摘要
随着世界医药产业的格局与运作的变化,各国的医药物流面临着变革的压力,成本的上升、新技术的应用以及新的医疗保健方法应用都极大的推动了医药产业的发展。在这种形式下,出现了不断把供应链管理的理念和管理模式运用到药品供应链中。本文以医院药品供应链为研究对象,从下面几个方面展开研究：
第一,应用现代物流与供应链管理理论并结合医院药品的特殊性,界定医院药品供应链的基本范畴；在此基础上,进一步分析其供应链构成,包括节点组织和约束组织,并且从生产、流通、消费三个环节分析其现状。
第二,提出三种医院药品供应链管理模式,从物流、信息流、资金流三方面分别论述其模式特征,比较分析各自优缺点,得出最优的管理模式——第三方物流主导型的医院药品供应链。
第三,提出供应链的利益分配机制,结合医院药品的特点,用合作博弈、夏普利值法,并考虑成本投入和风险因子等因素定量分析第三方物流主导型医院药品供应链中各参与成员的利益分配问题,得出一种使各参与方获得最优利益的分配方法,以期为医院药供应链管理模式的创新提供理论支持,为医院、药品供应企业及第三方药品物流企业的利益分配问题提供相应的参考。图2幅,表6个,参考文献45篇。
The structure and operation of world's pharmaceutical industry has changed, that causes many countries' drug logistics face the pressure to improve. At the same time, rising costs, new technologies and new methods of health care are greatly promoting the development of pharmaceutical industry. In this situation, supply chain management concept and management models have been applied into the drug supply chain. This paper research on the hospital drug supply chain from the following aspects:
Firstly, consider the particularity of hospital drug, define basic areas of hospital drug supply chain. And then, this paper analysis the constitution of the supply chain, including node organization and constraint organization.
Secondly, proposed three types of hospital drug supply chain management, then discussed the features of three models and analyze their advantages and disadvantages from logistics, information flow, capital flow respectively. Finally get that the type of third party logistics leading hospital drug supply chain is the optimal management model.
Thirdly, promote the interest distribution of supply chain system, using cooperative game, Shapley value method, and consider the cost of inputs and risk factors, and analyze interest distribution mechanism between members in the type of third-party logistics leading hospital drug supply chain. It is hope to provide theoretical support for the innovation of hospital drug supply chain management, and give some appropriate references to hospitals, medical supply companies and third party logistics enterprises to solve interest distribution problem of hospital drug supply chain.
引文
[1]汝宜红.物流学.北京：高等教育出版社,2009
[2]李卫文.从现代化管理角度探讨医院仓库药“零库存”.中国医药指南,2008.1
[3]熊燕华,李风华.基于协同补货策略的医院药品库存管理探讨.中国药房,2007.25
[4]何媛,薛迪医院物流管理的关键环节与现况[J].中国医院管理2007.11
[5]刘俊兰,崔树悦等医院物流管理的框架模型研究[J].中国医院管理2008.7
[6]邓晶医院物流管理领域中的RFID技术应用[J].商场现代化2008.7
[7]James S keebler,karl B Manrodt and David A Durtsche,et al.Keeping Score. Oak Brook,IL, Council of Logistics Management.1999:79-83
[8]Grabowski H.The Effect of Pharmacoeconomics on Company Research and Development Decisions.Pharmacoeconomics.2002,(11):389-397
[9]Anon.Summary of the Executive Session on Emergency Preparedness and the Pharmaceutical Supply Chain.American Journal of Health-System Pharmacy.2002,59(3):247-253
[10]Applequist,GE.,Pekny,J.F.,&Reklaitis,G.V.Risk and Uncertainty in Managing Chemical Manufacturing Supply Chains.Computers of Chemical Engineering.2000,(24):2211-2222
[11]Gjerdrum,J.,Jalisi,Q.W.Z.,Papageorgiou,L.G.,& Shah,N..Dynamic Simulation of Physical and Business Processes for Supply Chain Improvement.Proceedings of the 5th Annual Conference on Industrial Engineering Theory,Applications and Practice.Hsinchu,Taiwan.2000:127-132
[12]Papageorgiou,G.E.,Rotstein,GE.&Shah,N.Strategic Supply Chain Optimization for the Pharmaceutical Industries.Industrial Engineering of Chemical Research.2001,(40):275-286
[13]彭向辉.我国医药供应链现状及成因分析.物流技术.2007.6
[14]杨舒杰.试论我国医药制造业的供应链管理.中国药房.2004,(15)：12
[15]蒋肃.医药产业供应链急需强化.中国远洋航务公告.2005,(5)：70-71
[16]田亚明,张建珍.浅论医药商业企业供应链信息化管理.当代经济管理.2005,06,27(3)：38-43
[17]杨舒杰.对我国医药行业实施供应链一体化的探讨.中国药业.2005,14(1):14-15
[18]曹阳.医药企业物流供应链的构建.中国物流与采购.2003,(23)：54-55
[19]白昀.论供应链管理环境下的医药物流.物流科技.2004.(6)：18-20
[20]白琦琥.我国医药行业物流渠道模式研究.武汉理工大学硕士论文.2008.5
[21]王峰.第三方物流企业从事医药物流的战略和策略研究.对外经贸大学硕士论文.2006.5
[22]吴育华,赵强,王初.基于多人合作理论的供应链库存利益分配机制研究.中国管理科学,2002年12月第10卷第6期
[23]吴育华,赵强,王初.基于多人合作理论的供应链库存利益分配机制研究.中国管理科学,2002,10(6)：44-47
[24]张彤,张世英.企业集团的利益分配研究[J].管理工程学报.2003.1
[25]刘兵,吕荣杰,康凯.产、供、销管理中利益分享机制设计田.系统工程理论与实践,2001(1)：134-138
[26]王利,张有志.三级供应链合作利润博弈模型及经济性分析.运筹与管理.2009.4
[27]叶峻青,苏颂平.基于博弈论的供应链合作机理分析经营管理者,2009.6
[28]物流术语GB／T 18354-2006
[29]http://www.supply-chain.org/Supply Chain Council homepage[ED/OL]
[30]叶茂.供应链企业的利益分配问题研究.中南大学.2007.11
[31]孙佳.EDI在改善我国医药行业供应链中的应用.对外经济贸易大学.2006.5
[32]何雨东.2007年制药企业发展前景展望[N].中国医药报,2007-05-08.
[33]柳键,马士华.供应链合作及其契约研究[J].管理工程学报,2004(1)：85-87.
[34]蒋阳升.供应链关系协调管理研究.西南交通大学.2004.5
[35]李志锋,谢如鹤,邱祝强.我国医药物流发展现状及其模式选择物流技术.2008.6
[36]中国医药供应链绩效评价体系研究.哈尔滨工业大学博士论文
[37]宋远方,宋华.医药物流与医疗供应链管理.北京：北京大学出版社,2005
[38]张维迎.博弈论与信息经济学.上海：上海人民出版社,上海三联书店,1997
[39]杨昌.中国医药供应链绩效评价体系研究.哈尔滨工业大学博士论文2007.10
[40]白琦琥.我国医药行业物流渠道模式研究.武汉理工大学硕士论文.2008.5
[41]李鹏.VMI对医药供应链中零售商和批发商的利益影响研究.上海管理科学.2005,(5)：3-10
[42]张晓丹等.我国医药业物流现状及发展分析.物流科技.2006.6
[43]顾丽萍.我国医药物流及其发展前景.上海医药,2003.24(9)
[44]白昀.论供应链环境下的医药物流.物流科技,2004.27(6)
[45]陈菊红,汪应洛,孙林岩.虚拟企业收益分配问题博弈研究.运筹于管理.2002.11