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基于 SWOT 分析的住院药房“互联网+药品配送”管理模式优化

策略研究
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谢 经 ，李淑佩，刘史佳，王小敏（南京中医药大学附属医院/江苏省中医院药学部，南京 210029）
中图分类号 R95 文献标志码 A 文章编号 1001-0408（2026）10-1346-06
DOI 10.6039/j.issn.1001-0408.2026.10.19

摘 要 目的 解决我院住院药房承接“互联网+药品配送”（IMD）业务面临的管理挑战，提升服务效率与用药安全水平。方法 运
用SWOT分析法，系统梳理内外部因素，制定综合管理策略，进行服务流程重构。优化内容包括：构建基于药品追溯码的发药、退
药闭环流程；统一住院药房与IMD药品目录，优化货位管理；改进医院信息系统库存管理功能，调整盘点方案及排班规则等。比
较上述优化策略实施前和实施后住院药房的库存结构、调配效率、盘点准确率、处方合理率以及人机审核一致率等指标，以评价实
施效果。结果 实施上述优化策略后，住院药房的药品库存结构显著优化，近效期药品减少35.55%，滞销药品减少64.52%，积压4
周及以上的药品减少33.26%；处方调配速度提升34.92%，药品日请领时间缩短62.03%；盘点准确率由86.33%提高至90.33%，处
方合理率、人机审核一致率分别由86.00%、89.33%提高至95.00%和97.00%。此外，药品追溯系统的上线使得外部调配差错由之
前的4起降低至1起。结论 基于SWOT分析的综合管理策略可有效提升住院药房药品管理质量与IMD的运行效率，确保患者用
药及时、安全。
关键词 互联网+药品配送；住院药房；SWOT分析

Optimization strategy of inpatient pharmacy “internet-based medicine delivery” management model based
on SWOT analysis
XIE Jing，LI Shupei，LIU Shijia，WANG Xiaomin（Dept. of Pharmacy，the Affiliated Hospital of Nanjing
University of Chinese Medicine/Jiangsu Provincial Hospital of Chinese Medicine，Nanjing 210029，China）

ABSTRACT OBJECTIVE To address the management challenges encountered by inpatient pharmacy of our hospital in
undertaking “internet-based medicine delivery” （IMD） services， and to improve service efficiency and medication safety.
METHODS SWOT analysis method was applied to systematically examine both internal and external factors， formulate
comprehensive management strategies， and restructure the service processes. Process optimization included： establishing a closed-
loop process for dispensing and returning drugs based on the drug traceability codes； unifying the drug inventory of the inpatient
pharmacy with that of IMD， optimizing the management of storage locations； improving the inventory management function of the
hospital information system， and adjusting the inventory counting plan and shift scheduling rules. The indicators of the inpatient
pharmacy， including inventory structure， dispensing efficiency， inventory checks accuracy rate， the rationality rate of prescription，
and consistency rate of human-machine review， were compared before and after the implementation of the strategies to evaluate the
implementation effects. RESULTS After implementation， the structure of the drug inventory was significantly optimized. The
proportion of drugs approaching their expiration dates decreased by 35.55%， the proportion of unsold drugs decreased by 64.52%，
and the proportion of drugs that had been accumulated for more than 4 weeks decreased by 33.26%. The speed of prescription
dispensing increased by 34.92%， and the daily drug requisition time was shortened by 62.03%. The accuracy rate of inventory
checks rose from 86.33% to 90.33%， while the rationality rate of prescriptions and the consistency rate of human-machine review
rose from 86.00% and 89.33% to 95.00% and 97.00% respectively. Furthermore， the launch of the drug traceability system reduced
external dispensing errors from 4 to 1. CONCLUSIONS The comprehensive management strategy based on SWOT analysis can
effectively improve the quality of drug management in the inpatient pharmacy and the operational efficiency of IMD， ensuring
timely and safe medication for patients.
KEYWORDS internet-based medicine delivery； inpatient pharmacy； SWOT analysis

Δ 基金项目 南京药学会-常州四药医院药学科研基金项目（No.
“互联网+药品配送”（internet-based medicine deli-
2022YX008）；中国药学会医院药学专委会人才专项资助项目（No.
CPA-Z05-ZC-2023-003） very，IMD），是指医疗机构依托互联网诊疗平台完成线
＊ 第一作者 主 管 药 师 。 研 究 方 向 ：医 院 药 学 。 E-mail：
上复诊、开方、审方及结算后，由线下药房调配药品，再
779845482@qq.com
通过第三方物流配送到患者手中，是智慧医疗背景下的
# 通信作者 副主任药师。研究方向：医院药学。E-mail：anne_
0226@126.com 一种新型药学服务模式。江苏省中医院（以下简称“我

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