PAGEPAGE261相關(guān)領(lǐng)域國內(nèi)外庫存管理研究現(xiàn)狀國內(nèi)外文獻(xiàn)綜述國內(nèi)研究現(xiàn)狀醫(yī)療物資包括為藥品、耗材、器械、試劑等，國內(nèi)對(duì)醫(yī)療物資的庫存管理研究開展較晚，且多集中于藥品、耗材的庫存管理研究領(lǐng)域。（1）醫(yī)療物資庫存管理研究方面：在醫(yī)療物資庫存管理整體研究方面，張蕾等ADDINZOTERO_ITEMCSL_CITATION{"citationID":"AgSqL4tI","properties":{"formattedCitation":"(\\uc0\\u24352{}\\uc0\\u34174{};\\uc0\\u21608{}\\uc0\\u33673{}\\uc0\\u33673{};\\uc0\\u29579{}\\uc0\\u24310{}\\uc0\\u26157{};,2015)","plainCitation":"(張蕾;周莉莉;王延昭;,2015)","noteIndex":0},"citationItems":[{"id":194,"uris":["/users/local/gMBSADdo/items/7XD46E7H"],"uri":["/users/local/gMBSADdo/items/7XD46E7H"],"itemData":{"id":194,"type":"article-journal","abstract":"通過對(duì)比藥品、材料和試劑3類耗材的庫存管理辦法,分析業(yè)務(wù)流程、庫存管理模式、庫存變動(dòng)點(diǎn)、采購計(jì)劃數(shù)量制定、參與角色等層面,總結(jié)出3種不同的庫存管理模式的相似性在于:\"請(qǐng)領(lǐng)—采購—發(fā)放出庫\"的工作模式和存在對(duì)應(yīng)信息系統(tǒng),差異性在于庫存變化點(diǎn)、采購計(jì)劃生成量、庫房、庫存管理模式和具體角色名稱。最后,對(duì)3種庫存管理方法進(jìn)行總結(jié)。","call-number":"23-1041/C","container-title":"中國醫(yī)院管理","ISSN":"1001-5329","issue":"09vo35","language":"中文;","page":"62-63","title":"醫(yī)院藥品、材料和試劑的庫存管理方法對(duì)比研究","author":[{"family":"張蕾;周莉莉;王延昭;","given":""}],"issued":{"date-parts":[["2015"]]}}}],"schema":"/citation-style-language/schema/raw/master/csl-citation.json"}(2015)在業(yè)務(wù)流程、管理模式、庫存變動(dòng)點(diǎn)、參與人員等方面對(duì)醫(yī)療物資的不同庫存管理方法進(jìn)行了比較，并總結(jié)出不同醫(yī)療物資庫存管理模式的相同點(diǎn)和不同點(diǎn)。潘偉等ADDINZOTERO_ITEMCSL_CITATION{"citationID":"ObcmZ60l","properties":{"formattedCitation":"(\\uc0\\u28504{}\\uc0\\u20255{};\\uc0\\u37101{}\\uc0\\u24433{};\\uc0\\u21016{}\\uc0\\u27733{};\\uc0\\u24278{}\\uc0\\u20070{}\\uc0\\u26480{};,2015)","plainCitation":"(潘偉;郭影;劉汕;廖書杰;,2015)","noteIndex":0},"citationItems":[{"id":174,"uris":["/users/local/gMBSADdo/items/XFUAMWXF"],"uri":["/users/local/gMBSADdo/items/XFUAMWXF"],"itemData":{"id":174,"type":"article-journal","abstract":"機(jī)場是民航事故的高發(fā)區(qū),機(jī)場的醫(yī)療應(yīng)急物資及裝備具有重要的戰(zhàn)略意義。針對(duì)生命周期較短且要求質(zhì)量高的醫(yī)療應(yīng)急物資及裝備,本文建立了應(yīng)急準(zhǔn)備階段單個(gè)事故發(fā)生的應(yīng)急物資儲(chǔ)備決策模型。模型考慮了事故發(fā)生時(shí)間和物資需求的不確定性,包括了風(fēng)險(xiǎn)中性和風(fēng)險(xiǎn)規(guī)避準(zhǔn)則下的隨機(jī)事故發(fā)生時(shí)間決策和確定事故發(fā)生時(shí)間決策,得出應(yīng)急物資最優(yōu)庫存水平不僅與物資保質(zhì)期有關(guān),還與隨機(jī)變量的分布有關(guān);事故發(fā)生時(shí)間的不確定性對(duì)不同風(fēng)險(xiǎn)準(zhǔn)則下的最優(yōu)決策是不同的;利用概率密度函數(shù)再次驗(yàn)證了風(fēng)險(xiǎn)規(guī)避準(zhǔn)則下的決策是平衡風(fēng)險(xiǎn)和費(fèi)用損失的結(jié)果。","call-number":"11-5057/F","container-title":"管理評(píng)論","ISSN":"1003-1952","issue":"10vo27","language":"中文;","page":"195-203","title":"我國隨機(jī)事故發(fā)生時(shí)間的機(jī)場應(yīng)急物資儲(chǔ)備——基于單個(gè)應(yīng)急準(zhǔn)備階段的醫(yī)療物資應(yīng)急庫存決策","author":[{"family":"潘偉;郭影;劉汕;廖書杰;","given":""}],"issued":{"date-parts":[["2015"]]}}}],"schema":"/citation-style-language/schema/raw/master/csl-citation.json"}(2015)對(duì)機(jī)場場景下的醫(yī)療物資在應(yīng)急準(zhǔn)備階段單個(gè)事故發(fā)生時(shí)的物資儲(chǔ)備決策模型進(jìn)行了研究，總結(jié)得出應(yīng)急醫(yī)療物資最優(yōu)庫存水平與物資保質(zhì)期、隨機(jī)變量有關(guān)，并進(jìn)一步驗(yàn)證了風(fēng)險(xiǎn)規(guī)避準(zhǔn)則下的庫存決策主要取決于平衡風(fēng)險(xiǎn)和費(fèi)用損失的結(jié)論。（2）藥品庫存管理研究方面：宋華ADDINZOTERO_ITEMCSL_CITATION{"citationID":"FIpR7zTU","properties":{"formattedCitation":"(\\uc0\\u23435{}\\uc0\\u21326{},2005)","plainCitation":"(宋華,2005)","noteIndex":0},"citationItems":[{"id":188,"uris":["/users/local/gMBSADdo/items/J7WMVR6M"],"uri":["/users/local/gMBSADdo/items/J7WMVR6M"],"itemData":{"id":188,"type":"article-journal","abstract":"進(jìn)入21世紀(jì),世界醫(yī)藥行業(yè)的格局和運(yùn)作發(fā)生了很大的變化,各國的醫(yī)藥供應(yīng)鏈面臨著變革的壓力。未來的醫(yī)藥領(lǐng)域與目前的狀況將會(huì)有很大的差別——這表現(xiàn)在更加關(guān)注于客戶,關(guān)心IT系統(tǒng)的應(yīng)用以及機(jī)構(gòu)運(yùn)作的效率。本文系統(tǒng)論述了當(dāng)今醫(yī)療供應(yīng)鏈管理變革發(fā)展的格局,以及相應(yīng)的業(yè)務(wù)運(yùn)作和信息整合模式,并在此基礎(chǔ)上,提出了醫(yī)療供應(yīng)鏈管理發(fā)展變革的趨勢。","call-number":"11-2504/F","container-title":"管理評(píng)論","ISSN":"1003-1952","issue":"08","language":"中文;","page":"40-46+64","title":"醫(yī)療供應(yīng)鏈管理的變革與績效","author":[{"family":"宋華","given":""}],"issued":{"date-parts":[["2005"]]}}}],"schema":"/citation-style-language/schema/raw/master/csl-citation.json"}(2005)從醫(yī)藥供應(yīng)鏈的角度，論述了醫(yī)藥供應(yīng)鏈的變革、發(fā)展、業(yè)務(wù)及信息整合模式，并對(duì)醫(yī)藥供應(yīng)鏈中庫存信息的傳輸要求及信息傳輸效率對(duì)藥品庫存管理的影響做了論述。劉璐等ADDINZOTERO_ITEMCSL_CITATION{"citationID":"NcT61ZYh","properties":{"formattedCitation":"(\\uc0\\u21016{}\\uc0\\u29840{};\\uc0\\u21556{}\\uc0\\u20891{};\\uc0\\u26446{}\\uc0\\u20581{};\\uc0\\u26472{}\\uc0\\u20016{}\\uc0\\u26757{};,2018)","plainCitation":"(劉璐;吳軍;李健;楊豐梅;,2018)","noteIndex":0},"citationItems":[{"id":190,"uris":["/users/local/gMBSADdo/items/79M8N6BE"],"uri":["/users/local/gMBSADdo/items/79M8N6BE"],"itemData":{"id":190,"type":"article-journal","abstract":"醫(yī)院藥品對(duì)保質(zhì)期和服務(wù)水平有非常高的要求,同時(shí),藥品的庫存空間在醫(yī)藥庫存中也有重要影響。首先針對(duì)快速失效的醫(yī)藥藥品考慮了醫(yī)藥庫存的合同保質(zhì)期以及庫存空間約束,同時(shí)考慮醫(yī)院庫存以及制造商庫存,基于經(jīng)濟(jì)訂貨批量模型和經(jīng)濟(jì)生產(chǎn)批量模型建立了二級(jí)供應(yīng)鏈的醫(yī)藥庫存模型,然后用MATLAB軟件求解了模型最優(yōu)解,并對(duì)一些重要參數(shù)進(jìn)行了敏感性分析。研究發(fā)現(xiàn),合同保質(zhì)期對(duì)醫(yī)院訂購批量、制造商生產(chǎn)批量和總庫存成本有一定的影響,其中對(duì)于制造商的生產(chǎn)批量以及醫(yī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決策模型，并根據(jù)模型數(shù)據(jù)運(yùn)算結(jié)果，提出了血小板庫存控制的最優(yōu)策略。周愉峰等ADDINZOTERO_ITEMCSL_CITATION{"citationID":"Z3A5ESJ9","properties":{"formattedCitation":"(\\uc0\\u21608{}\\uc0\\u24841{}\\uc0\\u23792{};\\uc0\\u26446{}\\uc0\\u24535{};\\uc0\\u21016{}\\uc0\\u24605{}\\uc0\\u23792{};,2018)","plainCitation":"(周愉峰;李志;劉思峰;,2018)","noteIndex":0},"citationItems":[{"id":176,"uris":["/users/local/gMBSADdo/items/NXJ9IURL"],"uri":["/users/local/gMBSADdo/items/NXJ9IURL"],"itemData":{"id":176,"type":"article-journal","abstract":"以往的救災(zāi)實(shí)踐對(duì)建立國家血液戰(zhàn)略儲(chǔ)備體系提出了迫切要求。國家血液戰(zhàn)略儲(chǔ)備庫的建設(shè)問題亟待解決。由于血液產(chǎn)品特性以及應(yīng)急血液保障特性的存在,使得國家血液戰(zhàn)略儲(chǔ)備庫的選址決策具有一定的復(fù)雜性。本文將問題定位為選址-庫存問題。首先,以應(yīng)急條件下血液保障及時(shí)度最高為目標(biāo),構(gòu)建了一個(gè)不確定環(huán)境下考慮多情景、多血型、多階段、帶提前期、有容量限制、日常隨機(jī)需求、有預(yù)算約束及協(xié)同定位的國家血液戰(zhàn)略儲(chǔ)備庫選址-庫存模型。同時(shí),為了規(guī)避應(yīng)急條件下的不確定風(fēng)險(xiǎn),進(jìn)一步構(gòu)建了國家血液戰(zhàn)略儲(chǔ)備庫選址-庫存問題的隨機(jī)p-魯棒優(yōu)化模型。該模型為離散非線性混合整數(shù)規(guī)劃模型,難以快速精確求解。故基于模型性質(zhì),設(shè)計(jì)了相應(yīng)的遺傳算法。最后,設(shè)計(jì)了兩組算例驗(yàn)證模型與算法的有效性。其中,第1組算例基于我國大陸地區(qū)31個(gè)省級(jí)血液中心與省級(jí)行政區(qū)的數(shù)據(jù),并根據(jù)不同預(yù)算值給出6個(gè)算例,得到了國家血液戰(zhàn)略儲(chǔ)備庫的選址-庫存決策方案。第2組算例為6個(gè)不同規(guī)模的模擬算例,用來測試不同規(guī)模下的算法性能。算例結(jié)果表明:遺傳算法的性能更好;魯棒解與確定性模型最優(yōu)值相差不大(最大差距≤1.08%),可降低不確定性導(dǎo)致的風(fēng)險(xiǎn)。實(shí)踐中,可對(duì)本文所建模型稍作改進(jìn),應(yīng)用于具有類似特征的易腐品(藥品、糧食等)應(yīng)急物資儲(chǔ)備庫選址-庫存決策。","call-number":"11-2835/G3","container-title":"中國管理科學(xué)","ISSN":"1003-207X","issue":"10vo26","language":"中文;","page":"52-63","title":"基于隨機(jī)p-魯棒優(yōu)化的國家血液戰(zhàn)略儲(chǔ)備庫選址-庫存模型","author":[{"family":"周愉峰;李志;劉思峰;","given":""}],"issued":{"date-parts":[["2018"]]}}}],"schema":"/citation-style-language/schema/raw/master/csl-citation.json"}(2018)以應(yīng)急條件下血液最高及時(shí)保障度為目標(biāo)，構(gòu)建了一個(gè)不確定環(huán)境下的國家血液戰(zhàn)略儲(chǔ)備庫選址-庫存問題隨機(jī)р-魯棒優(yōu)化模型，并設(shè)計(jì)了相應(yīng)的遺傳算法。周穎等ADDINZOTERO_ITEMCSL_CITATION{"citationID":"nXKFLG2A","properties":{"formattedCitation":"(\\uc0\\u21608{}\\uc0\\u39062{};\\uc0\\u32599{}\\uc0\\u21033{};\\uc0\\u31456{}\\uc0\\u24609{};\\uc0\\u21556{}\\uc0\\u26195{}\\uc0\\u19996{};,2013)","plainCitation":"(周穎;羅利;章怡;吳曉東;,2013)","noteIndex":0},"citationItems":[{"id":214,"uris":["/users/local/gMBSADdo/items/JHCMN9NH"],"uri":["/users/local/gMBSADdo/items/JHCMN9NH"],"itemData":{"id":214,"type":"article-journal","abstract":"目的利用科學(xué)的管理方法準(zhǔn)確預(yù)測醫(yī)用耗材庫存需求,以保障醫(yī)院醫(yī)療活動(dòng)的正常進(jìn)行,實(shí)現(xiàn)醫(yī)療資源的合理配置。方法以\"估計(jì)誤差的方差極小\"為準(zhǔn)則將二次平滑指數(shù)模型和灰色系統(tǒng)模型組合起來,建立組合預(yù)測模型。結(jié)果華西醫(yī)院X科室一次性口罩2011年10月的預(yù)測值為9574.43個(gè),其均方誤差值小于其他預(yù)測方法。結(jié)論組合預(yù)測模型在預(yù)測醫(yī)用耗材庫存需求預(yù)測中是可行的,具有單項(xiàng)模型不可比擬的優(yōu)勢。","call-number":"21-1153/R","container-title":"中國衛(wèi)生統(tǒng)計(jì)","ISSN":"1002-3674","issue":"06vo30","language":"中文;","page":"896-898","title":"組合預(yù)測模型在醫(yī)用耗材庫存需求預(yù)測中的應(yīng)用","author":[{"family":"周穎;羅利;章怡;吳曉東;","given":""}],"issued":{"date-parts":[["2013"]]}}}],"schema":"/citation-style-language/schema/raw/master/csl-citation.json"}(2013)構(gòu)建了基于二次平滑指數(shù)模型和灰色系統(tǒng)模型的醫(yī)用耗材庫存組合預(yù)測模型，并在華西醫(yī)院某科室進(jìn)行了結(jié)果檢驗(yàn)，確定了組合預(yù)測模型在醫(yī)用耗材庫存需求預(yù)測中的作用。譚志好等ADDINZOTERO_ITEMCSL_CITATION{"citationID":"DwQ9xOQa","properties":{"formattedCitation":"(\\uc0\\u35885{}\\uc0\\u24535{}\\uc0\\u22909{};\\uc0\\u20911{}\\uc0\\u38182{}\\uc0\\u29615{};\\uc0\\u26446{}\\uc0\\u26447{}\\uc0\\u29645{};\\uc0\\u35768{}\\uc0\\u23567{}\\uc0\\u36126{};,2019)","plainCitation":"(譚志好;馮錦環(huán);李杏珍;許小貞;,2019)","noteIndex":0},"citationItems":[{"id":208,"uris":["/users/local/gMBSADdo/items/VELWVW72"],"uri":["/users/local/gMBSADdo/items/VELWVW72"],"itemData":{"id":208,"type":"article-journal","abstract":"目的:分析手術(shù)室高值醫(yī)用耗材庫存的信息化管理的應(yīng)用價(jià)值。方法:采用文獻(xiàn)調(diào)查研究法查找國內(nèi)外有關(guān)手術(shù)室高值耗材零庫存管理系統(tǒng)方面的文獻(xiàn),并通過問卷調(diào)查分析陽江市各種類型綜合醫(yī)院手術(shù)室高值耗材管理模式現(xiàn)狀;采用專家咨詢法向有關(guān)專家訪談咨詢手術(shù)室高值耗材調(diào)查表設(shè)計(jì)、評(píng)價(jià)指標(biāo)等的確定;采用比較研究法,將2017年1月1日—2017年12月31日應(yīng)用人工筆錄登記的醫(yī)務(wù)人員作為對(duì)照組,將2018年1月1日至2018年8月31日陽東區(qū)人民醫(yī)院開始引用\"手術(shù)室高值耗材信息化系統(tǒng)\"的醫(yī)務(wù)人員作為觀察組,比較兩組手術(shù)室調(diào)研中有代表性的數(shù)據(jù),進(jìn)一步探討信息化管理在調(diào)配手術(shù)室高值耗材安全性和手術(shù)室運(yùn)行效率。結(jié)果:調(diào)查發(fā)現(xiàn),陽江市各種類型綜合醫(yī)院手術(shù)室高值耗材管理模式中,信息化管理模式所占的比例最大。在計(jì)費(fèi)核算、信息記錄、統(tǒng)計(jì)報(bào)表、耗材追溯、信息共享等方面,使用手術(shù)室高值醫(yī)用耗材庫存的信息化管理要優(yōu)于傳統(tǒng)手工管理,觀察組的高值耗材審核時(shí)間、實(shí)物盤點(diǎn)時(shí)間、錯(cuò)誤事件發(fā)生率均要低于對(duì)照組,差異具有統(tǒng)計(jì)學(xué)意義(P<0.05);觀察組手術(shù)室運(yùn)行效率要高于對(duì)照組。結(jié)論:采用\"零庫存\"信息化管理系統(tǒng)對(duì)高值醫(yī)用耗材進(jìn)行管理,在保證醫(yī)療護(hù)理質(zhì)量的前提下,可以使高值耗材存儲(chǔ)有序、取用便捷,杜絕高值耗材的過期使用并減少高值耗材的積壓,保障手術(shù)的高效和安全性,提高醫(yī)務(wù)人員的工作質(zhì)量,保障患者的權(quán)益,降低支出成本。","call-number":"14-1300/R","container-title":"臨床醫(yī)藥實(shí)踐","ISSN":"1671-8631","issue":"04vo28","language":"中文;","page":"315-318","title":"手術(shù)室高值醫(yī)用耗材庫存的信息化管理研究","author":[{"family":"譚志好;馮錦環(huán);李杏珍;許小貞;","given":""}],"issued":{"date-parts":[["2019"]]}}}],"sche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