Achieving Hospital Efficiency through Inventory Management Strategies: A Systematic Review

https://doi.org/10.22146/jmpf.112087

Emi Sulistioningsih(1), Satibi Satibi(2*), Endang Yuniarti(3)

(1) Master Student in Pharmacy Management, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta
(2) Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta
(3) PKU Muhammadiyah Yogyakarta Hospital
(*) Corresponding Author

Abstract


Background: In developing countries, pharmaceutical expenditures account for approximately 40–50% of total hospital costs. Therefore, effective management of medicines and pharmaceutical supplies is essential, as it significantly influences hospital operational efficiency and the quality of healthcare services.

Objectives: This study aims to evaluate the impact of Economic Order Quantity (EOQ), Reorder Point (ROP), and Minimum-Maximum Stock Level (MMSL) inventory management methods on hospital efficiency.

Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were applied to operate this systematic review. The articles published between 2009 and 2024 were identified through searches of Scopus, PubMed, Google Scholar, and the Garuda database. Studies that reported the application of EOQ, ROP, or MMSL methods in hospital pharmaceutical inventory management were included. A total of nine eligible studies were reviewed and synthesized to evaluate their impact on inventory efficiency indicators.

Results: Nine studies met the inclusion criteria. Four studies applied EOQ and ROP methods, while five studies implemented the MMSL methods. The efficiency indicators evaluated inventory value, dead stock, stock out, inventory turnover ratio (ITOR), and customer service level. EOQ and ROP methods were associated with reductions in inventory value and stockouts, as well as improvements in ITOR and customer service levels. The MMSL generally reduced inventory value, stockout frequency, stockout value, and dead stock, either significantly or non-significantly, and increased ITOR. However, one study reported an increase in inventory value due to unstable supply conditions before implementation, and another reported a decrease in ITOR related to ordering policy constraints. Overall, the findings suggest that the EOQ, ROP, and MMSL methods generally improve inventory efficiency; however, several studies reported inconsistent or non-significant effects on certain indicators, such as the inventory turnover ratio and inventory value, under specific operational conditions.

Conclusion: This systematic review indicates that the Minimum–Maximum Stock Level and Economic Order Quantity, Reorder Point methods are potentially beneficial strategies for enhancing inventory efficiency in hospital settings.


Keywords


Inventory Management; Hospital; EOQ ROP; MMSL

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References

  1. Indonesian Ministry of Health. Pedoman Penyusunan Rencana Kebutuhan Obat dan Pengendalian Persediaan Obat di Rumah Sakit. Jakarta: Indonesian Ministry of Health. 2019
  2. Indonesian Ministry of Health. Peraturan Menteri Kesehatan Republik Indonesia Nomor 72 Tahun 2016, tentang Standar Pelayanan Kefarmasian di Rumah Sakit. Jakarta: Indonesian Ministry of Health. 2016.
  3. Lestari L, Kartinah N, Hafizah N. Evaluasi Penyimpanan Obat di Gudang Farmasi RSUD Ratu Zalecha Martapura, Jurnal Pharma Science, 2020; 07(2): 48-57.
  4. Priyoherianto A, Puspadina V, Chresna MP. Tingkat Pengetahuan Pasien Terhadap Beyond Use Date Obat Racikan di Apotek Kimia Farma 180 Pahlawan, Sidoarjo. Jurnal Farmasi Indonesia. 2023; 4(1): 6-11.
  5. Aribowo K, Purwanda E, Rahmi AS. Hubungan Kualitas Pelayanan Terhadap Kepuasan dan Loyalitas Pasien di Rumah Sakit. Jurnal Akuntansi, Manajemen dan Ilmu Ekonomi. 2024; 05 (01):58-68.
  6. Satibi. Manajemen Obat di Rumah Sakit. Yogyakarta: Gadjah Mada University Press. 2015.
  7. Quick JD, Rankin D, Vimal. Inventory Management in Managing Drug Supply. Third Edition. Managing Access to Medicines and Health Technologies. Arlington: Management Sciences for Health. 2012
  8. Heizer J, Render B, Munson C. Operations Management Sustainability and Supply Chain Management. 13th ed. United Kingdom: Pearson Education Inc.; 2020.
  9. PRISMA Executive. https://www.prisma-statement.org/prisma-2020-flow-diagram
  10. Joanna Briggs Institute. JBI Critical Appraisal Tool: JBI Checklist for Analytical Cross-Sectional Studies. 2023
  11. Joanna Briggs Institute. JBI Critical Appraisal Tool: JBI Checklist for Quasi-Experimental Studies. 2023
  12. Anief M. Manajemen Farmasi. Yogyakarta: Gadjah Mada University Press. 2014
  13. Burhan M, Winarsih S, Harijanto T. The effect of using the ABC EOQ-ROP Method on the frequency of drug emptiness in the hospital. Journal of Applied Management. 2019; 17(3):451-463
  14. Laurensia V, Achmad GN, Diniya R, Soeliono I. Quantitative evaluation of antibiotics inventory planning in type A Hospital’s Pharmacy Department. Journal of Management and Pharmacy Practice. 2020;10 (3):176-185
  15. Sugiyono. Metode Penelitian & Pengembangan Research and Development. Bandung: Alfabeta. 2019.
  16. Darmawan NW, Peranginangin JM, Herowati R. Analysis of drug inventory control for BPJS category A (Always) and E (Essential) using ABC, VEN, and EOQ methods at IFRS Bhayangkara Level III Nganjuk. Journal of Pharmaceutical Science and Clinical Research. 2021; 6(1):20-32
  17. Hartih NA, Satibi, Widodo GP. Implementation of the economic order quantity and reorder point methods in improving efficiency supplies of regular drugs in the pharmaceutical installation of hospital. Journal of Management and Pharmacy Practice. 2013;3(4): 249-254
  18. Kausar M, Madaan N, Arya SK. Study on applicability and benefits of EOQ lot order-based cost optimization in an Apex Tertiary Care Government Hospital in India. Indian Journal of Public Health Research & Development. 2017; 8(4): 808-816
  19. Widhayunita L. Pengendalian Persediaan Obat Askes dengan Analisis ABC dan Metode EOQ di Instalasi Farmasi RSUD dr. Saiful Anwar Malang (Tesis). Magister Management of Pharmacy, Universitas Gadjah Mada. 2013
  20. Nopiana, Nuwahyuni A. Analysis of cardiovascular drugs inventory control using ABC-EOQ-ROP-SS method at Jakarta Islamic Hospital. Medicoethicolegal and Hospital Management Journal. 2021; 9(3): 237-247
  21. Yudianti NY, Lestari PNE, Darma GS, Suardana I.R. Inventory Controls of Disposable Medical Materials at the Bali Mandara Eye Hospital. Indonesian Health Administration Journal. 2021; 9 (2)
  22. Soraya C, Surwanti A, Pribadi F. Drug inventory management using ABC-VEN and EOQ analysis for improving hospital efficiency. Jurnal Aisyah: Jurnal Ilmu Kesehatan. 2022; 7 (1):373-382
  23. Rofiq A, Oetari, Widodo GP. Analisis pengendalian persediaan obat dengan metode ABC, VEN dan EOQ di Rumah Sakit Bhayangkara Kediri. Journal of Pharmaceutical Science and Clinical Research. 2020; 5 (2): 97-109
  24. Indonesian Ministry of Health. Permenkes No. 129 tahun 2008 tentang Standar Pelayanan Minimal di Rumah Sakit. Jakarta: Indonesian Ministry of Health. 2008.
  25. Dewi AR, Suryawati C, Arso SP. The Effect of Service Quality and Hospital Image on Patient Satisfaction in Indonesia: Literature Review, The Indonesian Journal of Health Promotion. 2023; 6(10):1940-1949
  26. Dewi KE, Dahlui M, Chalidyanto D, Rochmah TN. Achieving cost-efficient management of drug supply via economic order quantity and minimum-maximum stock level. Expert Review of Pharmacoeconomic & Outcomes Research. 2020;20(3):1-6
  27. Agustina P, Utami AW, Suprapti S. The impact of implementing the minimum-maximum stock level (MMSL) method on Pareto A generic medicine at the outpatient pharmacy installation of PKU Muhammadiyah Gamping, Sleman, D.I. Yogyakarta. Journal of Nursing Sciences. 2024;13(1):78-85
  28. Darmawati M, Saputra YD, Dhirisma F. Control of Pareto A drugs and medical devices using the MMSL (Minimum-Maximum Stock Level) method at the surgical Installation of PKU Muhammadiyah Gamping Hospital for the February-March 2021 Period. Indonesian Journal of Pharmaceutical Sciences and Clinical Research. 2023; 1(1):1-14
  29. Indarti TR, Satibi, Yuniarti E. Inventory control of medicine with minimum-maximum stock level method in Dr.Sardjito Hospital Pharmacy, Yogyakarta. Journal of Management and Pharmacy Practice. 2019;9 (30): 192-202
  30. Sofia A, Peranginangin JM, Herdwiani W. Analysis of efficient drug supply control at Muhammadiyah Siti Aminah Bumiayu Hospital using the MMSL method (minimum-maximum stock level) period March – May 2023. Formosa Journal of Science and Technology (FJST). 2024; 3 (8): 1783-1796
  31. Wijayanto PA, Sriatmi A, Jati SP. Comparative analysis of consumption methods and minimum-maximum stock level (MMSL) in improving the efficiency and effectiveness inventory of antibiotic drugs at Aisyiyah Hospital Bojonegoro. Journal Aisyah: Journal of Health Science. 2020; 6 (4): 623-630
  32. Paramesthi P, Jati SP, Suryoputro A. Hospital pharmaceutical inventory control in in vitro fertilization services using minimum-maximum stock level. Medicoethicolegal and Hospital Management Journal. 2024; 13 (2):181-198
  33. Quick JD, Rankin JR, Laing RO, et al. The Selection, Procurement, Distribution, and Use of Pharmaceuticals in Managing Drug Supply. Third Edition. Managing Access to Medicines and Health Technologies. Arlington: Management Sciences for Health. 2012



DOI: https://doi.org/10.22146/jmpf.112087

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