Medical supply acquisition in Italy and the United States in the era of COVID-19: the case for strategic procurement and public-private partnerships

The article analyzes contracting challenges faced by Italian health care authorities and U.S. procurement officials in the immediate aftermath of the COVID-19 crisis, and it provides practitioner-derived lessons for improving procurement in times of disaster. The lessons we have learned so far emphasize (a) the need to recognize the strategic role of procurement, (b) empowering procurement officials, (c) formalized coordinative mechanisms cannot ensure effectiveness without trust among different governance levels, (d) the ability to identify reliable and proactive suppliers of personal protective equipment, (e) the importance of stimulating the economic market to diversify the production of needed materials and to ensure a more risk-resilient supply chain, and (f) the critical role of public-private collaborations to ensure responsiveness and resilience of health care systems.