Gestão da cadeia de suprimentos da Secretaria Municipal de Saúde de Manaus: uma proposta de otimização do processo de aquisição de medicamentos

Abstract

Under the 1988 Constitution and established by the Unified Health System (SUS), health is a right of all Brazilians, and it is the duty of the state and its confederate entities to ensure universal and equal access to health services, including access to medicines. However, this guarantee generates a huge logistical, technical, operational and financial effort by the Municipal Public Authorities. Faced with this problem, the guiding question arises: What are the main restrictions that affect the process of acquisition of medicines in the Municipal Health Network of Manaus? Such research is justified by the need to improve the management of the supply chain of medicines, promotion of the economicity of public resources and application of the concepts of Production Engineering in the Public Sector. The general objective: To propose an Optimization Model of the Drug Procurement Process in the Municipal Health Network of Manaus. Specific Objectives: (1) Map the Operational Flow of Supply Chain Management of drugs, (2) Map the Present Value Flow of the drug procurement process, (3) Identify the constraints and propose a Future Value Map for acquisition (4) Present suggestions for improvements in the Medication Distribution Process and (5) Present Indicators Panel to Manage the Drug Procurement Process. For that, he used the Case Study as methodology. The research data indicate that Drug Suppliers are the main constraint in the system, thus formulating the Proposal of the Optimization Model of the Drug Procurement Process in order to equate this restriction: (1) Plan Medication Acquisitions, (2) Decrease the number of purchase orders using Economic Lots, (3) Schedule Batch Delivery, (4) Involve Stakeholders in Planning, (5) Standardize Process Flow, and (6) Improve Material Management.