藥庫庫存管理之改善研究－－以南部某醫院藥劑部為例

Improvement of Drug Inventory Management: Medical Center in Southern Area

本研究為南部某醫學中心自氏國87 年至民國90 年7 月，針對庫存之有效管 理而降低庫存積壓之成本，計劃目標包括降低庫存成本10 % 、提高週轉率、合 理控制新藥品項列入醫院藥品處方集、刪除低消耗量或零消耗量之藥品品頃， 以及適當選擇符合優良藥品作業規範（GMP） 之學名藥等。 經由醫院電腦資訊資料，從87.8.1至90.7.31~ 進行上述之成本控制方法， 結果顯示，藥品庫存成本平均降低14.9 % '年週轉率從過去之16 .4增加為35.6 ' 約100種藥品從醫院處方集中刪除，此外，為提昇醫療品質及鼓勵節約藥品資 源，某醫院已利用電腦高科技設計各種用藥管理系統，籍由上述之電腦化功能 協助，門診每張處方與住院每床庫存金額平均降低約19.9 % 和17.1%（表一，二），經由招標合約節省藥費成本。

The objective of this study is to describe an effective technique for management of pharmacy inventories of a medical center in the south part of Taiwan. Pharmacists should use some modern techniques, such as ABC inventory theory and activity-based analyses to manage pharmacy inventories, including decreasing inventory, increasing turnover ratio. Additionally, replacement-and-elimination of drugs with low turnover ratio, controlling formulary additions, appropriate selection of generic equivalents with GMP for all multi-source drugs and using computer- assisted monitoring health care system's operations can be used in order to decrease the inventories of pharmaceuticals. By using available computer technology, these objectives were accomplished. Cost containment strategies were performed from Aug 1,1998 to July 31,2001 and monitoring process was enforced. The results showed that the inventories decreased by 14.9%, turnover ratio increased from 16.4 to 35.6, about 100 drugs were removed from the formulary, and savings generated by using tender contract was 20% of purchase cost