SPD物流系统在医院药品供应链管理研究

发布时间：2018-05-31 15:13

本文选题：医药供应链 + SPD物流系统　；参考：《华东理工大学》2017年硕士论文

【摘要】：当前我国医药流通市场进入战略转型期,市场增长趋缓,行业竞争加剧,将医药供应链服务延伸至医院降低运营成本扩大市场占有,是医药流通企业竞争的新领域。同时随着医改深入药品加成率取消和新版GSP实施带来的监管加强,医院药学部门从原有盈利部门转为经营负担。降低用药成本,提高医院运营效率成为了医院经营者的关注重点。SPD模式是近年引入国内一种医院内药品供应链管理模式,其将第三方物流管理理念和集中化管理思想融合,是一种有效降低药品流通成本和改善医院用药管理水平的方法。本课题从供应链管理的基本概念入手,讨论了医药供应链的特殊性,同时研究了现代物流技术和物流管理理念在医药供应链中应用的必要性。结合对中国医院药品供应链的发展的回顾与欧美日等发达国家医药流通行业与医院供应链管理方法的对比,指出了当前我国医院药品供应链管理中的短板与不足。本课题以X医院、上海M区药品供应链改革和D医院南院SPD项目为例,研究了早年国内医院药品供应链改革的主要模式,探讨了由医院本身、政府和医药流通企业主导的医院供应链改革带来的得失教训,厘清了进一步改进发展的目标与方向。本课题对F医院南院的改进型SPD项目案例的研究,研探了经过完善的SPD管理模式在大型三级医院应用效果,证明了其实现了医药分离,提高了医院用药效率,改善了药品可追溯性,使药学专业人员回归临床,降低了全社会的综合用药成本,获得了较好的经济效益和社会效益,同时指出了进一步提高药品可追溯性和完善法规监管降低运营风险是未来研究的重点。
[Abstract]:At present, the medicine circulation market of our country enters the strategic transition period, the market growth slows down, the industry competition intensifies, the medicine supply chain service extends to the hospital reduces the operating cost to expand the market occupation, is the medicine circulation enterprise competition new domain. At the same time, with the cancellation of drug addition rate and the strengthening of supervision brought by the implementation of the new GSP, the hospital pharmacy department has changed from the original profit department to the operating burden. Reducing the cost of drug use and improving the efficiency of hospital operation have become the focus of the hospital operators. SPD model is a domestic drug supply chain management model in recent years, which combines the concept of third party logistics management and centralized management ideas. It is an effective way to reduce the cost of drug circulation and improve the level of drug administration in hospital. This paper starts with the basic concept of supply chain management, discusses the particularity of pharmaceutical supply chain, and studies the necessity of applying modern logistics technology and logistics management concept in pharmaceutical supply chain. Based on the review of the development of Chinese hospital drug supply chain and the comparison between the medical circulation industry and hospital supply chain management methods in developed countries such as Europe, America and Japan, this paper points out the shortcomings and shortcomings of the current hospital drug supply chain management in China. Taking X Hospital, Shanghai M District Drug supply chain Reform and SPD Project of D Hospital as examples, this paper studies the main models of drug supply chain reform in domestic hospitals in early years, and probes into the hospital itself. The success and loss of the hospital supply chain reform led by the government and the pharmaceutical circulation enterprises clarify the goal and direction of further improvement and development. In this paper, the case study of the improved SPD project in the South Hospital of F Hospital has been carried out, and the application effect of the improved SPD management model in the large tertiary hospital has been explored. It has proved that it has realized the separation of medicine and improved the efficiency of drug use in the hospital. It has improved the traceability of drugs, brought pharmaceutical professionals back to the clinic, reduced the cost of comprehensive drug use in the whole society, and obtained better economic and social benefits. It is also pointed out that further improvement of drug traceability and improvement of regulation and regulation to reduce operational risk are the key points of future research.
【学位授予单位】：华东理工大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R95

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