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Abstract(s)
A situação atual das unidades de saúde é caracterizada pelo custo crescente da prestação dos cuidados, pelo consequente agravamento da situação financeira e pelos processos complicados e morosos. Aliados à procura crescente, podem tornar-se fatores que tornam a resposta do serviço deficiente. Devido a esta situação, uma gestão mais eficiente e eficaz da logística e da cadeia de abastecimento é reconhecida transversalmente como uma das principais áreas de melhoria. A fim de dar a conhecer quais as áreas a melhorar, vários objetivos foram contemplados neste trabalho, como a análise dos métodos e critérios de seleção de medicamentos em farmácias hospitalares, a definição de obstáculos à gestão racional de stocks e a análise de dados históricos para previsão da procura futura num hospital público português. O estudo revelou que alguns dos 1.346 produtos presentes no ERP da farmácia não têm dados históricos suficientes para criar uma previsão precisa. Neste contexto, e considerando um nível de serviço de 99%, 41% dos produtos têm stock superior ao que deveria ser o stock máximo, cerca de € 147.908,87 de imobilizado e 11% dos produtos estavam, à data, em risco de esgotar stock. A evolução dos sistemas de informação nos Hospitais deve garantir a sustentabilidade tecnológica da transformação digital, o alinhamento com as medidas de racionalização das TIC, a melhoria do serviço ao cliente e a melhoria da qualidade da informação disponibilizada ao utilizador. Por outro lado, considerando o atual evento de pandemia, foi analisado o seu impacto na cadeia de abastecimento hospitalar. A mudança de comportamento dos pacientes hospitalizados levou a duas quebras nítidas em dois indicadores relevantes, o número de consultas hospitalares e os gastos com medicamentos. Estes indicadores mostram que existe menos procura de serviços hospitalares regulares programados, com menos 1,9M de consultas realizadas nos Hospitais Públicos portugueses. No que concerne o consumo de medicamentos a nível nacional, previu-se um custo adicional de 103M € até ao final do ano, mais elevado do que nos anos anteriores.
The current situation of healthcare units is characterized by the increasing cost of providing the respective care, the consequent deterioration of the financial situation and the complicated and time-consuming processes. Allied to the growing demand, they could become factors that make the service demand deficient. Due to this situation, more efficient and effective logistics and supply chain management is transversally recognized as one of the main areas for improvement. In order to provide insight on which areas to improve, several objectives where looked after in this work, as the analysis of the methods and criteria for the selection of medicines in hospital pharmacies, the definition of obstacles to the rational management of stocks and analysis of historical data to forecast future demand of a Portuguese public hospital. The study revealed that some of the 1346 products present on the pharmacy’s ERP do not have sufficient historical data to create an accurate forecast. With this context, and considering a service level of 99%, 41% of products have a stock higher than what should be the maximum stock, approximately € 147.908,87 of fixed assets and 11% of the products were, at the time, at risk of going out of stock. The importance of the evolution of core information system of Hospitals was at stake, ensuring the technological sustainability of the ongoing digital transformation, alignment with ICT rationalization measures, improvement of customer service and improvement of the quality of information available to the user. On a side note, considering the current event of pandemics, it was analyzed its impact on hospital supply chain. The change in the behavior of hospital patients led to two clear breaks in two relevant indicators, the number of hospital visits and spending on medication. These indicators show that there is less demand for scheduled hospital services, 1,9M less consultations carried out in Portuguese Public Hospitals. In these times, the capacity for hospital care and intensive care is exceeded, creating a significant challenge. In Portugal, as the impact of the pandemic on medication consumption nationwide, it was predicted an additional cost of € 103M by the end of the year, higher than in previous years.
The current situation of healthcare units is characterized by the increasing cost of providing the respective care, the consequent deterioration of the financial situation and the complicated and time-consuming processes. Allied to the growing demand, they could become factors that make the service demand deficient. Due to this situation, more efficient and effective logistics and supply chain management is transversally recognized as one of the main areas for improvement. In order to provide insight on which areas to improve, several objectives where looked after in this work, as the analysis of the methods and criteria for the selection of medicines in hospital pharmacies, the definition of obstacles to the rational management of stocks and analysis of historical data to forecast future demand of a Portuguese public hospital. The study revealed that some of the 1346 products present on the pharmacy’s ERP do not have sufficient historical data to create an accurate forecast. With this context, and considering a service level of 99%, 41% of products have a stock higher than what should be the maximum stock, approximately € 147.908,87 of fixed assets and 11% of the products were, at the time, at risk of going out of stock. The importance of the evolution of core information system of Hospitals was at stake, ensuring the technological sustainability of the ongoing digital transformation, alignment with ICT rationalization measures, improvement of customer service and improvement of the quality of information available to the user. On a side note, considering the current event of pandemics, it was analyzed its impact on hospital supply chain. The change in the behavior of hospital patients led to two clear breaks in two relevant indicators, the number of hospital visits and spending on medication. These indicators show that there is less demand for scheduled hospital services, 1,9M less consultations carried out in Portuguese Public Hospitals. In these times, the capacity for hospital care and intensive care is exceeded, creating a significant challenge. In Portugal, as the impact of the pandemic on medication consumption nationwide, it was predicted an additional cost of € 103M by the end of the year, higher than in previous years.
Description
Keywords
Cadeia de Abastecimento Cuidados de Saúde Métodos de Previsão de Consumo Sistemas de Apoio à Decisão COVID-19 Supply Chain Hospital Pharmacy Forecasting Methods Decision Support Systems