基于经济订购量模式的医院药品采购及仓储效率优化

doi:10.6040/j.issn.1671-7554.0.2017.1272

摘要/Abstract

摘要： 目的通过对某三甲医院药品采购以及仓储规范化管理过程中的成本及效率问题进行研究,优化医院药品采购流程,节约管理药品的成本,为医院药品仓储及采购活动的发展建设提供建议。方法随机选取该医院10种药品,利用经济订购量(EOQ)模型,结合该医院的药品采购资料和财务资料等得到10种药品的最佳订购量Q₀、订购周期L、总成本TC等,并与实际订购量、实际订购周期和实际管理成本进行对比。结果采用EOQ模型计算得出的10种药品的L为14.6周,较实际订购周期1~2周延长;Q₀较实际订购量增加;若采用EOQ模型,则医院的药品管理成本较实际管理支出降低。结论采用EOQ模型,结合医院管理的实际制定符合医院现状的采购预案不仅能够降低订购频率,节省人力资源,同时节省医院药品管理的成本。

关键词: 经济订购量模式, 药品采购, 仓储优化, 成本, 现代化管理

Abstract: Objective To optimize the medical purchasing process and cut down the cost of managing drugs by studying the cost and efficiency of standardized management of medicine purchasing and storing in a tertiary hospital. Methods Based on economic order quantity(EOQ)model, medical purchase information and financial data of the hospital, the optimum quantity Q₀, length of order circle L and total cost of ten kinds of randomly selected medicines TC were compared with the actual ordering quantity, ordering circle and cost. Results Length of order circle of the 10 kinds of medicines was 14.6 weeks, much longer than the actual ordering circle(1-2 weeks). Q₀ was higher than the actual ordering quantity, and the total management cost would be reduced if Q₀ was used. Conclusion Ordering frequency, human resource cost and the cost of medicine management would be significantly reduced if EOQ model is introduced based on the actuality of the hospital.

Key words: Economic order quantity model, Medical purchase, Storage optimizing, Cost, Modernization management

中图分类号:

R574

李小晶,孙强. 基于经济订购量模式的医院药品采购及仓储效率优化[J]. 山东大学学报 (医学版), 2018, 56(6): 83-86.

LI Xiaojing, SUN Qiang. Economic order quantity model-based medicine purchasing and storing optimization[J]. Journal of Shandong University (Health Sciences), 2018, 56(6): 83-86.

参考文献

[1] 张欣, 傅红鹏. 对完善我国公立医院药品采购机制的建议[J]. 中国医院管理, 2015, 35(2): 13-15.
[2] 金秀. 加强药库管理保证药品质量[J]. 中国农村卫生,2015, 17(22): 54-54.
[3] Mills Terry. Quantitative methods in health care management[J]. J OPER RES SOC, 2006, 58(8): 1119-1120.
[4] 李彤. 考虑损耗成本的医院药品供应链协调研究——以M医院为研究对象[D]. 昆明:昆明理工大学, 2016.
[5] 向旭东. 基于Excel的医院固定资产折旧核算[J]. 卫生经济研究,2015(10): 61-63.
[6] LI Zhuoqun, SUN Shiwei, HUANG Yongchun. Exploring inventory order policies impact under the non-negative constraint of order quantity: system stability, service level, and cost[J]. Chaos Solitons & Fractals, 2017, 103: 111-122. doi: 10.1016/j.chaos.2017.05.034.
[7] De SK, Sana SS, Goswami A. An EOQ model for phase inventory with induced demand and periodic cycle time[J]. Journal of industrial engineering, 2014. doi: 10.1155/2014/605178.
[8] 滕箭, 滕亮, 王建华,等. 精益化物流管理对医院药品供应资金流及物流成本控制影响的分析[J]. 中国医院药学杂志,2017, 37(9): 869-873. TENG Jian, TENG Liang, WANG Jianhua, et al. Impact of lean logistics management on capital flow of hospital drug supply and cost control[J]. Chinese Journal of Hospital Pharmacy, 2017, 37(9): 869-873.
[9] 宋毅斐, 鹿岩, 孙世光. 基于库存模型法的药品采购与库存控制策略[J]. 中国药房, 2016, 27(1): 70-73. SONG Yifei, LU Yan, SUN Shiguang. Medicine procurement and inventory control strategies based on inventory model approach[J]. China pharmacy, 2016, 27(1): 70-73.
[10] 舒丽芯, 陈盛新, 李捷玮,等. 基于优化EOQ模型的战备储备药品库存控制策略[J]. 药学实践杂志, 2013, 31(3): 187-190. SHU Llxin, CHEN Shengxin, LI Jiewei, et al. Inventory control strategy of combat reserve of medical supplies based on optimized EOQ model[J]. Journal of Pharmaceutical Practice, 2013, 31(3): 187-190.
[11] 郭荭. 关于医院西药库药品管理的方法分析[J]. 中国卫生产业, 2016, 13(10): 172-174.
[12] 胡鑫. 药库管理系统的设计与实现[D]. 长春:吉林大学, 2015.
[13] 卫生部医疗服务监管司.卫生部医院评审评价工作文件汇编[M]. 北京: 人民卫生出版社,2012: 137.
[14] 李灿霞, 李卓然, 刘蓉春. 三级综合医院评审标准中药品库存周转率的计算方法探讨[J]. 中国药业,2015, 24(14): 88-89.
[15] 苏薇. 运用库存周转率对药品购销存管理的探索[J]. 中国卫生标准管理,2016, 7(20): 143-145. SU Wei. Using inventory turnover ratio to the drug purchase-sales-inventory management of exploration[J]. China Health Standard Management, 2016, 7(20): 143-145.
[16] Tavakoli S, Taleizadeh AA. An EOQ model for decaying item with full advanced payment and conditional discount[J]. Annals of Operations Research, 2017, 259(3): 1-22.
[17] Li C. Controlling the bullwhip effect in a supply chain system with constrained information flows[J]. Elsevier Inc, 2013, 37(4): 1897-1909.
[18] 郑宪章, 朱炜炜, 唐尧. 医院药库现代仓储管理的探索[J]. 中国药业, 2010, 19(16): 45-46. ZHENG Xianzhang, ZHU Weiwei, TANG Yao. Exploration of methods of modern storage management of hospital drug storehouse[J]. China Pharmaceuticals, 2010, 19(16): 45-46.
[19] 楚建杰, 赵培西, 赵先,等. 信息化管理系统在医院药事管理工作中的应用[J]. 中国药师,2014, 17(3): 502-505. CHU Jianjie, ZHAO Peixi, ZHAO Xian, et al. Application practice of information management system in pharmaceutical management of hospital[J]. China Pharmacists, 2014, 17(3): 502-505.
[20] 钱同惠, 王波, 赖重远. 智能仓储管理系统的储位分配优化研究[J]. 现代电子技术, 2016, 39(22): 41-43. QIAN Tonghui, WANG Bo, LAI Zhongyuan. Optimization for storage slot allocation of intelligent storage management system[J]. Modern electronics technique, 2016, 39(22): 41-43.
[21] 颜耀东, 王楠, 刘东麟. 医院药品库存管理系统的构建与效果评价[J]. 中国医院药学杂志, 2013, 33(7): 578-580.
[22] 刘杰, 于娜. 基于Visual basic. net的医药公司药品进销存管理信息系统设计实现[J]. 科技通报, 2013(6): 218-221. LIU Jie, YU Na. Design and implementation of pharmaceutical companies’ drug invoicing management system based on visual basic.net[J]. Bulletin of science and technology, 2013(6): 218-221. doi: 10.13774/j.cnki.kjtb.2013.06.019.
[23] 骆鑫.医院信息化药品管理系统的设计与实现[D]. 成都: 电子科技大学, 2013.
[24] 丁夏夏,沈永祥,董黎明.新医改背景下某公立医院人力资源配置优化研究[J]. 中华全科医学, 2016, 14(12): 2107-2109. DING Xiaxia, SHEN Yongxiang, DONG Liming. Study of human resources optimization for public hospital under the new round of medical and health system reform[J]. Chinese Journal of General Practice, 2016, 14(12): 2107-2109.
[25] 王向荣. 综合医院卫生人力资源配置研究[D]. 重庆: 第三军医大学, 2015.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed