解构主义视角下美国百年GPO驱动因素、供应链分析及对我国的启示  

Driving Factors,Healthcare Supply Chain Analysis of Centennial GPO in the United States and Enlightenment to China from the Perspective of Decompositionism

作　　者：王莹 焦明丽[1] 姜巍 WANG Ying;JIAO Ming-li;JIANG Wei(Harbin Medical University,Harbin,150081,China;不详)

机构地区：[1]哈尔滨医科大学卫生管理学院,哈尔滨150081 [2]国家卫生健康委卫生发展研究中心,北京100191

出　　处：《中国卫生经济》2021年第5期12-15,共4页Chinese Health Economics

基　　金：国家社会科学基金重点项目(20STA072);美国CHINA MEDICAL BOARD(CMB)项目(Grant19-309);国家卫生健康委卫生发展研究中心“发达国家卫生财政投入机制对我国的启示”项目(0146-22992200013);中国卫生经济学会“美国GPO运行机制对中国的启示研究”项目(2209299);黑龙江省双规划编制与评估项目。

摘　　要：从解构主义视角对美国GPO进行再审视,发现成本节约、市场竞争、效率和社会效益四个方面是百年GPO发展的驱动因素。通过对医疗保健供应链进行分析,了解到GPO在实现成本节约和效率提高的同时,提高了医疗机构的服务质量。文章批判性的借鉴美国GPO的采购模式,为完善我国药品集中采购提出落实医院采购主体地位、建立科学的药品评价体系,构建第三方交易平台和优化医疗保健供应链的相关建议。From the perspective of deconstructionism,it re-examines the American GPO and explores that the aspects of cost saving,market competition,efficiency and social benefits are the driving factors for the development of Centennial GPO.Through the analysis of the health care supply chain,it is understood that GPO improves the service quality of medical institutions while realizing cost savings and efficiency improvement.It critically draws lessons from the procurement model of GPO in the United States,and puts forward relevant suggestions for improving the centralized procurement of drugs in China:implementing the dominant position of hospital procurement,establishing a scientific drug evaluation system,building a third-party trading platform and optimizing the health care supply chain.

关 键 词：解构主义 集团采购组织 药品采购 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F019.6[经济管理—政治经济学]