CAJ | 학술논문

目的：规范药品采购供应行为，降低药品采购供应成本，提高医院的药品管理水平，推动我院医药分开改革。方法：重构医药采购、物流管理、支付结算流程，建立规范化、集约化药品供应保障体系；运用现代药品流通方式，实施供应商管理库存（VMI）；建立第三方服务机构主导型的医药供应链管理平台和标准数据库；开展供应链集成、维护、运营及相关服务。结果：对传统模式的供应链采取了6个方面的改进措施，建立了第三方服务机构主导型的医药供应链管理平台，并在实际运行中取得了良好的成效。结论：新模式逐步推行，主要体现规范药品集中采购行为、降低药品流通的总成本、加强医院精细化管理、实现医药分开等7个方面的优势。
목적：규범약품채구공응행위，강저약품채구공응성본，제고의원적약품관리수평，추동아원의약분개개혁。방법：중구의약채구、물류관리、지부결산류정，건립규범화、집약화약품공응보장체계；운용현대약품류통방식，실시공응상관리고존（VMI）；건립제삼방복무궤구주도형적의약공응련관리평태화표준수거고；개전공응련집성、유호、운영급상관복무。결과：대전통모식적공응련채취료6개방면적개진조시，건립료제삼방복무궤구주도형적의약공응련관리평태，병재실제운행중취득료량호적성효。결론：신모식축보추행，주요체현규범약품집중채구행위、강저약품류통적총성본、가강의원정세화관리、실현의약분개등7개방면적우세。
Objectives:To standardize drug procurement, reduce purchasing cost, improve management in pharmacy and to pursue the reform of separating management between medicine and pharmacy. Methods:Drug procurement, logistics management and payment process were restricted to establish a standardized and intensive drug supply system. Vendor managed inventory (VMI) was implemented guiding by modern drug delivery system. The third-party service-oriented pharmaceutical supply chain management platform and standardized database were created to carry out supply chain integration, maintenance, operation and other related services. Results:6 aspects were changed from current drug supply chain. The third party oriented drug supply chain management platform has been established and has had much effectiveness. Conclusions: It has showed 7 advances such as standardizing drug procurement, reducing drug delivery cost, strengthening hospital lean management and improving separated management between medicine and pharmacy when implementing the new mode.