危机管理理论指导下的我国医院应急药品供应障碍因素与应对策略分析

目的：探索影响医院应急药品供应的障碍因素和有效的管理措施。方法：应用危机管理理论发现和确定医院应急药品供应的障碍因素，并通过层次分析法确认障碍因素的严重性程度。结果：我国目前医院应急药品的供应障碍因素主要表现为：缺乏供应储备目录、不准确的需求量信息、不及时的药品供应、不充分的供应资金保障、不完备的药品储备条件及应急演练的缺乏等问题。结论：依据危机管理思想，应在医院建立针对应急药品供应障碍的监测预警机制、风险障碍信息的收集系统、障碍因素的评价流程以及消除和应对措施，以便有效地调动医院内外的资源，保障药品的及时供应。

Analysis on the obstacles and countermeasures of hospital emergency drug supply in China using crisis management theory

OBJECTIVE To explore the obstacles and effective management measures of the supply of hospital emergency drugs.METHODS These obstructive factors of hospital emergency drug supply in China were found and determined using the crisis management theory. And the severity of the obstructive factors was identified by means of the Analytic Hierarchy Process (AHP).RESULTS The main obstructive factors of hospital emergency drug supply included six aspects, such as lack of emergency drug lists of reserve and supply at the national and hospital levels, inaccurate information of emergency drug demand, not timely drug supply, inadequate government funds of drug reserve, incomplete reserve conditions in the hospital and lack of hospital emergency drills, etc.CONCLUSION According to the crisis management theory, hospitals should establish an early warning mechanism for supply of emergency drugs, collection system of risk information and evaluation procedure of obstructive factors and management countermeasures of emergency drug supply shortages in order to effectively deploy the internal and external resources and ensure the rapid supply of emergency drugs in the hospital.