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.

中文翻译：

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COVID-19 时代意大利和美国的医疗用品采购：战略采购和公私伙伴关系的案例

本文分析了意大利卫生保健当局和美国采购官员在 COVID-19 危机刚结束时面临的合同挑战，并提供了从业者衍生的经验教训，以改善灾难时期的采购。迄今为止，我们吸取的经验教训强调 (a) 需要认识到采购的战略作用，(b) 赋予采购官员权力，(c) 没有不同治理层级之间的信任，正式的协调机制无法确保有效性，(d)确定可靠和积极主动的个人防护设备供应商，(e) 刺激经济市场使所需材料的生产多样化并确保供应链更具风险弹性的重要性，