Propuesta de modelo de medición del rendimiento para cadenas de abastecimiento de insumos y medicinas a través de KPIs en establecimientos de salud públicos del segundo nivel de atención en el Azuay. Caso de estudio: Distrito de Salud 01D06 El Pan a Sevilla de Oro

Abstract

The current research work has the principal objective the development of a measurement model that allows to evaluate the actual performance of the supply chain of supplies and medicines of the public hospitals belonging to the second level of attention due to the evident increase in the shortage level of this and other institutions that belong to the Comprehensive Public Health Network of Ecuador. Said increase has provoked a reduction in the quality of the services offered and unsatisfaction by the users, beside the search of remedial solutions, same that are not aligned with the inhibition of the problem causes. To achieve the objective, it has been seen the methodological need of propose, select, relate and apply key performance indicators for each one of the stages and elements who shape the supply chain in this kind of institutions, being this the variables to analyze within the study. The use of the software VENSIM and the System Dynamics was also required, as methodological resources for the development of the model and interpretation of the results obtained. The model was validated by a study case, in which it was determined that the Laboratory department of the Basic Hospital of Paute corresponding to the Health District Direction 01D06 meets the demand of electrolytes determination exams, at the expense of an excessive inventory of the reagent used.