药品物流延伸服务在儿童医院的探索与实践

Exploration and Practice of Drug Logistics Extension Service in Children's Hospital

目的:研究新医改形势下医院药品供应链的新模式,在儿童医院引进药品物流延伸服务并评价其效果。方法:梳理分析我国现有药品供应链的模式和经验;从我院老、新院区(分别采用原有常规管理模式与实施药品物流延伸服务的新模式)的药房库存管理、业务量、医院药学部门的运行成本及工作效率等方面比较采用新模式的实施效果。结果:我院新院区实施的药品物流延伸服务模式为将医院药品的采购、仓储、运输、供应直至各药房药品调配终端各环节交由药品配送企业承担,医院药学部负责药事管理、药品质量监控、合理用药监测、药物咨询及临床药学服务;且在实施中对医院药学部门工作从医院的药品供应链、自动化药房建设和劳务派遣人员配备管理三方面进行了改进。比较结果显示,老、新院区的儿童专用药品采购完成比率分别为87.86%、95.43%,医院药学人员数分别为80、13人,劳务派遣药师人数分别为0、43人,单张处方平均调剂时间分别为25、10 s。结论:药品物流延伸服务能够优化儿童医院药品供应保障流程,提高工作效率,节约医院运行成本和医疗资源,并提高医院药学服务能力。

OBJECTIVE：To study new mode of hospital drug supply chain under New Medical Reform,and to introduce drug logistics extension service and evaluate its effects in children＇s hospitals. METHODS：The mode and experience of drug supply chain in China were clarified and analyzed. The effects of the mode were compared between previous and new districts of our hospital（adopting original routine management mode and using drug logistics extension service as new mode） in respects of inventory management,business volume,operation cost and efficiency of hospital pharmacy department,etc. RESULTS：In drug logistics extension service mode of new district in our hospital,drug distribution enterprises undertook the purchase,storage,transportation and supply of hospital drugs and each link of drug dispensing terminal;pharmacy department of the hospital was responsible for pharmaceutical administration,drug quality control,rational drug use monitoring,drug consultation and clinical pharmaceutical care. The work of hospital pharmacy department had been improved from the three aspects of drug supply chain,automated pharmacy construction and labor dispatch staff management. Comparison results showed pediatric drug purchase completion rates of previous and new district were 87.86% and 95.43%;the number of hospital pharmaceutical staff were 80 and13;the number of pharmacists by labor dispatch were 0 and 43;the average dispensing time of each prescription were 25 s and 10 s,respectively. CONCLUSIONS：Drug logistics extension service can optimize drug supply security process of children＇s hospital,improve work efficiency,save hospital operating costs and medical resources,and improve the hospital pharmaceutical care capabilities.