Key Stakeholder Perceptions of Standard vs. Total Cost of Ownership: A Procurement Analysis for Orthopaedic-Powered Instruments

Aazad Abbas; Olumide Olotu; Sejla Abdic; Albert Yee; Jeremie Larouche; Cari Whyne; Dante Morra; Jay Toor

doi:10.12927/hcq.2023.27050

Key Stakeholder Perceptions of Standard vs. Total Cost of Ownership: A Procurement Analysis for Orthopaedic-Powered Instruments

Healthc Q. 2023 Apr;26(1):59-64. doi: 10.12927/hcq.2023.27050.

Authors

Aazad Abbas¹, Olumide Olotu², Sejla Abdic³, Albert Yee⁴, Jeremie Larouche⁵, Cari Whyne⁶, Dante Morra⁷, Jay Toor⁸

Affiliations

¹ Is a medical student at the University of Toronto's Temerty Faculty of Medicine in Toronto, ON. He can be reached by e-mail at aazad.abbas@mail.utoronto.ca.
² Is an orthopaedic surgery resident in the Division of Orthopaedic Surgery at the University of Western Ontario in London, ON.
³ Is an independent researcher at The Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, ON.
⁴ Is an orthopaedic spine surgeon and the research chair at the University of Toronto's Division of Orthopaedics in Toronto, ON.
⁵ Is an orthopaedic spine surgeon at the University of Toronto's Division of Orthopaedics in Toronto, ON.
⁶ Is the Director of the Orthopaedic Biomechanics Lab at the Sunnybrook Health Sciences Centre and a professor, Department of Surgery, Faculty of Medicine, University of Toronto, in Toronto, ON.
⁷ Is a professor at the Temerty Faculty of Medicine in the University of Toronto and the chief of staff at Trillium Health Partners in Mississauga, ON.
⁸ Is a spine surgery fellow at the University of Toronto's Division of Orthopaedic Surgery in Toronto, ON.

PMID: 37144703
DOI: 10.12927/hcq.2023.27050

Abstract

This study compares standard procurement methodology (SPM) with total cost of ownership (TCO) methodology for the procurement of orthopaedic-powered instruments. The authors conducted semi-structured standardized interviews with key hospital procurement stakeholders following consolidated criteria for reporting qualitative research. Of the 33 hospital procurement stakeholders interviewed, all (100%) reported that SPM would be easier to use than TCO. However, only six (18%) preferred SPM over TCO. Barriers to the adoption of TCO emerged as a theme. Creating TCO frameworks can help to simplify the process for procurement agents and facilitate its adoption in the healthcare sector.

MeSH terms

Hospitals
Humans
Orthopedics*
Ownership*
Qualitative Research