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From the perspective of industrial clusters, the rapid development of the Chinese medicinal materials industry faces the challenges of improving quality and efficiency and transforming and upgrading. The core problem is how to improve the anti-risk ability, resilience, and competition of the Chinese medicinal material supply chain through collaborative management of the supply chain. The particularity of Chinese medicinal materials determines the formation of Chinese medicinal materials industrial clusters with specific natural, social, and industrial conditions. From the perspective of industrial clusters, the supply chain of Chinese medicinal materials also presents unique structural characteristics. Based on the analysis of the formation conditions of the traditional Chinese medicine industry cluster and the structural characteristics of the traditional Chinese medicine supply chain, on the basis of clarifying the connotation of collaborative management of the traditional Chinese medicine supply chain from the perspective of the industrial cluster, it is proposed to establish a supply chain collaborative management mechanism at the macro level, the meso level reconstructs the supply chain business process system and optimizes the supply chain function coordination mode at the micro level to build a collaborative management system for the supply chain of Chinese medicinal materials.
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Objective Through the statistics of drug consumption in the task of Harmonious Mission -2018, sort out the process of medication supply of overseas medical services, analyze and evaluate the medication supply services. Methods Count the types and quantities of medicines consumed by marine hospitals in the Harmonious Mission-2018, analyze whether the preparation of medicines is sufficient, effective, and economically reasonable, and find way to improve the process of medicine supply in overseas medical services. Results Statistics on the consumption of drugs in the Harmonious Mission-2018 show that the number of drugs consumed accounted for 68.21% of the total kinds of medicine carried, that the total amount of drugs consumed accounted for 40.61% of the total costs of medicine carried, and that the total number of boxes of drugs consumed (the number of the smallest packages) accounted for 21.72% of the total number of boxes of medicine carried. Conclusion The medicine support services in the Harmonious Mission-2018 was sufficient and effective. But, the workflow and the processes of the services still need to be further improved.
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OBJECTIVE:To provide reference for improving the efficiency of medicine supply in primary health care institutions. METHODS:By stratified random sampling,6 counties of Dabie Mountains in Anhui province were selected as sample areas. Medicine purchase data of 143 primary health care institutions in 2015 were collected from Anhui provincial centralized purchase platform. Those data were analyzed in respects of purchase and distribution of National Essential Medicine,medicines of Anhui Province Essential Medicine List and cheap medicines. By stratified random sampling,12 primary health care institutions were selected for on-site interview. The reasons for medicine distribution and insufficient distribution were investigated. RESULTS:The rate of medicine distribution in the sample areas was 82.27%,and the rate of essential medicine distribution was more than 80%. Ratio of purchase amount for national essential medicines and medicines of Anhui Province Essential Medicine List were all up to standard in different types of primary health care institutions. The rate of cheap medicine distribution was in low level(only 80%). The distribution rate had great difference in the primary health care institutions and different areas;the highest rate of medicine distribution reached 99.86%,and the lowest was only 46.18%. The results of on-site investigation showed that main reasons for insufficient distribution were the divided area distribution model had a certain influence on the market competitiveness of the distribution enterprises,and distribution enterprises strength had huge differences. CONCLUSIONS:The primary health care institutions have high awareness of National Essential Medicine System in Dabie Mountains of Anhui Province;purchase rate and overall distribution rate of essential medicine are also high. There are great differences in distribution efficiency among different areas and health care institutions,and some health care institutions cannot distribute medicine in time with full capacity. It is suggested to conduct"two-receipt system"of medicine distribution,perfect medicine distribution enterprise supervision system, establish medicine circulation information platform and lead cheap medicine supply guarantee by government,etc. Those measures can guarantee the accessibility and selectivity of the masses to essential medicines in grass-roots areas.
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Chinese herbal medicine supply chain as the core link of construction of Chinese herbal medicine circulation system, is currently facing the diversification of sales formats, the flow of channel reconstruction, the rapid development of electronic commerce and Chinese herbal medicine quality and safety awareness of the impact of increasing. The supply chain of Chinese herbal medicine is based on the theory of supply chain of agricultural products, but the diversity of Chinese herbal medicines, the complexity of the source and the particularity of the production and processing and maintenance processes determine that the supply chain of Chinese herbal medicine cannot simply apply the agricultural product logistics theory. By analyzing the basic connotation and current model of the supply chain of Chinese herbal medicine, this paper analyzes the theoretical difficulties and practical dilemma faced by the supply chain of Chinese herbal medicine, and puts forward the basic framework of the theory research of supply chain theory of Chinese herbal medicine, as well as supply chain operation mechanism, supply chain logistics management and supply Chain financial innovation strategy, aimed at promoting the Chinese herbal medicine supply chain theory and industrial development breakthrough.
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Objective: To analyze the essential medicines supply of medical institutions at county-level in Shaanxi Province and to provide empirical evidences and suggestions to improve relevant policies. Methods:A strati-fied cluster random sampling method was used to choose the institution samples. A survey was conducted to study the supply of essential medicines in 2012. Indicators include the variety and amount of essential medicines procured, the medicine shortage condition, and the rate of winning the bid for essential medicine. Results:Essential medicines ac-counted for 69 . 1% of all medicines;and procurement of essential medicines accounted for 42 . 4% of all procurement spending on medicines. Of the top 25 chemical products of essential medicines, provincial supplementary medicines accounted for 33. 9%;and among the top 25 traditional Chinese medicines of essential medicines, the provincial sup-plementary medicines accounted for 51. 9%. All 27 medical institutions faced a shortage of medicines. There were 47 kinds of essential drugs in urgent need were out of bid. Conclusion:Essential medicine supply of medical institutions at county-level is in good condition;however, more attention needs to be paid to medicine shortage. We should take measurements to standardize the process of bidding for essential medicines and strengthen the management of medi-cine shortage in order to better meet patients’ needs.
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Objective To propose conceptual framework for the components of rapid response capabilities of emergency medi -cine supply and suggestions of rapid response capabilities establishment .Methods The components framework of rapid response capa-bilities of emergency medicine supply was proposed by analyzing the problems of emergency medicine supply and locating the demand on the timeliness and accuracy of emergency medicine supply .Results Rapid response capabilities of emergency medicine supply in-clude rapid decision-making and commanding , rapid implementation and rapid adjusting .Conclusion We should proceed from post training, information platform developing , medicine standards making , professional team building and other aspects to construct rapid response capabilities of emergency medicine supply .
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OBJECTIVE: To provide reference for rapid and effective first aid to mine disaster before hospitalization. METHODS: The status quo of emergent rescue for mine disaster in China was reviewed. The key to rescue, main countermeasures and necessary drug of first aid before hospitalization were analyzed according to the characteristics of mine disaster and troubles of medical rescue. RESULTS & CONCLUSIONS: Ambulance corps cooperated with medical staffs to set ICU at disaster site. Scientific rescue provided by professional team can improve survival rate. Meanwhile, a perfect mine disaster rescue system should be set up.