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dc.creatorFranco, Carlos 
dc.date.accessioned2020-05-26T00:05:52Z
dc.date.available2020-05-26T00:05:52Z
dc.date.created2018
dc.identifier.issn15608115
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23833
dc.description.abstractBackground: Healthcare costs is one of the most studied issue in our days because of increasing demand and the aging of population. Final costs of medicines is one of the most important issue in patient treatment and determine its real value is an important task within hospitals. Simulation models and in this case system dynamics allows to build representations of reality considering the interaction of the whole variables that affect the system where first a causal loop diagram allows to represent and identify the interaction between variables for develop a stock flow diagram to determine the final results. Objective: Develop a simulation model that allows decision makers in Hospitals and Governments to identify the variables that affect the final cost of medicines and to determine the legal reimbursement allowed by national agencies. Methods: This paper presents a conceptual modeling framework using a causal loop diagram and a dynamic simulation model in the real case of a hospital in Colombia to explore how different internal charges for medicines affect the behavior of the final unit-dose cost of medicines, considering the complexity of the pharmaceutical system. We developed a simulation model to represent and characterize the pharmaceutical supply chain in a hospital and by using real data we validate the results of the model and conclude about the supply chain of medicines in Colombia using the legal regulations as a main factor of analysis. Results and conclusions: We found that in some cases the maximum reimbursement value is less than the final cost of medicines within the hospital, which means that hospitals lose money on the administration of medicines to patients. The benefit of this model is that with the result the hospital can determine the real final monetary value of medicines, including the different processes starting from the reception of the medicines, ending with the administration to patients. © 2018, Springer Nature Switzerland AG.
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.relation.ispartofDARU, Journal of Pharmaceutical Sciences, ISSN:15608115,(2018)
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85058955013&doi=10.1007%2fs40199-018-0218-0&partnerID=40&md5=8afc4de9fa46af7738c643c70030d9f0
dc.titleA simulation model to evaluate pharmaceutical supply chain costs in hospitals: the case of a Colombian hospital
dc.typecontributionToPeriodical
dc.publisherSpringer
dc.subject.keywordAdult
dc.subject.keywordArticle
dc.subject.keywordColombia
dc.subject.keywordFactor analysis
dc.subject.keywordGovernment
dc.subject.keywordHealth care system
dc.subject.keywordHuman
dc.subject.keywordMoney
dc.subject.keywordReimbursement
dc.subject.keywordSimulation
dc.subject.keywordHealth care systems
dc.subject.keywordMedicine costs
dc.subject.keywordPharmaceutical supply chain
dc.subject.keywordSimulation
dc.subject.keywordSystem dynamics
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.type.spaDiario
dc.rights.accesoAbierto (Texto Completo)
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.identifier.doihttps://doi.org/10.1007/s40199-018-0218-0
dc.relation.citationTitleDARU Journal of Pharmaceutical Sciences
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR


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