Διαχείριση προμηθειών υγείας - μια εμπειρική ανάλυση
Procurement management in health supplies - an empirical analysis
Χωραφά, Σοφία Σ.
Hospitals and other health care providers face escalating pressures to provide the best care to an increasing number of patients but to do so with declining financial resources from public and private sector payers. It’s a refrain we see across health care, particularly following the passage of the Patient Protection and Affordable Care Act (PPACA): How can we do more with less? In the United States, group purchasing organizations (GPOs) are entities that are created to leverage the purchasing power of a group of businesses to obtain discounts from vendors based on the collective buying power of the GPO members. Many GPOs are funded by administrative fees that are paid by the vendors that GPOs oversee. Some GPOs are funded by fees paid by the buying members. Some GPOs are funded by a combination of both of these methods. These fees can be set as a percentage of the purchase or set as an annual flat rate. Some GPOs set mandatory participation levels for their members, while others are completely voluntary. Members participate based on their purchasing needs and their level of confidence in what should be competitive pricing negotiated by their GPOs. Group purchasing is used in many industries to purchase raw materials and supplies, but it is common practice in the grocery industry, health care, electronics, industrial manufacturing and agricultural industries. In recent years, group purchasing has begun to take root in the nonprofit community. Group purchasing amongst nonprofits is still relatively new, but is quickly becoming common place as nonprofits aim to find ways to reduce overhead expenses. In the healthcare field, GPOs have most commonly been accessed by acute-care organizations, but non-profit Community Clinics and Health Centers throughout the U.S. have also been engaging in group purchasing. The purpose of this paper is to highlight effective techniques in hospital supplies and material management through centralization of procurement. The management helps to reduce the cost of inventories held in central warehouses of clinics, to reduce the cost of medical supplies as well as it helps in the effective control of the clinical requirements. The application of these techniques is presented through data collected by a group of private clinics which used computerized procurement management system. The computerized system is a part of a larger decision support system. The objective is through a unified information system to manage and effectively control, all those processes that affect health care, from diagnosis to rehabilitation, as well as the health care after admission to the clinic. The efforts, today, to restrict the growth of health expenditure, focus on the attempts of control and increase of efficiency, as well as on the limitation to the cost in health systems, among of which is included the cost of hospital supply chain. As costs of hospitals are increased year by year, their administrations are obliged to find methods to reduce them. An effective tool is an efficient central supply chain management through the control of materials and the necessary information about them as well. As it will be demonstrated in the thesis the benefit that can be achieved through the centralized management of supplies is quite high.