基于药品集团采购模式下的药库零库存管理对医院药品供应与药房管理的影响  

Influence of Zero Stock Management Based on Drug Group Purchasing Organization Mode on Hospital Drug Supply and Pharmacy Management

作　　者：翁舜龙 莫国栋 黄彩燕 卢志军 WENG Shun-long;MO Guo-dong;HUANG Cai-yan;LU Zhi-jun(Zhongshan Second People’s Hospital,Guangdong Zhongshan 528400,China)

机构地区：[1]中山市第二人民医院,广东中山528400

出　　处：《抗感染药学》2021年第3期428-433,共6页Anti-infection Pharmacy

摘　　要：目的:探究基于药品集团采购(GPO)模式下的药库零库存管理对医院药品供应与药房药品管理的影响,为医院合理的药品采购和药学管理提供参考。方法:抽取2019年10月—2020年3月间医院药品采购、入库数据(实施后),另抽取2019年4月—2019年9月间药品采购、入库数据(实施前);比较与分析其不同时间段、不同采购平台的药品配送率、配送时效性和配送准确性,以及实施前后药品销售额的变化情况。结果:与实施前比较,实施后药品配送率、配送准确率和药品销售额更低,而平均配送时间更长;同一采购平台平均配送时间从短到长依次为某市药品集团采购平台(简称"市采购平台")、某省第三方药品电子交易平台(简称"电子交易平台")和全药网平台(简称"药网平台");药网平台配送准确率除11月份外,均低于市采购平台。结论:不同采购平台关键配送指标的差异,极易造成医院药品供应和药房药品管理的影响;针对不同采购平台的药品采购,药房应合理规划应对措施(扩充货柜存量、增加药房药品储备量、提高采购临界值、缩短采购频率和加大采购量等),以提高药房药品管理水平,确保医院药品的日常供应。Objective: To explore the influence of zero stock management based on drug group purchasing organization mode(GOP) on hospital drug supply and pharmacy management, so as to provide a reference for rational drug purchase and pharmacy management in hospitals. Methods: The data of drug purchase and warehousing in hospital from October 2019 to March 2020(after implementation) and the data of drug purchase and warehousing from April 2019 to September 2019(before implementation) were extracted for statistics and analysis on the rate, timeliness and accuracy of drug distribution of different purchasing platforms in different time periods,as well as the changes in the amount of drug sales before and after the implementation of GPO. Results: After complementing GPO, the drug distribution rate was lower, the distribution accuracy was lower and the amount of drug sales was lower compared with that of before the complementation of GPO, while the average distribution time was longer. The rank of the same purchasing platforms according to the average distribution time from short to long was as follows: a city’s GPO Platform(city platform for short), a Province’s the Third-Party Drug Electronic Trading Platform(electronic trading platform for short) and Quanyaowang.com platform(yaowang platform for short). Except in November, the distribution accuracy of Yaowang Platform was lower than that of city platform. Conclusion: The differences of key distribution indexes among different purchasing platforms was very easy to affect the drug supply in hospitals and the drug management in pharmacies. For the drug procurement of different purchase platforms, pharmacies should reasonably plan countermeasures(expanding container stock, increasing pharmaceutical reserve in pharmacies, raising the purchase threshold, reducing frequency of purchase, increasing the purchase volume), so as to improve pharmacy management level and ensure an adequate drug supply in hospitals.

关 键 词：药品集团采购 药品零库存 药品供应 药学管理 

分 类 号：R95[医药卫生—药学]