PROPOSAL OF A CONCEPTUAL FRAMEWORK TO OPTIMISE DRUG MANAGEMENT IN HEALTHCARE SYSTEMS

Department of Industrial Engineering – University of Salerno - Via Ponte don Melillo, 84084 Fisciano (SA) – Italy ABSTRACT Drug expenditure is a relevant factor in profit and loss account of healthcare systems. Hospital management is in charge of optimising drug management in order to reduce inventory costs and maximise the cost-effective use of personnel and resources. This paper presents a conceptual framework to tackle this problem, embodying the starting point for future researches. To this purpose, it describes a representation of physical and information flows related to drugs in a hospital , the variables related to the hospital environment, the management parameters useful to reach the drug system optimisation and the performance indicators to measure efficiency of approaches. KEYWORDS Conceptual framework, healthcare management, drug logistics.

[1]  Hamid Pourjalali,et al.  Improving activities and decreasing costs of logistics in hospitals: a comparison of U.S. and French hospitals , 2001 .

[2]  J. D. Vries The shaping of inventory systems in health services: A stakeholder analysis , 2011 .

[3]  P. Jarrett Logistics in the health care industry , 1998 .

[4]  M. D. Kalmeijer,et al.  Implementation of a computerized physician medication order entry system at the Academic Medical Centre in Amsterdam , 2004, Pharmacy World and Science.

[5]  G. Pink,et al.  Use of the balanced scorecard in health care. , 2003, Journal of health care finance.

[6]  Alan Fowler,et al.  Benchmarking and performance management in clinical pharmacy , 2001 .

[7]  Mónica Duarte Oliveira,et al.  Health care reform in Portugal: an evaluation of the NHS experience. , 2005, Health economics.

[8]  L. Hanff,et al.  Efficiency of different systems for medication distribution in an academic children's hospital in the Netherlands , 2004, Pharmacy World and Science.

[9]  Toshio Awaya,et al.  Automation in drug inventory management saves personnel time and budget. , 2005, Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan.

[10]  P. Jarrett,et al.  An analysis of international health care logistics: the benefits and implications of implementing just-in-time systems in the health care industry. , 2006, International journal of health care quality assurance incorporating Leadership in health services.

[11]  Alkin Yurtkuran,et al.  Simulation based decision-making for hospital pharmacy management , 2008, 2008 Winter Simulation Conference.

[12]  Asoo J. Vakharia,et al.  Outsourcing inventory management decisions in healthcare: Models and application , 2004, Eur. J. Oper. Res..

[13]  D. H. Maister,et al.  Centralisation of Inventories and the “Square Root Law” , 1976 .