基于JIT的医院药品供应模式研究

华中科技大学硕士学位论文基于JIT的医院药品供应模式研究姓名：王光明申请学位级别：硕士专业：管理科学与工程指导教师：马辉民20041025IJITJITJITJITJITJITJITJITJITJITJITJITIIAbstractWithraiseoflivingstandard,people’sdemandformedicalcarehasbecomehigher.Thedrugsofhospitalaresoexpensivethatpatientcan’taffordtoseeadoctoranddoseinhospital.Inordertosolvetheproblem,wemustanalyzepatternofmedicinesupplyinhospitalandputforwardamorereasonableandeffectivepattern.WhereasJITpurchasingalongwiththesupplychainmanagementinalotofindustrieshasbeensuccessfulinreducinginventoryandincreasingtheeffectivenessofpurchasingfunctionandhencetheproductivityofmanufacture,JITpurchasingcanbeadoptedinmedicinesupplyinhospital.Weanalyzedefectsofthetraditionalpatternofmedicinesupplyindomestichospitalwithideaofsupplychainmanagement,putforwardJITmodelandhowtoputitintoeffect.Firstly,weanalyzedefectsofthetraditionalpatternofmedicinesupplyindomestichospital,introduceitsdevelopmenttrend,andpointthatJITpatternistrendinthefuture.Secondly,accordingtoJITpurchasing,weputforwardJITpatternandhowtoputitintoeffect.WeemphaticallymakeanalysisofmechanismleadingtoestablishanddevelopmentofcollaborativerelationshipbetweenhospitalandsupplierandimportanceofmedicineelectroniccommerceinJITmodel,defineitsmodulesanddescribethemodules’functionclearly.Lastly,weresearchonsupplierselectionsystememphatically.Weilluminatedirection,purposeandindexesofsupplierevaluationsysteminJITpatternanddescribetheindexes’significancedetailedly.Basedonstudyofthesomemethodsusedinindex-weightdecision,wemakeouteveryindex-weightwithanalytichierarchyprocess.Wepointoutstepsofintheprocessofsupplierselection.Keywords:MedicinesupplyinhospitalJITpurchasingSupplychainmanagementSupplierevaluation111.1JIT1.1.1JITJITJustintime1953JITJITJITJIT198845JIT22JIT[1]JITJITJIT[2]1.1.2JIT2[3]1982OliverWebberSupplyChainManagement2090204060VerticalIntegration80HorizontalIntegrationSCM,SupplyChainManagementIBM1997PRTMPittiglioRabinTodd&Mcgrath6165252516151361015253510520315406580803JITJITJIT1JIT2JIT34JITJITJITJITJIT1.2198560[4]JITJITJITJITJIT4JITA.GunasekaranJIT1-1[5]JITJIT1-1JITJITJITEDI,EFT5JIT[6]Dickson23[7]1991Weber19671990805853[8]CIMS-199792.469.7ABCJITJITJITJITJIT1.3JITJITJITJIT85%,JIT6JITJITJITJITJITJIT722.12.1.12-1,,,,2-182370%[9]2090122.45[10]32.1.296723[11]SARSJIT[12]JITSARSRougeValleySARSJITRougeValley[13]SARS(HIS)ERP102.2[14]1000M22800232002117()[15]JIT11JIT20023,2601999272-22-212JIT133JIT3.1JIT3.1.1JITJITJITJITJIT[16]JITJIT3-13-1JIT14JIT1JIT()[17]JIT2JIT3JITJIT4JIT155JITJITJIT[18]JIT3.1.2JITJITJITJIT1JITJIT2JITJITJIT3JIT4JIT5JITJITJIT6JITHIS167JITJIT3.23.2.1JIT[19]JIT3-13-2JIT51.5%JIT23.6%3-1JIT(%)51.531.830.325.819.716.713.610.63-2JIT(%)23.620.018.216.412.77.117JITJIT3.2.2[20]Jean-JacquesLaffont[21]-[22]JefferyH.Dyer[23]BarbaraTilson6[24],,(agent),(principal)[25],,,-JIT,,,,(),-,,,18,,,,,,[26]JIT3.2.3JITJIT193.3JIT[27]JITJIT1JITInternetERPMIS,Web,,23JITJITB2B3-23-2HIS(ERP)InternetJITHIS201JIT2,3JIT214JIT4.1[28],,,[29]JITJIT1JIT23JIT1JITJIT23224.24.2.112JIT34JIT564.2.24-1ABC12234-1JITB1GSPGMP(C1)GSP“”GSPGMPB5B4B1B2B3AGMPGSPC1C2C7C8C6JITC5C4C3C9C10C12C1124GMP19998GMP2004GMPGMPGSPB2(C2)(C3)(C4)B3JIT(C5)(C6)(C7)JITJITB4(C8)(C9)(C10)B5(C11)(C12)JIT4.34.3.112253Timmerman[30]FilipRoodhooftJozefKoningsABC[31]ABCBBDSijjBjminiicq)pp(×∑×=BSiipiipminqBjcjBDijijBSi47026[32],Dae-HoByun,[33][34],[35],[36]5(ArtificialNeuralNetwork,ANN)2080[37]ANN,,[38],[39]6207080[40][41],[42]JIT4.3.2[43]1272JIT4-1(4-1)B(4-2)4-1135792468284-2AB1B2…BnB1b11b12…b1nB2b21b22…b2n……………Bnbn1bn2…bnnAB1B2…BnBbij0i,j=1,2,…,nbij=1/bjibii=13WBW=lmaxWBlmaxnWBlmaxnW’WAlmaxn-1CI=1nnmax--lRIn310500500(lmaxn)/(n-1)29RI1-10RI4-34-31-10RIn12345678910RI0.000.000.580.901.121.241.321.411.451.492CIRICRCR=RICICR10204.3.34-44-84-4BAlmax=5.15564CI=0.03891CR=0.03474-5CB2lmax=3.03303CI=0.02847CR=0.049AB1B2B3B4B5B1152270.3985B21/511/51/330.07932B31/251250.2874B41/231/2150.1916B51/71/31/51/510.04106B2C2C3C4C21530.6376C31/511/30.1046C41/3310.258304-6CB3B3C5C6C7C511/330.258C63150.6376C71/31/510.10464-7CB4B4C8C9C10C81730.649C91/711/50.0719C101/3510.2794-8CB5B5C11C12C1111/50.166C12510.8333CR104-94-9GMPGSP0.3990.0510.0080.02JIT0.0740.1830.030.1240.0130.0530.0070.034ABC4-10lmax=3.03303CI=0.02847CR=0.049lmax=3.06506CI=0.03253CR=0.056314-10ABCGMPGSP908085857095807585838080JIT869070738075758570907080708070847565608590759080A84.01B78.89C79.67A4.4JIT(4-2)4-21JIT43256321JITJITJITJIT23JITGMPGSP124JIT5JIT263355.1JITJIT12JITJITJITJITJIT3JIT5.2JITJIT12HIS343JIT3536[1]J.R.Freeland.Asurveyofjust-in-timepurchasingpracticesintheUnitedStates.ProductionandInventoryManagementJournal,1991,32:43-50[2],,..:,2003[3],,..:,2000[4]R.E.White,J.N.Pearson.Just-in-timepurchasingactivitiesinthebeveragebottlingindustry.IndustrialManagement,1994,36:27-32[5]A.Gunasekaran.Just-in-timepurchasing:Aninvestigationforresearchandapplications.InternationalJournalofProductionEconomics,1999,59:77-84[6],,.:.:,2002[7]Dickson,G.AnAnalysisofVendorSelectionSystemsandDecisions.JournalofPurchasing,1996(2):28-41[8]WEBERCA,CURRENTJR,BENTONWC.Vendorselectioncriteriaandmethods.EuropeanJour