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Effect of e-procurement implementation on the effectiveness of rwandan hospitals a case of Kabaya district hospital (2019- 2020)


par Rukundo Paterne
University of Kigali - Master's degree in Science of Procurement and supply Chain Management 2021
  

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2.2 Theoretical review

The theoretical review helps to identify theories about the study already existing, the relationships between them, to what degree the existing theories have been investigated and to develop new hypotheses to be tested.

2.2.1 Transaction Cost Theory

Transaction cost economics states that organization encounter the challenge of opportunism when they are in a situation bargaining with a small number of other organizations.

Hence then having more suppliers reduces this risk and affords the organization the ability to negotiate better procurement deals as the buyer is less dependent on any particular supplier (Dedrick et al.., 2008). The same author states that the number of suppliers chosen by an organization encompasses an optimal balance among the following key transaction factors: fit, coordination costs and risk opportunism. Information technology has the potential of reducing coordination costs as procurement processes are standardized and automated, thus reducing the cost of working with more suppliers. This mostly benefits the buying organization especially for commodity items such as copper pipes.

Information technology allows organization to reduce the number of suppliers and focus on low-cost suppliers of standard goods and consolidated their purchases to obtain volume discounts (Dedrick et al., 2008) The use of information technology (IT) facilitates the reduction of coordination costs. For example, electronic market places, facilitated through IT, reduce the cost of searching and obtaining information about product prices and offerings (Bakker et al, 2008). Collaboration facilitates information sharing by lowering transaction costs as companies can reduce supply chain uncertainty and thus the cost of contracting. For example, if a supplier is unable to accurately predict the price of its product inputs, it will be reluctant to enter into a contract, which locks it into a fixed price for an extended period of time (Arrowsmith, 2002). Uncertainty in the context of supply chain, and more specifically in manufacturing, is caused by new product development uncertainty, demand uncertainty, technology uncertainty and supply uncertainty (Koufteros, 1999). Supply uncertainty relates to unpredictable events that occur in the upstream part of the supply chain. Among the causes to supply uncertainty are late deliveries and shortages of materials. Clearly, supply uncertainty can disrupt manufacturing and have an adverse effect on sales where distributors and retailers down the chain are also affected. Demand uncertainty can be defined as unpredictable events that occur in the downstream part of the supply chain (Koufteros, 1999).

Demand uncertainty (or demand risk) can result from new product adoptions, short product life cycles (PLCs), seasonality or volatility of fads (Johnston, 2005). Another uncertainty related to manufacturing is new product development which stems from unpredictable events during the process of product prototyping, product design, and market research. Finally, technology uncertainty refers to the fuzziness in the selection of a suitable technology platform (Koufteros, 1999). An example is the trade-off between a fool-proof manufacturing technology (perhaps dated), compared to a prospective technology offering better price to performance but whose viability is uncertain (Klein, 2007).

Furthermore, uncertainty can also arise from social uncertainties (such as strikes), natural (such as fire, earthquake), and political (such as fuel crisis) (Johnston, 2005) The concept of uncertainty is the key to TCE, which assumes that individuals act opportunistically and have bounded rationality. The early transaction cost literature did not make a distinction between different forms of uncertainty. More recent literature has disaggregated the construct of uncertainty (Melville et al, 2004). For example, (Wendin, 2001) built on Khalifa & Shen, (2008) and distinguished between primary and secondary (behavioral) uncertainty. Primary uncertainty refers to the underlying transaction and arises from mainly exogenous sources such as technology, uncertainty relating to natural events, consumer preferences, regulations, and uncertainty relating to natural events (Sulek et al., 2006).

Primary uncertainty may lead to coordination problems, technological difficulties, and communication problems that can as a consequence adversely effect the execution of transactions. Secondary uncertainty on the other hand refers to the risk of opportunism on transactions that are executed through incomplete contracts.Similarly, Sulek et al., (2006) classified uncertainty as primary, supplier and competitive uncertainty. Primary uncertainty is consistent with Wendin, C. (2001) and refers to the lack of knowledge of states of nature (Sulek et al, 2006).

Competitive uncertainty arises from the strategic actions of potential, actual competitors or innocent actions (McManus, 2002). Supplier uncertainty is basically behavioral uncertainty and refers to possible opportunism by upstream or downstream partners. In organizational theory uncertainty refers to environmental uncertainty (Trent, 2007) and includes a number of factors such as uncertainty regarding suppliers and competitors' actions, as well as uncertainty in technology and regulations, which captures both primary and secondary uncertainty. The presence of demand uncertainty and the lack of information sharing in the supply chain led to problem known as the bullwhip effect: which is the amplification of demand variability as orders move up the supply chain (Featherman& Pavlov, 2003).

Johnson and Whang,(2002), provides evidence for this finding from the food industry, whereas Nagle et al, (2006) reports on the bullwhip effect in the automotive sector. The bullwhip effect can be alleviated through sharing demand information in the supply chain, which reduces information uncertainty and asymmetry (Lee et al., 2003). Therefore, limiting uncertainty through information sharing reduces companies' internal risk as companies optimize capacity planning, production and inventory.

Although, information sharing seems to bring with it many benefits, it can simultaneously increase transaction risk, as higher levels of business transparency leads to opportunistic behavior. Nevertheless, uncertainty as a factor might affect companies' initiatives to share information. This also agrees with contingency theory, which states that the rate of change in an environment and amount of uncertainty affects the development of internal features in organizations (Larsson et al, 2008).

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