Automated hospital pharmacy supply chain and the evaluation of organisational impacts and costs

Mathy, Caryn (Haute école d’ingénierie et de gestion du canton de Vaud, HES-SO // Haute Ecole Spécialisée de Suisse Occidentale) ; Pascal, Christopher (Université de Lyon, Jean Moulin, France) ; Fizesan, Marie (Hospital Central Pharmacy, Mulhouse, France) ; Boin, Christopher (Université de Lyon, Jean Moulin, France) ; Délèze, Noémie (Haute école d’ingénierie et de gestion du canton de Vaud, HES-SO // Haute Ecole Spécialisée de Suisse Occidentale) ; Aujoulat, Olivier (Hospital Central Pharmacy, Mulhouse, France)

Supply chain digitalisation equipment’s raise concerns for hospital decision-makers, especially regarding the cost-efficiency ratio, usually evaluated through health technologies assessments (HTA) at a national level or by return on investment (ROI) calculations by the hospital finance department. Unfortunately, none of the two methods identifies organisational impacts, nor hidden gains and costs, especially those that are related to the internal reallocation of resources as shows the example of automated dispensing systems (ADS) in the central pharmacy of a French hospital with a posteriori analysis from the hospital perspective. The introduction of the ADS caused some hidden costs or gains, which do not generate any financial flow and which are therefore not valued. When they are valued, as we do in this study by including them in the ROI calculation, the results change dramatically: the profitability of the investment goes from negative to positive. Given the importance of hidden gains and costs related to organisational impacts, they should be included in evaluations.


Keywords:
Article Type:
scientifique
Faculty:
Economie et Services
School:
HEIG-VD
Institute:
IIDE - Institut Interdisciplinaire du Développement de l'Entreprise
Subject(s):
Economie/gestion
Date:
2020-10
Pagination:
13 p.
Published in:
Supply chain forum: an international journal
Numeration (vol. no.):
2020, vol. 21, no. 3, pp. 206-218
DOI:
ISSN:
1625-8312
Appears in Collection:



 Record created 2020-08-04, last modified 2021-02-03

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