公立医院供应链管理模式实践中存在的典型问题与对策分析

Analysis of typical practical problems and countermeasures of supply chain management mode in public hospitals

目的梳理公立医院引入供应-加工-配送(SPD)供应链管理模式前后的差别与变化,分析SPD供应链在临床实践和发展过程中存在的典型问题,探讨完善SPD供应链管理的对策。方法比较医院引入SPD供应链管理模式前后20项管理职能的变化,分析SPD供应链管理模式的优缺点,提出完善措施和对策。结果20项管理职能中,资源投入减少的有11项,持平5项,加大4项,医院管理整体效能均有提高。由于外部医药供应商尚未纳入医院规章制度体系和流程内,角色定位不明确,因而,存在制度性和持续性保障的缺陷。结论SPD供应链管理模式可以经过完善和创新发展,促进药品和医用耗材供应渠道变革,提升药品和医用耗材精细化管理水平。

Objective to analyze the differences and changes before and after the introduction of supply processing distribution(SPD)supply chain management mode in a public hospital,analyze the typical problems existing in the clinical practice and development of SPD mode,and explore the countermeasures to improve the SPD supply chain management.Methods the changes of 20 management functions before and after the introduction of SPD supply chain management mode were compared.The advantages and disadvantages of SPD management mode were analyzed.The improvement measures and countermeasures were proposed.Results among the 20 management functions,11 of them were reduced,5 of them were equal,and 4 of them were increased.The overall efficiency of hospital management was improved.Because the external medicine supplier has not been included in the hospital rules,regulations system and process.The role positioning was not clear.There were defects in institutional and continuous guarantee.Conclusion SPD supply chain management mode can be improved and innovated to promote the supply channel reform of drugs and medical consumables,and improve the fine management level of drugs and medical consumables.