阿尔伯尔斯医科大学教学医院外包药房经营状况评价的横断面研究

Roya Rajaee, S. Marzban, Ehsan Zarei
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摘要

背景:外包是一种降低成本和提高组织质量的策略,其评价在医疗机构中具有特殊的重要性。本研究旨在从人员角度和现有文献资料的角度,调查奥尔博斯医科大学外包药房的现状。方法:采用描述性分析和横断面研究方法,对阿尔伯尔斯医科大学10所教学医院的外包药房进行调查。费用、收入和工作时间来源于医院信息中心和文件。通过人口普查选择128名相关官员,调查临床病房管理人员和主管部门对外判的看法。作者通过SPSS22软件对数据进行描述性统计、t检验和卡方检验。所有费用均按2019年的平均汇率(1USD=110.000IR)换算为美元。结果:管理人员和员工对外包药房的平均满意度分别为4.20分(82%)和4.45分(80%)。与药品有效期相关的得分最高,平均为4.64分;与分娩时的用药状况相关的得分最低,平均为4分。所有医院外包药房一张床位的消费费用为123美元,药房一张床位的盈利能力为134美元(5.540.900里亚尔)。结论:综合分析结果,药房工作人员认为以下成分质量相对适宜,各方面质量均可接受。这些可以推断为本研究在调查阿尔伯兹医学科学教学医院药房外包质量的最显著特征。其重要组成部分包括:行政管理人员处理药房事务的时间、管理人员工作量的减少、管理水平的提高、管理人员对组织满意度的提高等。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating Conditions of Outsourced Pharmacies in Teaching Hospitals of Alborz University of Medical Sciences: A Cross-Sectional Study
Background: Outsourcing is the strategy of reducing expenses and improving organizational quality whose evaluation in healthcare organizations is of special importance. This study aims to investigate the status of outsourced pharmacies of Alborz University of Medical Sciences based on personnel perspectives and available documentation. Methods: This was a descriptive analytical and cross-sectional study conducted in outsourced pharmacies of 10 teaching hospitals of Alborz University of Medical Sciences. Expenses, revenues and working time were derived from the hospitals’ information centers and the documents. 128 relevant officials were selected by census to investigate the views of managers and authorities of clinical wards on outsourcing. Authors analyzed data using descriptive statistics, t-test and chi-square test through SPSS22 software. All cost was converted to US dollar by using the average exchange rate in 2019 (1USD=110.000IR). Results: The average satisfaction of managers and staff with outsourcing pharmacies were 4.20 (82 %) and 4.45 (80 %) out of 5. The highest level belonged to medicine expiration date with the average of 4.64, and the lowest score was related to medicinal status at the time of delivery with the average of 4. Consumption expenses for a bed in outsourced pharmacies regarding all the hospitals were 123 $, and the profitability of the pharmacy for one bed was134 $ (5.540.900 Riyals). Conclusion: Based on the results, the following components had a relatively proper quality and an acceptable quality in all the respects of the staff’s view regarding the conditions in the pharmacies. They can be inferred as the most salient characteristics of the present study in investigating the quality of outsourcing the pharmacies of the teaching hospitals in Alborz medical sciences. The important components include: The time spent by executive managers of the pharmacy’s affairs, decrease of the manager’s workload, improvement of management, increase in management’s satisfaction in the organization and etc. 
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