Multicriteria evaluation of pharmaceutical logistics performance: Case of Sahloul teaching hospital center pharmacy, Sousse

Saoussen Ben Ammar, T. Loukil, M. Kéita
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Abstract

To face the multiple health crises, hospitals put much attention on the evaluation of the performance of pharmaceutical logistics in order to detect the causes of malfunctions. when controlling and optimizing flows, the pharmaceutical logistics performance presents a strategic resource that helps hospitals reach the best quality, flexibility, reactivity and reduction of costs while assuring security and health care. Indeed, Pharmaceutical performance is multi criteria activity. Tt is no longer expressed in terms of cost but also in terms of innovation, product quality, quality of service, shortening of lead-times, flexibility and responsiveness. Nonetheless, going through the literature, we note the non-existence of any model integrating the different dimensions of pharmaceutical performance, given those in charge are content to base themselves on purely financial elements such I. as expenditure control or on elements that are turned towards clinical efficacy as well as on indicators which are part of a control and a posteriori verification logic. Consequently, how can we assess the performance of the Pharmaceutical logistics taking into account its several criteria? In order to respond to this purely judicious problem, it is appropriate to propose a new methodology for evaluation and develop a model based on the identification of action levers to anticipate the causes and improve the performance of pharmaceutical logistics. this research work emphasizes the specificities of pharmaceutical logistics and applies a performance evaluation approach to pharmaceutical logistics. So, this model integrates both an operational aspect and a strategic one. It is a management tool in the definition of priorities and in ensuring the performance of pharmaceutical logistics. It identifies the interactions between the actors and the actions. It also anticipates the possible dysfunctions of the pharmaceutical supply-chain which could be improved. That's why; we opted for a model that is based on a set of interrelated steps, System demarcation, System representation, Prioritization of the process, Identification and operationalization of indicators, setting of preferences and Identification of improvement levers. The validation of our model will be carried out by a case study in the pharmacy of Sahloul University hospital center. Therefore, by having these results, it clearly appears that pharmaceutical logistics is neither flexible nor reactive and presents sources of non-performance at the level of intangible capital.
药品物流绩效的多标准评价:以苏苏市萨霍勒教学医院中心药房为例
面对多重健康危机,医院非常重视对药品物流绩效的评价,以便发现故障的原因。在控制和优化流程时,药品物流绩效提供了一种战略资源,可以帮助医院达到最佳质量、灵活性、反应性和降低成本,同时确保安全和医疗保健。事实上,制药绩效是一个多标准的活动。它不再以成本来表示,而是以创新、产品质量、服务质量、缩短交货时间、灵活性和反应能力来表示。尽管如此,纵观文献,我们注意到不存在任何整合制药绩效不同维度的模型,因为那些负责人满足于将自己建立在纯粹的财务要素(如支出控制)或转向临床疗效的要素以及作为控制和事后验证逻辑一部分的指标上。因此,我们如何评估的绩效制药物流考虑到它的几个标准?为了应对这一纯粹理性的问题,提出了一种新的评价方法,并建立了一个基于行动杠杆识别的模型,以预测原因并提高药品物流的绩效。本研究工作强调医药物流的特殊性,并将绩效评价方法应用于医药物流。因此,这个模型集成了运营方面和战略方面。它是确定优先事项和确保药品物流绩效的管理工具。它标识了参与者和操作之间的交互。它还预测了药品供应链可能存在的功能失调,这些功能失调可以得到改善。这就是为什么;我们选择了一个基于一系列相关步骤的模型,系统划分、系统表示、过程的优先级、指标的识别和操作化、偏好的设置和改进杠杆的识别。我们的模型将通过在沙湖大学医院中心的药房进行案例研究来验证。因此,通过这些结果,可以清楚地看出,制药物流既不灵活也不反应,并且在无形资本层面上呈现出不绩效的来源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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