新医改背景下基于VMI模式建立的医院药房管理新模式探讨

Exploration of New Pharmacy Management Model Based on VMI Model under New Medical Reform

目的:研究医院运用"供应商管理库存"(VMI)模式建立的药房管理新模式。方法:从华山医院北院VMI模式的实施、效果及存在的问题等方面描述医院与两家供应商合作后在医院药房管理方面建立的新模式。医院主要负责对药房人员、设备的管理使用,负责药品的资金流,负责用药目录的选择优化,专注于核心专业人才的培养,提升药品质量管理、药事管理、药学服务和合理用药的水平;而两家供应商主要负责药品的物流,分担供应链的物流成本,负责医院药房服务人员及所需软件系统和硬件(如自动发药机)的配置;药品的信息流则由医院与供应商共同组建。结果:新模式建立后,医院药学人员及相关设备和药品库存成本缩减(每月减少医院流动资金近1 000万元),药品配送效率提高;自动化药房的建立使门诊药房药品调配差错率降低(由0.39‰下降至0.12‰),药房窗口患者流量异常预警系统的建立使患者取药时间缩短、药房服务水平提高、患者满意度提高(由84.91%升高至93.62%)。结论:基于VMI模式建立的医院药房管理新模式为新医改下公立医院的改革和创新院企合作方式提供了参考。

OBJECTIVE：To investigate the new management model of the hospital pharmacy established by application of vender managed inventory （VMI） model. METHODS：Concerned about the implementation of VMI model,its effects and prob-lems,new management model of hospital pharmacy were described after the hospital cooperated with two suppliers. The hospital is mainly in charge of the management and application of pharmaceutical staff and equipment,drug capital flow,and the selection and optimization of drug use list;focus on the training of pharmaceutical talents;improve drug quality management,pharmaceuti-cal administration,pharmaceutical care and rational drug use. Two suppliers are mainly in charge of drug logistics,and the alloca-tion of servicer,software and hardware（as automatic medicine dispensing machine）;share logistic cost of supply chain. Drug in-formation flow was established by both hospital and supplier. RESULTS：After cooperation,pharmaceutical staff,related equip-ment and inventory cost（floating capital decreased by 10 million yuan each month）were decreased,and the efficiency of distribu-tion improved;the error rate of drug dispensing in outpatient pharmacy were decreased （decreasing from 0.39‰ to 0.12‰） after the establishment of automatic pharmacy. The establishment of early warning system for abnormal patients flowrate in pharmacy window shortened the time of getting medicine,and improved service level and satisfactory degree of patients （increasing from 84.91% to 93.62%）. CONCLUSIONS：New management model of hospital pharmacy based on VMI model provides reference for public hospital reform and hospital-enterprise cooperation under New Medical Reform.