Risk management and its impact on the supply of medical supplies in Ecuador
Keywords:
risk management, medical supply, social security, hospital pharmacy, sports supplementsAbstract
The objective of this research was to determine the incidence of risk management on the supply of medical supplies among pharmacy staff of an Ecuadorian hospital, establishing a link with physical culture and sport through the availability of critical supplies for health and athletic performance. A basic, quantitative study was conducted with a non-experimental cross-sectional design and a causal correlational scope. A census sample of 78 pharmacy service workers was surveyed with two 24-item questionnaires with high reliability (α = 0.966 and α = 0.964). Data were analyzed using ordinal logistic regression and Spearman’s rho coefficient. The results showed that risk management had a significant incidence on the supply of medical supplies (χ² = 53.931; p < 0.001), explaining 56.6% of its variability (Nagelkerke pseudo R² = 0.566) and showing a high positive correlation (ρ = 0.794). The four dimensions of the process (identification, analysis and evaluation, treatment, and monitoring) were also significant, with monitoring and review (R² = 0.432) and risk identification (R² = 0.382) standing out as the stages with the greatest explanatory capacity. It was concluded that risk management operated as an organizational capability that sustained the availability of supplies in a context of institutional emergency. It is recommended to institutionalize the risk matrix and a monitoring system with performance indicators, extendable to the management of supplies for physical activity and sport, where traceability and risk prevention are equally decisive for health and performance.
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Alarcón Hermida, Y., Gregori Caballero, A. R., Pulido Cuza, M., Fernández Céspedes, Y., Iglesias La Torre, N., & Luna Trumboll, O. (2024). Plan de acción para la gestión de riesgos en el laboratorio médico del Banco Provincial de Sangre de Camagüey. Gaceta Médica Espirituana, 26, 2611. https://www.redalyc.org/articulo.oa?id=767781319010
Datta, S., Jauhar, S. K., & Paul, S. K. (2023). Leveraging blockchain to improve nutraceutical supply chain resilience under post-pandemic disruptions. Computers & Industrial Engineering, 183, 109475. https://doi.org/10.1016/j.cie.2023.109475
Dogbe, C. S. K., Iddris, F., Duah, E., Boateng, P. A., & Kparl, E. M. (2023). Analyzing the health supply chain risks during COVID-19 pandemic: The moderating role of risk management. Cogent Business & Management, 10(3), 2281716. https://doi.org/10.1080/23311975.2023.2281716
Friday, D., Savage, D. A., Melnyk, S. A., Harrison, N., Ryan, S., & Wechtler, H. (2021). A collaborative approach to maintaining optimal inventory and mitigating stockout risks during a pandemic: Capabilities for enabling health-care supply chain resilience. Journal of Humanitarian Logistics and Supply Chain Management, 11(2), 248–271. https://doi.org/10.1108/JHLSCM-07-2020-0061
Getele, G. K., & Ruoliu, X. (2024). Service supply chain risk management in the public healthcare sector. International Journal of Emerging Markets, 19(11), 4259–4285. https://doi.org/10.1108/IJOEM-04-2022-0627
Hernández-Sampieri, R., & Mendoza, C. P. (2018). Metodología de la investigación: Las rutas cuantitativa, cualitativa y mixta. McGraw-Hill Interamericana.
International Organization for Standardization. (2018). ISO 31000:2018. Risk management — Guidelines. ISO.
Mabizela, S., Nakambale, H. N., & Bangalee, V. (2023). Predictors of medicine redistribution at public healthcare facilities in King Cetshwayo District, KwaZulu-Natal, South Africa. BMC Health Services Research, 23, 1108. https://doi.org/10.1186/s12913-023-10096-4
Management Sciences for Health. (2012). MDS-3: Managing access to medicines and health technologies. Management Sciences for Health.
Martínez-Vargas, E., Villalobos-Madriz, A., Arguedas-Chacón, S., Arroyo-Monterroza, D., Milano-Gil, A., Teixeira, V., Morales-Vallespin, J., Dalmaso-Neto, S., Sánchez-Solís, C., Zavaleta-Monestel, E., & Moss, R. J. (2026). Drug shortages in Latin America: A cross-sectional survey on impact and mitigation in pharmacy and procurement. Journal of Medicine Access, 10. https://doi.org/10.1177/27550834261463056
Matos, V. C., Ribeiro Filho, B. Q., Abreu, A. M. E., Souza, M. R. M., Pereira, L. H. S., Sena, J. P., Mello, D. H. A. S., Rodrigues, C. F. C., Ayres, C. A. W., & Lima, M. J. S. (2026). Asistencia farmacéutica en el deporte: Desafíos para su implementación e implicaciones para la salud del atleta. Revista Contemporánea, 17(64), e14687. https://doi.org/10.56238/levv17n64-134
Medina-Condor, U., & Sánchez-Dávila, K. (2025). Gestión administrativa y abastecimiento de medicamentos e insumos en un hospital. Revista Amazónica de Ciencias Sociales, 4(2), e409. https://doi.org/10.55873/racs.v4i2.409
Mera Domo, S. V., Valeriano Gurumendi, S. P., & Zambrano Cantos, F. X. (2026). Gestión de riesgos en las cadenas de abastecimiento de hospitales públicos latinoamericanos. Revista San Gregorio, 1(Especial_3), 113–121. https://doi.org/10.36097/rsan.v1iEspecial_3.4091
Rose, O., Hoti, K., Isufi, B., et al. (2025). Drug shortages: Clinical implications and burdens – a trinational multiple-methods study. Journal of Pharmaceutical Policy and Practice, 18(1), 2555731. https://doi.org/10.1080/20523211.2025.2555731
Senna, P., Reis, A., Guimarães, J., Marujo, L. G., Santos, A. C. S. G., & Severo, E. A. (2023). Healthcare supply chain risk assessment KPIs: An empirical study using PLS-SEM. Production, 33, e20220107. https://doi.org/10.1590/0103-6513.20220107
Teece, D. J., Pisano, G., & Shuen, A. (1997). Dynamic capabilities and strategic management. Strategic Management Journal, 18(7), 509–533.
Troya Terranova, T. C., & Alvarez Arias, J. C. (2026). Optimización del abastecimiento de medicamentos mediante la gestión de riesgos en el sistema de seguridad social ecuatoriano. Aula Virtual, 7(15), e812. https://doi.org/10.5281/zenodo.22032200
Urbaniak, M., Zimon, D., Madzik, P., & Šírová, E. (2022). Risk factors in the assessment of suppliers. PLoS ONE, 17(8), e0272157. https://doi.org/10.1371/journal.pone.0272157
Vogler, S. (2024). Tackling medicine shortages during and after the COVID-19 pandemic: Compilation of governmental policy measures and developments in 38 countries. Health Policy, 143, 105030. https://doi.org/10.1016/j.healthpol.2024.105030
Wieland, A., & Durach, C. F. (2021). Two perspectives on supply chain resilience. Journal of Business Logistics, 42(3), 315–322. https://doi.org/10.1111/jbl.12271
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