- 期刊
Countermeasures of C-Class Medical Materials Procurement and Stockpile Strategies During COVID-19 pandemic in Taiwan
臺灣新冠肺炎流行期間C類醫衛材採購和庫存策略的應急措施
摘要
Stockpile preparedness of medical materials at hospitals were not clear during the emerging infectious disease outbreak, especially prevent inventory shortage when global supply chains might be broken. This article was to state financial burden of hospital has taken procurement and stockpile countermeasures to mitigate risk of supply chain disruption during COVID-19 outbreak for providing continuing healthcare service. A428-bed Public-Private-Partnership hospital was evaluated the impact of changing procurement and stockpile strategies of C-Class medical materials from 2019Q1 to 2020Q1, including items, amount, space, consumption, turnover rate or ratio of inventory and revenue, etc. Fifteen items of C-Class materials related to epidemic prevention was expanded to 1,557. Changed ABC inventory management and increased safety inventory from 7 days to 21 days to prevent inventory shortage. Compared with 2019Q1 and 2019Q4, the 2020Q4 stockpiles was increased 48.8%, and turnover rate per month was decrease 40.6%. The total value of stockpiles of 2020Q1 was increased 61.1% compared with 2019Q1, the ratio of medical materials consumption to overall hospital revenue was statistically significant increased 65%. However, the revenue only experienced a slight year-on-year drop of 2.47%. Facing with uncertainties of COVID-19 epidemic, adjusting procurement and stockpile strategies quickly was essential, especially for C-Class of medical materials. It is recommended that during the epidemic period, the procurement strategy and inventory of C-type medical materials that are easily affected by the global supply chain should be adjusted immediately, and the ABC inventory management should be temporarily put on the shelf.
並列摘要
醫衛材物資儲備方法在新發傳染病爆發期間的應急措施一直不明確，特別是全球供應鏈可能中斷時。本研究目的為分析醫院為降低因新冠肺炎爆發後醫衛材供應鏈中斷的風險，以提供持續性醫療保健服務，於採用新採購和庫存策略後所造成的庫存量、品項與財務負擔。分析某家設有428張急性一般病床公辦民營醫院因受新冠肺炎影響於改變醫衛材採購與庫存策略後，於2020Q1、2019Q1、2019Q4間C類醫衛材庫存量、品項、週轉率與財務負擔情形。C類項目由15項增至1,557項，安全庫存天數從7天改成21天。與2019Q1、2019Q4到疫情發生的2020Q1相比，庫存增加48.8%，月周轉率下降40.6%。2020Q1庫存總金額較2019Q1增長61.1%，醫衛材消耗量佔總收入比例顯著增長65%，收入比同期少2.47%。面對疫情不確定性，快速調整採購和庫存策略至關重要。建議在疫情期間應以立即調整易受全球供應鏈影響的C類醫衛材採購策略與庫存量，暫將ABC庫存管理束之高閣。