| Summary: | 碩士 === 國立臺灣科技大學 === 工業管理系 === 100 === With an increase of the elderly population, domestic medical institutions on the gradual expansion; in addition, the total amount of dispensing of controlled substances by National Health Insurance results in health care institutions generate small profit margins. To achieve cost reduction, Xie Qi Qing (2001) pointed out that pharmaceutical products and medical materials in medical institutions cost of between 30 and 40 percent of operating costs. According to National Health Insurance Bureau statistics that the expenses for medicine in 2008 is about 125 billion NT dollars which consumes 25.2% of the total health care costs, so the inventory control of pharmaceutical products in the hospital management is a key point. The general literature concerned in the solution is the rule of thumb and ABC classification management as well as complex computing model, and this study focuses on the use of features of pharmaceutical products to improve inventory efficiency and simplify the inventory rule.
In this study, we based on the existing inventory-management theories, and with the empirical validation point of view and empirical data to make an on-the-spot investigation on a northern Taiwan regional teaching hospital to probe that under the drug procurement framework, hospital how does not affect the rights of patients to reduce safety stock inventory and lower inventory costs, so as to have more efficient cost savings in the period of low interest in health care. By means of three-stage analyzed decision-making process, which includes pharmacological side, management side and cost side, this study provides the new direction of thinking for agents management. In addition to the continued supply of drugs and the reduction of safety stock inventory, more importantly, the hospital shall concern with the maintenance of lower costs in a great diversity of drugs without affecting medical treatment and safety. We used Microsoft Excel with the items and quantity of drugs consumption that occurred in a total of 18 months, from July 2008 to December 2009, as analytical samples. And we made use of The Anatomical Therapeutic Chemical (ATC) Classification System as the basis of pharmacological classification of drugs and tied in with statistical models. The findings show that (1) the way in ATC classification system to classify its similar chemical composition of pharmaceutical products effectively reduces the safety stock inventory; (2) according to the clinical drug features of ATC Classification System, it was divided into three inventory management categories.
M: a large-scale annual consumption, low unit price, drugs with alternative medicines in the ATC Classification System, about 60 percent of the total value.
S: Lower annual consumption, the higher unit price, the high specificity of drugs, no other alternative medicines
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