Table 2.

Risks pertaining to the CE in the healthcare supply chain

Type of risksRisk categoriesPotential risksDescription
Hazard risks Cargo theftsCargo theft is a challenging security issue during shipment and transportation in the supply chain, having a severe impact on operational and financial status; the compliance risk of an organization may affect the future work of CE industries
Safety measuresViolating the safety measures in production operations affects overall process effectiveness
Financial risks Investment riskLack of upfront cost invested in CE, insufficient source of funds and potentially reduced profits affect the organization’s financial status, leading to layoffs and lockdowns, which may affect other organizations in the circular network
Product priceThe higher price of environmentally friendly materials and the high price differences between recycled products and virgin products potentially escalate production costs
Controlled cash-flowIn the CE and closed-loop supply chain, a poor financial flow destroys profitability and good supply chain coordination
Operational risksSupply risksLogistics riskImproper location selection of depots, sorting waste stations and containers. Inefficient collection routes
Capacity riskImproper selection of size, type and capacity of the transport fleet
Material delayA CE reutilizes waste materials since resources between industries cause the delay (variation in the distribution time) of one company resource, which will affect the possible future outcomes and operational processes of other companies
Import delayPotential issues from customs paperwork, port strikes and labor issues
Material qualityLack of quality raw material procurement minimizes the value of green production and operational performance
Supplier performanceSupplier performance is considered an important area in CE, but due to multiple risks, unreliable supplier performance and financial losses also occur
Product performanceProduct performance regulates timeline production, product quality and profitability in the CE for any changes in performance that lead to economic and manufacturing risk
Product service lifeA CE also should focus on quality products. Low-quality products are assumed to require more repairs, renovations and upgrades; poor service creates life and quality risks
Demand risksCustomer satisfactionSuccessful organizations are primarily based on customer satisfaction, but customer satisfaction is based on the value of cost spent over a quality product. If the quality value decreases, the risk value increases
Forecast errorSeasonal problems, lead times, poor information, poor systems, poor communication, poor skills
Product qualityIn a CE, the quality of core products determines the cost of remanufacturing and remanufactured product quality
Market risksLack of an appropriate mechanism for take-back, the obstacles service providers face to retain ownership of a sold product in legal terms
Process risksOrganizational risksPoor leadership and management toward CE in the supply chain and a lack of appropriate organizational structure to implement a CE in the healthcare sector
CE framework riskLacking successful business models and frameworks for implementing a CE; difficulties in making product disassembly operation easier and safer during the reverse chain; and biodegradable resources in circular supplies
Workers' coordinationDeviation in the progressed work will lower the expected value of specific supply-chain performances and other company performances
Environment risksNatural disasterNatural disasters cause internal/external supply chain risks, including material shortages and process and delivery delays
Currency riskInflation and currency exchange rates
Social and cultural risksLack of consumer knowledge about reused/recycle components and unsustainable cultural behavior toward CE
Government policyLack of industry incentives for greener activities and an appropriate vision, i.e. goals, objectives, targets and indicators regarding CE adoption
Strategic risks Technological riskLack of technology transfers from the inventor to a secondary user, the quality degradation of recycled products and insufficient information for tracking materials or resources in CE implementation
EffectivityLoss of effectivity damages the supply chain flow, affecting the entire discrete business activities: inbound/outbound logistics, processes, service, disposal and recycling
Vision statementsA lack of effective business monitoring and future analysis for CE processes strongly influences operational, innovation and market strategies
Marketing strategiesThe failure of marketing strategies increases the supply chain's complexity and affects a product's circularity
Source: Created by author

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