Patterson A A, Pierce R A, Powell A P
Veterans Affairs Headquarters Pharmacy Service, Hines, IL, USA.
Am J Health Syst Pharm. 1995 Sep 1;52(17):1886-9. doi: 10.1093/ajhp/52.17.1886.
The development of a prime vendor system of pharmaceutical procurement and distribution in the Department of Veterans Affairs (VA) is described. The traditional system of pharmaceutical procurement and distribution in the VA required large stockpiles of the pharmaceuticals that had been needed the previous year, a system that was inefficient and full of hidden markups and other unnecessary fees. In late 1991, the VA began a pilot test of a prime vendor system, in which three wholesalers were selected to provide pharmaceuticals to 33 VA medical centers. Under the new system, pharmacies placed orders electronically, directly with the prime vendor, and payments were taken from funds obligated in advance. The benefits of the new system included reduced costs, faster turnaround of orders, higher fill rates, and higher satisfaction among users. In 1994, the VA ceased operation of its traditional depot system for pharmaceuticals. The implementation of a prime vendor procurement system for pharmaceuticals within the VA improved system responsiveness, increased satisfaction of system users, and reduced expenses.
本文描述了美国退伍军人事务部（VA）药品采购与配送主要供应商系统的发展情况。VA传统的药品采购与配送系统需要大量储备上一年所需的药品，这种系统效率低下，存在隐藏加价和其他不必要费用。1991年末，VA开始对主要供应商系统进行试点测试，挑选了三家批发商向33个VA医疗中心提供药品。在新系统下，药房通过电子方式直接向主要供应商下单，付款从预先拨付的资金中扣除。新系统的好处包括成本降低、订单周转加快、补货率提高以及用户满意度提升。1994年，VA停止了其传统的药品仓库系统运营。VA内部实施的药品主要供应商采购系统提高了系统响应能力，提升了系统用户的满意度，并降低了费用。
