某醫院實施醫療用品物流作業之滿意度與成效

A Study of the Effectiveness of Hospital Logistics in Material Services

本研究旨在探討某醫院實施醫療用品物流作業之滿意度與成效。自90年7月實施物流作業至91年5月止共節省10名衛材供應人力，空間節省169坪，物流之檢或正確率為99.8%，缺貨率為0.28%。於91年5月採立意取樣選取112位護理人員為研究樣本，以結構性問卷就醫院人力、作業程序、物力庫存及空間利用等四方面進行滿意度調查，共收回111份問卷，包括28個單位之26位護理長、24位書記及61位參與物流作業之護理人員，其中一般病房47人、加護病房26人及非住院單位38人。

The purpose of this study is to explore the effects of hospital material logistics in a medical center. The efficiency of material service can effect health care employee's satisfaction. A descriptive study investigate the relationship between hospital material logistics and satisfaction. Using the structure questionnaire and accurately rate of teams, to detect the efficiency of material logistic. The structure questionnaire used are a demographic data, manpower operational procedure the amount of space and storage. Data analysis were from a proposal sample of 26 head nurses 61 staff nurses and 26 clerks, who had participated the material logistics from July 2001 to May 2002. Twenty eight units involved in this study which consisted of general units intensive care units and non-in-patient units. Using total accurately rate, Chi-square. Fisher's Exact test and Wilcoxon rank sums test to analysis data, results showed the mean score of total satisfaction of material service in manpower was 15(2.2(range from 4-20), operational procedure was 57(7.35(range from 15-75), the amount of storage was 19.35(2.5(range from 5-25), and space of storage was 7.4(1.24(range from 2-10). The mean score of head nurse's sample in manpower (P<0.05)were greater than the mean scores for the staff nurse's(P<0.05)and clerk's(P<0.05). There were significant differences that the satisfaction of head nurse in the order cycle, material quality, and ordering procedure were greater than staff nurse's and clerk's(P<0.05). Non-in-patient units had higher satisfaction than ICU and general units, specially, in the order time, emergency order service, operation of stockout had significant differences(P<0.05);moreover increasing space utility, low cost, and higher satisfaction material stock. Comparing pre and post implementation hospital material logistics, there are reducing material stock one hundred fifteen million NT dollars; out of stock rate is 0.29%; 10 employees; 1795 square feet of storage space; increasing the accurately rate of quality(99.8%). The results of this study have identified important predictors affect the efficiency of hospital material logistic service.