New Straits Times

‘PURCHASING’ A MORE AFFORDABLE HEALTHCARE SYSTEM

Profession­alisation of the purchasing function is essential for a more efficient organisati­on of hospitals, specialist centres and elderly homes, writes DR MARCO TIEMAN

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THE government has been urged to regulate the cost of private healthcare as part of efforts to lessen the cost of living in Malaysia. The authoritie­s will target healthcare spending of 6.0 per cent to 7.0 per cent of the gross domestic product (GDP), an increase from the current 4.4 per cent.

Recently it was reported that medical supplies in Malaysia is a multi-billion ringgit busines. What needs to be done to create a more affordable healthcare system in Malaysia? Profession­alisation of the purchasing function of healthcare organisati­ons is a good starting point.

Managing a world-class healthcare organisati­on does not only require medical but also business expertise. Within the healthcare organisati­on the purchasing function is increasing­ly important. In fact, a significan­t part of healthcare costs can be directly linked to the effectiven­ess of the purchasing function.

There is a difference between buying and purchasing. Purchasing is the profession­al buying by an organisati­on. Purchasing is structured, based on facts, and shaped by corporate or public policy. Buying in the private domain has space for irrational considerat­ions, whereas in the corporate or public domain this space is not present.

I have learnt that purchasing involves everything you receive an external invoice for. Therefore, the finance department is the starting point in the optimisati­on of purchasing. Modern purchasing is data oriented, involved in obtaining intelligen­ce on the purchasing market as well as recurring analysis of own spending. Purchasing is hereby more a science than an art.

Profession­alisation of the purchasing function is essential for a more efficient organisati­on of hospitals, specialist centres, elderly homes, disability care, general practition­ers, dentists, etc. However, what I often discover with healthcare organisati­on in Malaysia is that there is a lot of untapped potential in saving purchasing costs and improving the purchasing organisati­on.

Purchasing in healthcare organisati­on are generally not well structured, category management and inventory management practices are not effective enough, synergy advantages not

Managing a world-class healthcare organisati­on does not only require medical expertise but also business expertise.

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