Estrategia de abastecimiento colaborativo para el sector salud derivado de un estudio clínico de Covid-19.

Erika Tatiana Ruiz Orjuela; Wilson Adarme Jaimes; Hernando Gaitán Duarte

doi:10.14482/inde.42.01.345.555

Autores/as

Erika Tatiana Ruiz Orjuela Universidad Nacional de Colombia https://orcid.org/0000-0002-1047-9989
Wilson Adarme Jaimes Universidad Nacional de Colombia https://orcid.org/0000-0001-7401-223X
Hernando Gaitán Duarte Universidad Nacional de Colombia https://orcid.org/0000-0003-2939-3648

DOI:

https://doi.org/10.14482/inde.42.01.345.555

Palabras clave:

Abastecimiento, COVID-19, Estudio clínico, Logística hospitalaria

Resumen

La logística hospitalaria, relaciona los procesos de aprovisionamiento, almacenamiento y distribución de medicamentos y demás insumos requeridos para el manejo clínico de pacientes. Este trabajo es presenta el diseño de una estrategia de abastecimiento colaborativo de medicamentos que permitieran la realización de un estudio clínico de COVID-19, minimizando fallas en el suministro, costos, tiempos y garantizando siempre su disponibilidad en los centros de salud participantes. Este trabajo se realizó en tres fases: la primera fue un análisis del contexto y una revisión de las normas de cada una de las IPS- instituciones prestadoras de salud participantes, en la segunda fase se diseñaron los protocolos y manuales para los procesos de aprovisionamiento y gestión de inventarios, finalmente se implementaron durante el desarrollo del estudio clínico. Como resultado de este trabajo se presenta un modelo colaborativo de compras y de gestión de inventarios, conformado por tres laboratorios de productos farmacéuticos, un centro de mezclas y diez IPS. Igualmente, se diseñaron los procesos para la gestión y trazabilidad de inventarios de forma colaborativa. En última instancia, estos resultados se pueden utilizar para evaluar la coordinación de toda la cadena de suministro hospitalaria - CSH en un escenario de pandemia.

Citas

M. Gebicki, E. Mooney, S.-J. G. Chen y L. M. Mazur, “Evaluation of hospital medication inventory policies”, Health Care Manag. Sci., vol. 17, nº. 3, pp. 215-229, Sep. 2014. doi: 10.1007/s10729-013-9251-1.

S. A. Waits et al., “Development of Team Action Projects in Surgery (TAPS): a multilevel team-based approach to teaching quality improvement”, J. Surg. Educ., vol. 71, nº. 2, pp. 166-168, 2014. doi: 10.1016/j.jsurg.2014.01.015.

A. Dixit, S. Routroy y S. K. Dubey, “A systematic literature review of healthcare supply chain and implications of future research”, Int. J. Pharm. Healthc. Mark., vol. 13, nº. 4, pp. 405-435, Jan. 2019. doi: 10.1108/IJPHM-05-2018-0028.

A. W. Snowdon, M. Saunders y A. Wright, “Key Characteristics of a Fragile Healthcare Supply Chain: Learning from a Pandemic”, Healthc. Q., vol. 24, nº. 1, pp. 36-43, 2021. doi: 10.12927/hcq.2021.26467.

M. Tani, C. Troise, P. De Bernardi y T. Han, “Innovating the supply chain in health-related crises: some evidence from ISINNOVA case”, Eur. J. Innov. Manag., vol. 25, nº. 6, pp. 716-734, 2022. doi: 10.1108/EJIM-11-2021-0579.

J. P. Zamora Aguas, W. Adarme Jaimes y E. P. Vanegas Escamilla, “Coordinación En Redes De Suministro De Medicamentos. Caso Aplicado Al Sector Salud Colombiano”, Rev. EIA, vol. 13, nº. 25, pp. 171-183, 2016. doi: 10.24050/reia.v13i25.1025.

J. Volland, A. Fügener, J. Schoenfelder y J. O. Brunner, “Material logistics in hospitals: A literature review”, Omega, vol. 69, pp. 82-101, 2017. doi: https://doi.org/10.1016/j.omega.2016.08.004.

L. Gao y X. Wang, “Healthcare Supply Chain Network Coordination Through Medical Insurance Strategies with Reference Price Effect”, Int. J. Environ. Res. Public Health, vol. 16, nº. 18, p. 3479, Sep. 2019. doi: 10.3390/ijerph16183479.

S. G. Viveiros Rosa y W. C. Santos, “Clinical trials on drug repositioning for COVID-19 treatment”, Rev. Panam. Salud Publica/Pan Am. J. Public Heal., vol. 44, pp. 1-7, 2020. doi: 10.26633/RPSP.2020.40.

P. Ith, A. Dawson, C. S. E. Homer y A. Klinken Whelan, “Practices of skilled birth attendants during labour, birth and the immediate postpartum period in Cambodia”, Midwifery, vol. 29, nº. 4, pp. 300-307, 2013. doi: 10.1016/j.midw.2012.01.010.

R. Uthayakumar y S. Priyan, “Pharmaceutical supply chain and inventory management strategies: Optimization for a pharmaceutical company and a hospital”, Oper. Res. Heal. Care, vol. 2, nº. 3, pp. 52-64, 2013. doi: 10.1016/j.orhc.2013.08.001.

M. K. Hossain, V. Thakur y Y. Kazancoglu, “Developing a resilient healthcare supply chain to prevent disruption in the wake of emergency health crisis”, Int. J. Emerg. Mark., 2022. doi: 10.1108/IJOEM-10-2021-1628.

H. G. Gaitán-Duarte et al., “Effectiveness of rosuvastatin plus colchicine, emtricitabine/tenofovir and combinations thereof in hospitalized patients with COVID-19: a pragmatic, open-label randomized trial”, eClinicalMedicine, vol. 43, pp. 1-12, 2022. doi: 10.1016/j.eclinm.2021.101242.

F. A. Miller, S. B. Young, M. Dobrow y K. G. Shojania, “Vulnerability of the medical product supply chain: the wake-up call of COVID-19”, BMJ Qual. & Saf., vol. 30, nº. 4, pp. 331 LP - 335, Apr. 2021. doi: 10.1136/bmjqs-2020-012133.

S. Romano, H. Galante, D. Figueira, Z. Mendes y A. T. Rodrigues, “Time-trend analysis of medicine sales and shortages during COVID-19 outbreak: Data from community pharmacies”, Res. Soc. Adm. Pharm., vol. 17, nº. 1, pp. 1876-1881, 2021. doi: https://doi.org/10.1016/j.sapharm.2020.05.024.

D. Pérez Infante, “Análisis de las medidas, excepciones y regulaciones implementadas por el Invima durante la emergencia sanitaria causada por la covid-19 en Colombia”, Universidad Militar Nueva Granada, 2021.

E. Göçmen, “Linear programming with fuzzy parameters for inventory routing problem in effective management of personal protective equipment: a case study of corona virus disease 2019”, Energy Sources, Part A Recover. Util. Environ. Eff., vol. 44, nº. 4, pp. 9217-9231, 2022. doi: 10.1080/15567036.2020.1861133.

A. Kumar, V. Mani, V. Jain, H. Gupta y V. G. Venkatesh, “Managing healthcare supply chain through artificial intelligence (AI): A study of critical success factors”, Comput. Ind. Eng., vol. 175, 2023. doi: 10.1016/j.cie.2022.108815.

A. Håkan, A. Mats y S. Karen, “Developing lean and agile health care supply chains”, Supply Chain Manag. An Int. J., vol. 16, nº. 3, pp. 176-183, 2011. doi: 10.1108/13598541111127164.

M. M. Rashid, S.-H. Lee, P. Choi y K.-R. Kwon, “A Blockchain-Based approach in Healthcare Supply Chain using Smart Contracts and Decentralized Storage Systems”, in 2nd ACM Conference on Information Technology for Social Good, GoodIT 2022, 2022, pp. 300-307. doi: 10.1145/3524458.3547251.

T. Dai y C. Tang, “Frontiers in Service Science: Integrating ESG Measures and Supply Chain Management: Research Opportunities in the Postpandemic Era”, Serv. Sci., vol. 14, nº. 1, pp. 1-12, 2022. doi: 10.1287/serv.2021.0295.

D. A. Balcázar-Camacho, C. A. López-Bello y W. Adarme-Jaimes, “Lineamientos estratégicos para coordinación en la cadena de suministro de medicamentos y propuesta de un modelo matemático para medir los efectos de la coordinación”, DYNA, vol. 83, nº. 197, pp. 204-212, 2016. doi: 10.15446/dyna.v83n197.55596.

K. Dorgham, I. Nouaouri, J.-C. Nicolas y G. Goncalves, “Collaborative hospital supply chain network design problem under uncertainty”, Oper. Res., vol. 22, nº. 5, pp. 4607-4640, 2022. doi: 10.1007/s12351-022-00724-y.

C. J. Metge y M. A. Islam, “Manitoba 2020: How centralizing the healthcare supply chain helped with pandemic management”, Healthc. Manag. Forum, vol. 35, nº. 2, pp. 86-89, 2022. doi: 10.1177/08404704211057055.

E. Sawyerr y C. Harrison, “Resilience in healthcare supply chains: a review of the UK’s response to the COVID19 pandemic”, Int. J. Phys. Distrib. Logist. Manag., vol. 53, nº. 3, pp. 297-329, 2023. doi: 10.1108/IJPDLM-09-2021-0403.

J. C. Essila, “Strategies for reducing healthcare supply chain inventory costs”, Benchmarking An Int. J., vol. ahead-of-p, nº. ahead-of-print, Jan. 2022. doi: 10.1108/BIJ-11-2021-0680.

F. Lima, M. Eyerkaufer y R. Dávalos, “MODELAGEM DE PROCESSOS NO ATENDIMENTO AOS DESASTRES”, Rev. Gestão Sustentabilidade Ambient., vol. 7, p. 303, Aug. 2018. doi: 10.19177/rgsa.v7e02018303-323.

D. Aloini, E. Benevento, A. Stefanini y P. Zerbino, “Transforming healthcare ecosystems through blockchain: Opportunities and capabilities for business process innovation”, Technovation, vol. 119, p. 102557, 2023,. doi: https://doi.org/10.1016/j.technovation.2022.102557.

A. Blecken, “Supply chain process modelling for humanitarian organizations”, Int. J. Phys. Distrib. Logist. Manag., vol. 40, nº. 8/9, pp. 675-692, Jan. 2010. doi: 10.1108/09600031011079328.

A. Bakhshi, A. Aghsami y M. Rabbani, “A scenario-based collaborative problem for a relief supply chain during post-disaster under uncertain parameters: a real case study in Dorud”, J. Model. Manag., vol. 18, nº. 3, pp. 906-941, Jan. 2023. doi: 10.1108/JM2-06-2021-0138.

B. Tip, F. G. S. Vos, E. Peters y V. Delke, “A Kraljic and competitive rivalry perspective on hospital procurement during a pandemic (COVID-19): a Dutch case study”, J. Public Procure., vol. 22, nº. 1, pp. 64-88, Jan. 2022. doi: 10.1108/JOPP-11-2020-0081.

Herbert Kotzab, S. Seuring, M. Müller y G. Reiner, Research Methodologies in Supply Chain Management, 2006.

M. Müller, “Action Research in Supply Chain Management - An Introduction BT - Research Methodologies in Supply Chain Management: In Collaboration with Magnus Westhaus”, H. Kotzab, S. Seuring, M. Müller, and G. Reiner, Eds. Heidelberg: Physica-Verlag HD, 2005, pp. 349-364.

S. Seuring, M. Müller, G. Reiner y H. Kotzab, “Is There a Right Research Design for Your Supply Chain Study? BT - Research Methodologies in Supply Chain Management: In Collaboration with Magnus Westhaus”, H. Kotzab, S. Seuring, M. Müller, and G. Reiner, Eds. Heidelberg: Physica-Verlag HD, 2005, pp. 1-12.

Hernando Gaitán, “Effectiveness and Safety of Medical Treatment for SARS-CoV-2 (COVID-19) in Colombia”, Good Clinical Practice Network, 2021. https://ichgcp.net/clinical-trials-registry/NCT04371965.

V. L. Creswell, J. W. y Plano Clark, Designing and conducting mixed methods research, 3a ed. 2017.

I. E. Essoussi, “A performance evaluation of some collaborative inventory management practices in the healthcare supply chain”, in 2015 International Conference on Industrial Engineering and Systems Management (IESM), 2015, pp. 277-284. doi: 10.1109/IESM.2015.7380171.

F. Silva-Aravena, I. Ceballos-Fuentealba y E. Álvarez-Miranda, “Inventory Management at a Chilean Hospital Pharmacy: Case Study of a Dynamic Decision-Aid Tool”, Mathematics, vol. 8, nº. 11. 2020. doi: 10.3390/math8111962.

T. P. Young y S. I. McClean, “A critical look at Lean Thinking in healthcare”, Qual. Saf. Health Care, vol. 17, nº. 5, pp. 382-386, 2008.

C. M. Harland et al., “Practitioners’ learning about healthcare supply chain management in the COVID-19 pandemic: a public procurement perspective”, Int. J. Oper. Prod. Manag., vol. 41, nº. 13, pp. 178-189, 2021. doi: 10.1108/IJOPM-05-2021-0348.

P. Marcel, R. Patrick y P. Alexander, “Enhancing supply chain visibility in a pharmaceutical supply chain: Solutions based on automatic identification technology”, Int. J. Phys. Distrib. Logist. Manag., vol. 46, nº. 9, pp. 859-884, 2016. doi: 10.1108/IJPDLM-06-2016-0151.

F. Asteasuain y A. Javed, “Applying aspect oriented technology to relational data bases: The replication case”, Ing. y Desarro., vol. 25, pp. 2018-234, 2009.

J. Eliécer, G. Plaza, D. Arturo y O. Carranza, “Hacia un método de integración de procesos de negocio basado en escenarios, niveles arquitectónicos e información contextual”, Ing. y Desarro., vol. 33, nº. 1, pp. 59-79, 2015.

Y.-H. Huang y A. K. Gramopadhye, “Systematic engineering tools for describing and improving medication administration processes at rural healthcare facilities”, Appl. Ergon., vol. 45, nº. 6, pp. 1712-1724, Nov. 2014. doi: 10.1016/j.apergo.2014.06.003.

O. A. Gonzatto Junior et al., “Safety-Stock: Predicting the demand for supplies in Brazilian hospitals during the COVID-19 pandemic”, Knowledge-Based Syst., vol. 247, 202. doi: 10.1016/j.knosys.2022.108753.

R. Bala et al., “Algorithmic matching of personal protective equipment donations with healthcare facilities during the COVID-19 pandemic”, npj Digit. Med., vol. 4, nº. 1, 2021. doi: 10.1038/s41746-020-00375-3.

P. Simon y L. Williatte Pellitteri, “Le décret français de télémédecine?: une garantie pour les médecins”, Eur. Res. Telemed. / La Rech. Eur. en Télémédecine, vol. 1, nº. 2, pp. 70-75, Jun. 2012. doi: 10.1016/j.eurtel.2012.05.003.

H. Leite, C. Lindsay y M. Kumar, “COVID-19 outbreak: implications on healthcare operations,” TQM J., vol. 33, nº. 1, pp. 247-256, 2021. doi: 10.1108/TQM-05-2020-0111.

A. Ewing, L. Thabrew, D. Perrone, M. Abkowitz y G. Hornberger, “Insights on the use of hybrid life cycle assessment for environmental footprinting: A case study of an Inland Marine Freight Transportation Company”, J. Ind. Ecol., vol. 15, nº. 6, pp. 937-950, 2011. doi: 10.1111/j.1530-9290.2011.00374.x.