Sağlık İşletmelerinde Lojistik Yönetiminin Bileşenleri: Bir Özel Tıp Merkezi Uygulaması

Yıl 2025, Cilt: 22 Sayı: 1, 16 - 30, 01.07.2025

Doğancan Çavmak , Semra Aksoylu

Öz

Lojistik yönetimi, işletmelere rekabet avantajı sağlayabilme potansiyeline sahip bir faaliyet alanıdır. Bu çalışmanın temel amacı, lojistik yönetimini sağlık işletmeleri bağlamında incelemektir. Araştırma, sağlık işletmelerinde yürütülen lojistik faaliyetleri tanımlamayı ve bu faaliyetlerin tıbbi süreçlerle olan ilişkilerini ortaya koymayı hedeflemektedir. Çalışma, özel bir tıp merkezinde, vaka çalışması yöntemi kullanılarak yürütülmüştür. Veriler gözlem, doküman incelemesi ve yüz yüze görüşmeler yoluyla elde edilmiştir. Süreçler akış diyagramları aracılığıyla görselleştirilmiş ve analiz edilmiştir. Araştırma bulguları, hasta hizmetleri, medikal muhasebe, satın alma, depolama, taşıma/transfer, sterilizasyon, atık yönetimi, çamaşırhane, bakım ve onarım olmak üzere dokuz lojistik faaliyet merkezinin tanımlanabileceğini göstermektedir. Ayrıca, lojistik faaliyetlerin önemli bir kısmının tıbbi süreçlerle entegre olduğu belirlenmiştir. Bu nedenle, söz konusu faaliyetlerin iyileştirilmesi, sağlık hizmetlerinin kalitesinin ve hasta memnuniyetinin artırılmasına katkı sağlayabilecek alanlar olarak tanımlanmıştır. Lojistik yönetimi çoğunlukla üretim işletmeleri perspektifinden ele alınmaktadır. Ancak hastanelerde rutin işlerin önemli bir bölümü lojistik faaliyetlerle doğrudan ilişkilidir. Sağlık işletmelerinde lojistik yönetimine odaklanan bu çalışmanın, gelecekteki araştırmalara teorik altyapı sunması beklenmektedir.

Anahtar Kelimeler

Lojistik , Sağlık Hizmetleri , Hastaneler , Vaka Çalışması

Components of Logistics Management in Healthcare: Case of a Private Medical Center

Öz

Logistics management is an area of activity that has the potential to provide a competitive advantage for businesses. The main purpose of this study is to investigate logistics management in the context of healthcare businesses. The study aims to define the logistics activities in healthcare organizations and explore their connections with medical processes. A case study was employed in a private medical center. Data were collected through observation, document review, and face-to-face interviews. Processes were visualized and analyzed using flow diagrams. The findings of the research show that nine logistics activity centers including patient services, medical accounting and invoicing, purchasing, warehouse, transfer-transport, sterilization, waste, laundry, maintenance and repair can be identified. The study also indicates that a significant level of logistics activity is embedded into medical processes. Therefore, improving these activities can lead to higher quality of healthcare services and customer satisfaction. Logistics management is mostly defined from the perspective of industrial enterprises. However, a significant portion of the daily activities in hospitals, is related to logistics activities. This study, having addressed the application of logistics management in healthcare organizations, is expected to provide theoretical insights that will support future research.

Anahtar Kelimeler

Logistics , Healthcare , Hospitals , Case study

Etik Beyan

Because the study does not contain and proceed any information of any human participant, ethical approval is not required.

Kaynakça

• Abdulsalam, Y., Gopalakrishnan, M., Maltz, A., & Schneller, E. (2018). The impact of physician-hospital integration on hospital supply management. Journal of Operations Management, 57, 11–22. https://doi.org/10.1016/j.jom.2018.01.001
• Adebanjo, D., Laosirihongthong, T., & Samaranayake, P. (2016). Prioritizing lean supply chain management initiatives in healthcare service operations: A fuzzy AHP approach. Production Planning & Control, 27(12), 953–966. https://doi.org/10.1080/09537287.2016.1164909
• Adirektawon, S., Theeraroungchaisri, A., & Sakulbumrungsil, R.C. (2024). Efficiency of inventory in Thai hospitals: Comparing traditional and vendor-managed inventory systems. Logistics, 8(3), 89. https://doi.org/10.3390/logistics8030089
• Aronsson, H., Abrahamsson, M., & Spens, K. (2011). Developing lean and agile health care supply chains. Supply Chain Management: An International Journal, 16(3), 176–183. https://doi.org/10.1108/13598541111127164
• Beaulieu, M., & Bentahar, O. (2021). Digitalization of the healthcare supply chain: A roadmap to generate benefits and effectively support healthcare delivery. Technological Forecasting and Social Change, 167, 120728. https://doi.org/10.1016/j.techfore.2021.120717
• Cavmak, D., & Aksoylu, S. (2024). What is the cost of logistics activities in healthcare businesses? A case study of a medical centre in Türkiye. Journal of Health Management, 26(3), 442–448. https://doi.org/10.1177/09720634241246904
• Christopher, M. (2011). Logistics and supply chain management (4th ed.). Pearson Prentice Hall. CSCMP. (2013). Supply chain management terms and glossary. https://cscmp.org/CSCMP/Educate/SCM_Definitions_and_Glossary_of_Terms.aspx (Accessed 16 November 2024)
• Dehaghani, A.R., Nawaz, M., Sultanie, R., & Quartey-Papafio, T.K. (2021). Mathematical modeling for optimizing the blood supply chain network. Modern Supply Chain Research and Applications, 3(3), 174–190. https://doi.org/10.1108/MSCRA-09-2020-0024
• Dobrzańska, M., Dobrzański, P., & Śmieszek, M. (2013). Modern logistics in health service. Modern Management Review, 18(20), 53–64.
• Easton, G. (2010). Critical realism in case study research. Industrial Marketing Management, 39(1), 118–128. https://doi.org/10.1016/j.indmarman.2008.06.004
• Feibert, D.C., Andersen, B., & Jacobsen, P. (2019). Benchmarking healthcare logistics processes – A comparative case study of Danish and US hospitals. Total Quality Management & Business Excellence, 30(1–2), 108–134. https://doi.org/10.1080/14783363.2017.1299570
• Feibert, D.C., Jacobsen, P. & Wallin, M. (2017). Improving healthcare logistics processes (Doctoral thesis). DTU Management Engineering, Denmark.
• Görçün, Ö.F., Aytekin, A., Korucuk, S., & Tirkolaee, E.B. (2023). Evaluating and selecting sustainable logistics service providers for medical waste disposal treatment in the healthcare industry. Journal of Cleaner Production, 408, 137093. https://doi.org/10.1016/j.jclepro.2023.137194
• Granlund, A., & Wiktorsson, M. (2013). Automation in healthcare internal logistics: A case study on practice and potential. International Journal of Innovation and Technology Management, 10(3), 1340013. https://doi.org/10.1142/S0219877013400129
• Khorasani, S.T., Cross, J., & Maghazei, O. (2019). Lean supply chain management in healthcare: A systematic review and meta-study. International Journal of Lean Six Sigma, 11(1), 1–34. https://doi.org/10.1108/IJLSS-07-2018-0069
• Kriegel, J., Jehle, F., Dieck, M., & Mallory, P. (2013). Advanced services in hospital logistics in the German health service sector. Logistics Research, 6(2–3), 47–56. https://doi.org/10.1007/s12159-013-0100-x
• Kriegel, J., Jehle, F., Moser, H., & Tuttle-Weidinger, L. (2016). Patient logistics management of patient flows in hospitals: A comparison of Bavarian and Austrian hospitals. International Journal of Healthcare Management, 9(3), 196–207. https://doi.org/10.1080/20479700.2015.1119370
• Kritchanchai, D., Hoeur, S., & Engelseth, P. (2018). Develop a strategy for improving healthcare logistics performance. Supply Chain Forum: An International Journal, 19(1), 55–69. https://doi.org/10.1080/16258312.2017.1416876
• Landry, S., Beaulieu, M., & Roy, J. (2016). Strategy deployment in healthcare services: A case study approach. Technological Forecasting and Social Change, 113, 429–437. https://doi.org/10.1016/j.techfore.2016.09.006
• Machado, C.M., Scavarda, A., & Vaccaro, G. (2014). Lean healthcare supply chain management: Minimizing waste and costs. Independent Journal of Management & Production, 5(4), 1071–1088.
• Modisakeng, C., Matlala, M., Godman, B., & Meyer, J.C. (2020). Medicine shortages and challenges with the procurement process among public sector hospitals in South Africa: Findings and implications. BMC Health Services Research, 20, 1–10. https://doi.org/10.1186/s12913-020-05080-1
• Moons, K., Waeyenbergh, G., & Pintelon, L. (2019). Measuring the logistics performance of internal hospital supply chains – A literature study. Omega, 82, 205–217. https://doi.org/10.1016/j.omega.2018.01.007
• Pinna, R., Carrus, P.P., & Marras, F. (2015). The drug logistics process: An innovative experience. The TQM Journal, 27(2), 214–230. https://doi.org/10.1108/TQM-01-2015-0004
• Poulin, É. (2003). Benchmarking the hospital logistics process. CMA Management, 77(1), 20–26.
• Rais, A., Alvelos, F., Figueiredo, J., & Nobre, A. (2018). Optimization of logistics services in hospitals. International Transactions in Operational Research, 25(1), 111–132. https://doi.org/10.1111/itor.12370
• Tolf, S., Nyström, M.E., Tishelman, C., Brommels, M., & Hansson, J. (2015). Agile, a guiding principle for health care improvement? International Journal of Health Care Quality Assurance, 28(5), 468–493. https://doi.org/10.1108/IJHCQA-04-2014-0044
• Van de Klundert, J., Muls, P., & Schadd, M. (2008). Optimizing sterilization logistics in hospitals. Health Care Management Science, 11(1), 23–33. https://doi.org/10.1007/s10729-007-9037-4
• Verschuren, P.J.M. (2003). Case study as a research strategy: Some ambiguities and opportunities. International Journal of Social Research Methodology, 6(2), 121–139. https://doi.org/10.1080/13645570110106154
• Villa, S., Barbieri, M., & Lega, F. (2009). Restructuring patient flow logistics around patient care needs: Implications and practicalities from three critical cases. Health Care Management Science, 12, 155–165. https://doi.org/10.1007/s10729-008-9091-6
• Zamani, H., Parvaresh, F., Izady, N., & Farahani, R.Z. (2024). Admission, discharge, and transfer control in patient flow logistics: Overview and future research. Transportation Research Part E: Logistics and Transportation Review, 191, 103119. https://doi.org/10.1016/j.tre.2024.103722