在乌干达的普通医院使用分析层次流程对ACT协调供应链管理的排名因素
Oluka Pross Nagitta1, Marcia Mkansi2, George William Kajjumba3,4
1Department of Economics and Managerial Sciences, School of Management Science, Uganda Management Institute, Kampala, Uganda.
The journal of medicine access
|October 27, 2025
概括
顶级管理层的支持,信息共享和相互理解是改善乌干达基于美素的组合疗法 (ACT) 供应链协调的关键. 这些微观因素对于确保发展中国家药物可用性至关重要.
科学领域:
- 卫生系统研究 卫生系统研究
- 供应链管理 供应链管理
- 制药系统 制药系统
背景情况:
- 在发展中国家协调药品供应链面临着重大挑战,特别是对于抗疟疾药物,如基于美素的组合疗法 (ACT).
- 在ACT供应链中的协调不良受众多相互关联的因素的影响.
- 确保对基本药物的持续获取需要对这些供应链动态有深入的了解.
研究的目的:
- 确定和优先考虑影响乌干达普通医院ACT可用性的供应链协调因素.
- 在微观,物流,市场和宏观环境层面分析这些因素.
- 为改善资源有限的环境中ACT供应链提供基于证据的建议.
主要方法:
- 使用分析层次过程 (AHP) 来进行因素评估.
- 收集了来自乌干达四家公立医院的医疗保健专业人员的专家意见.
- 在微观,物流,市场和宏观环境背景下评估了20个不同的因素.
主要成果:
- 微环境因素,包括最高管理层的支持,相互理解和信息共享,被确定为ACT可用性的最关键决定因素.
- 物流,宏观环境和市场因素对供应链协调的影响逐渐减少.
- 该研究强调了内部组织因素在管理制药供应链中的至关重要.
结论:
- 结构化和特定于环境的方法对于加强供应链协调和确保资源有限的环境中ACT的可用性至关重要.
- 这些发现为医疗管理人员和政策制定者提供了有价值的见解,旨在加强在类似环境中的药品供应链.
- 优先考虑微观层面的干预措施,可以显著提高基本抗疟疾药物的可获得性.
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