군 의약품 보급체계 개선 중요 요인에 관한 연구

Abstract

The management of military pharmaceutical supply system is not scientific due to the reasons that: ① supply of medicine at the right time at the right place is difficult due to complexity of the procedure from taking note of demand, multi-staged system for purchasing, acquiring and supplying to administering medicines; ② maintenance of medicine effects through supplying/transportation and storage processes are not guaranteed since medicines are treated in the same way as other general military supplies and they are transported via multi-staged supply channel; ③ it is hard to expect high quality in treatments since even if they are developed, purchasing them soon enough is difficult; and ④ the data involves a lot of errors due to non-standardized system and manual processing of data with no utilization of bar-code system. To that end, this research examined the existing studies on ① important success factors of company management, ② important success factors for integrated perspective of company logistics, ③ business collaboration relations between suppliers and buyers, ④ medicines distribution and ⑤ military pharmaceutical procurement system, and deduced 28 measurement variables of important factors for the improvement of supply system through hands-on field survey. The research model is set up by having procurement system which is the base of military pharmaceutical supply system as dependent variable, and “supply transportation system” which affects procurement system, “information system”, “economic operation”, “partnership” and 23 variables on “organization and operation improvement” as independent variables. The questionnaire by the model was intended on suppliers(pharmacists, wholesalers) and buyers(military pharmaceutical purchaser, using military doctor), and the survey results were processed respectively through factor analysis, reliability analysis and regression analysis for ① purchase and user samples, ② supplier samples, and ③ entire samples. ① As a result of analysis on purchase and user samples, dependent variables are classified into 2 factors and independent variables 6 factors, and as 12 measurement variables were removed during reliability analysis course, they could barely be regarded as important factors that affect dependent variables. As a result of regression analysis, among the 4 factors of transportation, partner, information and operation, only “partner” and “operation” factors were significant, and as for transportation factor, since only procurement method turned out significant, it cannot be seen as important factor overall for the improvement of military pharmaceutical procurement system. However, it was observed that the military sees “partner” and “operation” as important variables. ② As a result of the factor analysis for suppliers samples, dependent variables were grouped to one factor and independent variables 8 factors, and as 3 variables were removed during factor analysis and 10 variables during reliability analysis, only 10 variables among 23 variables were used. It is hard to see the factors deduced in such a way as important factors of military pharmaceutical supply system. ③ In entire samples factors analysis result, dependent variables were grouped to 2 factors and independent variables to 6 factors, and as a result of reliability analysis, among dependent variables and independent variables, information system, transportation measures, efficiency and operation improvement were shown to have no problem on reliability. Economy and partnership, due to the small α value, were analyzed to have no problem on reliability as a result of re-measurement after removing 2 questions. The verification analysis results on the hypothesis proposed in this research are as follows. First, supply transportation system did not affect military pharmaceutical system improvement. That is because they are not well aware of regulations on handling during pharmaceutical supply transportation in the military and hold their own supply transportation and warehouse in the military itself. Thus private supply transportation measures are not regarded as important factor. Second, information system is the factor that has greatest effects on the improvement of military pharmaceutical supply system. It was shown that pharmaceutical management by bar-code, standardization for compatibility among systems, inter-operation and utilization between financial information system and military supply integrated information system, and sharing information with suppliers, etc give significant effects. Third, economy and efficiency did not affect the improvement of military pharmaceutical supply system. It was shown that economy and efficiency are top priority factors in the operation of profits pursuing companies, however in military operation, they are of low importance compared to other factors. Fourth, partnership is a factor that affects the improvement of military pharmaceutical supply system. In procurement methods, effort for mutual profits based on relationship with supplier, and mutual reliability and collaboration is recognized as important factor. However, due to the conservativeness of military organization, it did not affect public relations for medicines procurement and purchase channel. Fifth, organization and operation improvement are the factors that affect the improvement of military pharmaceutical supply system. Treatment of expired pharmaceutical medicines, countermeasure for operational change and the relevant operational exchange, etc were shown as factors that affect procurement method, however they did not significantly affect medicines procurement. To improve the military pharmaceutical supply system, as has been viewed so far, “information system”(inter-operation with military information, standardization, information sharing, bar code management and inter-operation with financial information), “operation improvement”(operational exchange, expired medicines treatment, operational change and counteraction), partnership(mutual profit, mutual collaboration, mutual reliability and supplier's role) were deduced as important factors, and “transportation measures” and “economy” factors were analyzed not to have significant effects.