An ADS （automated dispensing system） was implemented in our hospital pharmacy in 2008 to optimize and secure the medication process. The main objective of this study was to compare the projected and the real ROI （r...An ADS （automated dispensing system） was implemented in our hospital pharmacy in 2008 to optimize and secure the medication process. The main objective of this study was to compare the projected and the real ROI （return on investment）, after seven years of use. ROI was calculated annually （from 2008 to 2015）, by deducting the cost of investment （ADS buying and implementation, maintenance, repairs and ADS upgrade） from the cost saving （drugs stock reduction and decrease of pharmacy staff dedicated to global dispensing）. In 2015, total costs saving （＋$1,141,987） were divided between decreasing drug stock value and reduction of pharmacy staff. Total costs of investment （-$978,656） were acquisition, maintenance, repairs and an unplanned upgrade costs. Finally, the real ROI was ＋$163,331 after seven years of use. In 2008, projected ROI was ＋$410,786. The real payback period has been increased by approximately two years （six years of use, instead of four years as expected）. Despite their cost, ADSs are a worthwhile investment, leading to a ROI within a few years. These economic considerations should be put into perspective with optimization of drugs stock management, greater efficiency of the global dispensing process, securitization of medication process and redeployment of pharmacy staff.展开更多
Desert is the core concept of justice, and social desert is the core concept of distributive justice. Distributive justice involves not only the self-ownership of each person, but also the public resources people shar...Desert is the core concept of justice, and social desert is the core concept of distributive justice. Distributive justice involves not only the self-ownership of each person, but also the public resources people share and the social fights and economic interests they acquire from the state and society. Everyone has total self-ownership, which forms the basis of many of the rights they enjoy, but this is not the basis of their social desert. Social desert refers to the public value and shared resources that each person can acquire from society. Its basis is people＇s status as members of a community, a status determined by their position in the political, social and economic structure. Social justice means that everyone gets their just desert in the socioeconomic sphere. The theory of social desert is a theory of resource distribution concerned with social justice in the distribution and allocation of basic social resources. It advocates not only the protection of self-ownership and careful treatment of self-ownership transactions, modifications, and compensation, but also equal enjoyment of basic social resources. Announcing a return to the starting point of social justice, it provides a feasible path to easing social contradictions.展开更多
文摘An ADS （automated dispensing system） was implemented in our hospital pharmacy in 2008 to optimize and secure the medication process. The main objective of this study was to compare the projected and the real ROI （return on investment）, after seven years of use. ROI was calculated annually （from 2008 to 2015）, by deducting the cost of investment （ADS buying and implementation, maintenance, repairs and ADS upgrade） from the cost saving （drugs stock reduction and decrease of pharmacy staff dedicated to global dispensing）. In 2015, total costs saving （＋$1,141,987） were divided between decreasing drug stock value and reduction of pharmacy staff. Total costs of investment （-$978,656） were acquisition, maintenance, repairs and an unplanned upgrade costs. Finally, the real ROI was ＋$163,331 after seven years of use. In 2008, projected ROI was ＋$410,786. The real payback period has been increased by approximately two years （six years of use, instead of four years as expected）. Despite their cost, ADSs are a worthwhile investment, leading to a ROI within a few years. These economic considerations should be put into perspective with optimization of drugs stock management, greater efficiency of the global dispensing process, securitization of medication process and redeployment of pharmacy staff.
基金supported by grants from the Major Program of the National Social Science Fund of China"Research on Pragmatic Political Philosophy(13AZX016)and Research on Pragmatism"(14ZDB022)
文摘Desert is the core concept of justice, and social desert is the core concept of distributive justice. Distributive justice involves not only the self-ownership of each person, but also the public resources people share and the social fights and economic interests they acquire from the state and society. Everyone has total self-ownership, which forms the basis of many of the rights they enjoy, but this is not the basis of their social desert. Social desert refers to the public value and shared resources that each person can acquire from society. Its basis is people＇s status as members of a community, a status determined by their position in the political, social and economic structure. Social justice means that everyone gets their just desert in the socioeconomic sphere. The theory of social desert is a theory of resource distribution concerned with social justice in the distribution and allocation of basic social resources. It advocates not only the protection of self-ownership and careful treatment of self-ownership transactions, modifications, and compensation, but also equal enjoyment of basic social resources. Announcing a return to the starting point of social justice, it provides a feasible path to easing social contradictions.
