Gupta R, Gupta K K, Jain B R, Garg R K
Associate Professor, Department of Paediatrics, AFMC, Pune.
Ex-Commanding Officer, Military Hospital, Mathura Cantt.
Med J Armed Forces India. 2007 Oct;63(4):325-7. doi: 10.1016/S0377-1237(07)80006-2. Epub 2011 Jul 21.
The basic principle of inventory control is ABC based on cost criteria and VED on criticality.
Based on ABC-VED matrix, economic analysis of drug expenditure of priced vocabulary of medical stores (PVMS) section 01 for the year 2003 of a 190 bedded service hospital was under taken.
Out of 493 drugs in PVMS section 01, only 325 drugs were being used in the reference hospital. The total cost of drugs used was Rupees 55,23,503. Of these 325 drugs, 47(14.4%) drugs were Category A, consuming 70% of total expenditure, 73 (22.46 %) drugs Category B consuming 20% and rest 205 drugs (63.7 %) Category C drugs cost only 10% of expenditure. VED categorization done by consensus opinion of medical officers, found 24 (7.3%) drugs vital, 160 (49.3%) essential and rest 141 (43.3 %) desirable.
On coupling the two techniques ABC-VED matrix was made and drugs were classified in to Category I (AV+BV+CV+AE+AD) comprising 68 drugs, Category II (BE + CE +BD) 159 and Category III (CD) 98 drugs. The management of Category I drugs was monitored by top management resulting in better control on the annual expenses and at the same time making available the vital Category II by middle and Category III at lower mangerial level.
库存控制的基本原则是基于成本标准的ABC分类法和基于关键性的VED分类法。
基于ABC-VED矩阵,对一家拥有190张床位的服务医院2003年医疗用品定价词汇表(PVMS)第01部分的药品支出进行了经济分析。
在PVMS第01部分的493种药品中,参考医院仅使用了325种。所用药品的总成本为5523503卢比。在这325种药品中,47种(14.4%)为A类药品,占总支出的70%;73种(22.46%)为B类药品,占20%;其余205种(63.7%)为C类药品,仅占支出的10%。通过医务人员的共识意见进行的VED分类发现,24种(7.3%)药品为关键药品,160种(49.3%)为必需药品,其余141种(43.3%)为期望药品。
将这两种技术结合形成ABC-VED矩阵,药品被分为I类(AV+BV+CV+AE+AD)共68种,II类(BE+CE+BD)159种,III类(CD)98种。I类药品由高层管理人员监控,从而更好地控制年度费用,同时中层管理人员可确保关键的II类药品供应,较低管理层可确保III类药品供应。