A dynamic management model for sustainable drug supply chain in hospital pharmacies in Iran.
Medicine
Pharmacy
Supply chain management
Sustainability
System dynamics
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
09 Oct 2024
09 Oct 2024
Historique:
received:
25
04
2023
accepted:
02
10
2024
medline:
9
10
2024
pubmed:
9
10
2024
entrez:
8
10
2024
Statut:
epublish
Résumé
Sustainable supply chain management encompasses the strategic coordination and control of material, information, and financial flows, as well as the collaborative efforts among the entities engaged in the medicinal supply chain. This research proposes a dynamic and sustainable supply chain management model tailored explicitly for the inpatient pharmacies of Medical Centers and Hospitals affiliated with Iran University of Medical Sciences. This is a quantitative study in terms of research objective and a qualitative study based on the stages in the conceptual development of the model. Therefore, the current study can be considered a mixed-methods approach. After identifying the key factors influencing the sustainability of the medicine supply chain, we conducted a dynamic analysis of the problem using system dynamics methodology. In order to simulate the system's behavior over 24 months, we utilized a combination of existing documentary information and expert opinions. The developed model was implemented using Vensim PLE software, allowing us to simulate and analyze the impact of various policies on the system. Medicine disposal exhibited an upward trend, particularly during the second 12-month period. Conversely, the trend of medicine expirations remained relatively stable in the initial months but showed an upward trajectory after that. The cost associated with disposed medicine experienced a consistent increase, with a higher rate observed during the second 12-month period. In contrast, sales of low-consumable medicine experienced a significant initial surge followed by a slower growth rate. Finally, the pharmacy's profit demonstrated an overall increasing trend, although the rate of increase was higher during the first 12 months. Among the various scenarios considered, namely "increasing the adequacy of human resources," "increasing the speed of response," and "utilizing pharmacists in the drug prescribing team," it was found that these interventions had a substantial effect on both enhancing the pharmacy's profit and reducing medication waste. Therefore, these scenarios were identified as having the most significant impact. The proposed model can serve as a valuable tool for forecasting and informing policy-making, providing insights into addressing the challenges associated with the sustainable drug supply chain in hospital pharmacies.
Sections du résumé
BACKGROUND
BACKGROUND
Sustainable supply chain management encompasses the strategic coordination and control of material, information, and financial flows, as well as the collaborative efforts among the entities engaged in the medicinal supply chain. This research proposes a dynamic and sustainable supply chain management model tailored explicitly for the inpatient pharmacies of Medical Centers and Hospitals affiliated with Iran University of Medical Sciences.
METHODS
METHODS
This is a quantitative study in terms of research objective and a qualitative study based on the stages in the conceptual development of the model. Therefore, the current study can be considered a mixed-methods approach. After identifying the key factors influencing the sustainability of the medicine supply chain, we conducted a dynamic analysis of the problem using system dynamics methodology. In order to simulate the system's behavior over 24 months, we utilized a combination of existing documentary information and expert opinions. The developed model was implemented using Vensim PLE software, allowing us to simulate and analyze the impact of various policies on the system.
RESULTS
RESULTS
Medicine disposal exhibited an upward trend, particularly during the second 12-month period. Conversely, the trend of medicine expirations remained relatively stable in the initial months but showed an upward trajectory after that. The cost associated with disposed medicine experienced a consistent increase, with a higher rate observed during the second 12-month period. In contrast, sales of low-consumable medicine experienced a significant initial surge followed by a slower growth rate. Finally, the pharmacy's profit demonstrated an overall increasing trend, although the rate of increase was higher during the first 12 months.
CONCLUSION
CONCLUSIONS
Among the various scenarios considered, namely "increasing the adequacy of human resources," "increasing the speed of response," and "utilizing pharmacists in the drug prescribing team," it was found that these interventions had a substantial effect on both enhancing the pharmacy's profit and reducing medication waste. Therefore, these scenarios were identified as having the most significant impact. The proposed model can serve as a valuable tool for forecasting and informing policy-making, providing insights into addressing the challenges associated with the sustainable drug supply chain in hospital pharmacies.
Identifiants
pubmed: 39379945
doi: 10.1186/s12913-024-11692-8
pii: 10.1186/s12913-024-11692-8
doi:
Substances chimiques
Pharmaceutical Preparations
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1205Informations de copyright
© 2024. The Author(s).
Références
Mani V, Gunasekaran A, Delgado C. Enhancing supply chain performance through supplier social sustainability: an emerging economy perspective. Int J Prod Econ. 2018;195:259–72. https://doi.org/10.1016/j.ijpe.2017.10.025 .
doi: 10.1016/j.ijpe.2017.10.025
Ageron B, Gunasekaran A, Spalanzani A. Sustainable supply management: an empirical study. Int J Prod Econ. 2012;140(1):168–. https://doi.org/10.1016/j.ijpe.2011.04.007 . 82.
doi: 10.1016/j.ijpe.2011.04.007
Paulraj A, Chen IJ, Blome C. Motives and performance outcomes of sustainable supply chain management practices: a multi-theoretical perspective. J Bus Ethics. 2017;145(2):239–58. https://doi.org/10.1007/s10551-015-2857-0 .
doi: 10.1007/s10551-015-2857-0
Chirra S, Raut RD, Kumar D. Barriers to sustainable supply chain flexibility during sales promotions. Int J Prod Res. 2020;1–19. https://doi.org/10.1080/00207543.2020.1832272 .
Lizot M, Júnior PPA, Trojan F, Magacho CS, Thesari SS, Goffi AS. Analysis of evaluation methods of sustainable supply chain management in production engineering journals with high impact. Sustainability. 2020;12(1):270. https://doi.org/10.3390/su12010270 .
doi: 10.3390/su12010270
Shibin K, Dubey R, Gunasekaran A, Luo Z, Papadopoulos T, Roubaud D. Frugal innovation for supply chain sustainability in SMEs: multi-method research design. Prod Plan Contro. 2018;29(11):908–27. https://doi.org/10.1080/09537287.2018.1493139 .
doi: 10.1080/09537287.2018.1493139
Narayana SA, Pati RK, Vrat P. Managerial research on the pharmaceutical supply chain–A critical review and some insights for future directions. J Purch Supply Manag. 2014;20(1):18–40. https://doi.org/10.1016/j.pursup.2013.09.001 .
doi: 10.1016/j.pursup.2013.09.001
Hosseinzadeh K. What is behind the shortage of some drugs? Iranian Students’ News Agency. 2021. Available at: https://www.isna.ir/news/1400031007614/availabledate . 25/10/2021.
Niknam N. Presenting the model of pharmacy outsourcing of Iranian public hospitals. Tehran: Iran University of Medical Sciences; 2020.
Janatyan N, Zandieh M, Alem Tabriz A, Rabieh M. Optimizing sustainable Pharmaceutical distribution Network Model with Evolutionary Multi-objective algorithms (Case Study: Darupakhsh Company). J Prod Oper Manag. 2019;10(1):133–53. https://doi.org/10.22108/JPOM.2019.110116.1123 .
doi: 10.22108/JPOM.2019.110116.1123
Hanafizedeh P, Rasekh HR, Mirsalehian MH. A performance measurement model for pharmaceutical industry. Ind Manag Stud. 2012;10(26):95–122. https://doi.org/20.1001.1.22518029.1391.10.26.5.9 .
Shahbandarzadeh H, Kabgani MH. Green supply chain management analysis of the risks involved in using mathematical modeling. Iran J Trade Stud. 2017;21(82):1–32.
Tashakkori A, Creswell JW. The new era of mixed methods. J Mixed Methods Res. 2007;1:3–7.
doi: 10.1177/2345678906293042
Shahbahrami E, Amoozad Mahdiraji H, Hosseinzadeh M. Prioritizing determinants of drug sustainable supply chain management in Hospital pharmacies. J Health Adm. 2020;23(2):89–101. https://doi.org/10.29252/jha.23.2.89 .
doi: 10.29252/jha.23.2.89
Sterman JD. Learning from evidence in a complex world. Am J Public Health. 2006;96(3):505–14. https://doi.org/10.2105/AJPH.2005.066043 .
doi: 10.2105/AJPH.2005.066043
pubmed: 16449579
pmcid: 1470513
O’Neil DP, Henderson JM, Gifford HR, Karpinski TA, Kaminsky L. Building a pharmacy technician structure for the future: a lesson from a multihospital academic health system. Am J Health Syst Pharm. 2023;21(5):304–11.
doi: 10.1093/ajhp/zxac338
Forrester JW. Industrial dynamics. J Oper Res Soc. 1997;48(10):1037–41. https://doi.org/10.1057/palgrave.jors.2600946 .
doi: 10.1057/palgrave.jors.2600946
Bianchi C. Fostering sustainable organizational development through dynamic performance management. Dyn Perform Manag. 2016;71–139. https://doi.org/10.1007/978-3-319-31845-5_3 .
Mabunda SA, Durbach A, Chitha WW, Bodzo P, Angell B, Joshi R, Development. Objectives and operation of Return-of-service Bursary schemes as an investment to Build Health Workforce Capacity in South Africa: a Multi-methods Study. Healthc (Basel). 2023;25(1121):2821.