ABSTRACT
The importance and effectiveness of value-based
procurement come to the forefront in terms of taking the studies
based on value-based cost approach as the basis of the use of
medicinal products and drugs, which constitute an important
cost item in hospitals, and in particular to understand that the
only factor in procurement is not the price.
The main purpose of this study is to show the applicability of
cost-effectiveness and efficiency studies in medical supply chain
management in hospitals by carrying out studies on value-based
procurement applications within the scope of value-based health
services.
The “non-price element” article is included in the Public
Procurement Law, the main obstacle to value-based price
implementation is the basis of the ceiling price procedure in the
SUT (Health Implementation Communiqué). Calculating the
actual cost and making decisions based on this account should
be of priority. In order to avoid unpredictable cost risk, rational
purchasing techniques will need to be applied. When we think
that reimbursement systems have recently focused on materials
and drug use and how they can reduce these costs, it is a fact
that value-based payments will come to the fore in the coming
period and many products will not be paid.
In this context, when evaluating value-based health services,
it is necessary to evaluate the issue from a value-based
perspective in all processes of the procurement and medical
supply management chain and to ensure that decisions are made
taking into consideration the side costs that may occur. In the
value-based purchasing approach, patient benefit, efficiency,
and innovative initiatives should be at the forefront.
The correct realization of the results of these perspectives will be possible
with the acquisition of a sustainable value-based purchasing
approach. With this approach, medical supply chain processes
should be considered as strategic basic processes, not as
operational support processes.
full text https://dergipark.org.tr/tr/download/article-file/1221245