4)

Resistance to change [2]

Lack of scoring definition [1]

Subjectivity of some criteria [1]

Practice integration [1]

Need for training [1]

Lack of training and knowledge [3]

Conflicts with current process [2]

Industry rejection [1]

Complexity of MCDA process [1]

Stakeholders (the ones who were involved are in bold type fonts; the other were also mentioned as important)

Academic pharmacists

Hospital pharmacists

Head of hosp. pharmacy

Head of specialty department for PTC

Director of hospital

Procurement pharmacists

Prescribers/Clinicians

Pharmaceutical industry

Finance

Academic leaders

Hospital director

Hospital administration

Clinicians/Prescribers

Pharmacists (supply manager)

Therapeutic committee

Hospital association

National Agency of Drug and Food Control of Republic of Indonesia

Pharmaceutical companies

Financial and legal department of hospital

Patient organization

Potential role of PAGs/POs

Advocate for the importance of product quality and high-quality products

Increase awareness for the issue

Patient consensus on criteria

Analysis of patient experiences to create awareness for issue

Concern: potential lack of objectivity

  1. MCDA Multi-Criteria Decision Analysis, MoH   Ministry of Health, PAG Patient Advocacy Group, PO Patient Organization, PTC Pharmacy and Therapeutics Committee
  2. Summary of interview responses relating to accelerators or inhibitors observed in the implementation project so far and the potential role of patient advocacy groups (PAGs)