| Summary: | 碩士 === 雲林科技大學 === 全球運籌管理研究所碩士班 === 97 === Bureau of National Health Insurance (NHI) has confronted under recent years the predicament which the medical expense raises steadily and it can not but to make a huge reform of the entire payment system. With cooperation of medical classified system which is passed by The Legislate Yuan (LY), it makes Department of Health, Executive Yuan give impetus rapidly to medical classified system and counsel community pharmacy to join NHI and then it can promote the medical service quality. Under the medical classified system, the healing institute knows without the pharmacist they can not but show the prescription. At the same time, NHI faces the pressure of medicine quality control directly. The items of medicine are various. A lot of low utilization medicine cause itself unsalable. Treats the orphan medicine drugs which the rare disease uses difficultly to seek. Is unable to achieve the economical purchase quantity creates the drugs to enter the price excessively to be high. Adds the apothecary to be unable the small amount supply to form the long-term stock fund pressure (to keep in stock, questions excessively and so on storage quantity mistake) and so on many factors. Meanwhile, Yunlin County is the biggest agriculture county in Taiwan, outside the young population moves seriously, the population structure old person is serious. Causes the medical demand stays at a high level, but the local medical service development condition is different with the cost in the consideration, many physical distribution entrepreneurs are unable the thorough farther away villages and towns to provide the health insurance pharmacy suitable service, causes some local medical service resources assignment is extremely uneven, We wants to penetrate in the place health insurance pharmacy union physical distribution center, the solution drugs management and the far away villages and towns health insurance pharmacy service question.
The physical distribution center establishes the place the choice concern about resources, service level and transport business achievements. Therefore, in sets up in front of the physical distribution center, regarding establishes the place to carry on the discrete appraisal and the choice. This research carries on from the expert advice investigation using the Delphi law in view of the health insurance pharmacy union physical distribution center position site policy-making factor, Calculates the expert altogether insight and magnanimity consistent also the influence set up when the health insurance pharmacy union physical distribution center position site factor important degree. Then using the VIKOR law makes sorting in view of the candidate position site, chooses the best candidate position site.
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