公立医院采购体系的“采”“管”分离新模式  

“Procurement”–“management” separation new model for the procurement system in public hospitals

作　　者：刘东宇 钟志勇[1] 戴绍秀 谌燕清 LIU Dongyu;ZHONG Zhiyong;DAI Shaoxiu;CHEN Yanqing(Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou 510060,China)

机构地区：[1]中山大学中山眼科中心,广东广州510060

出　　处：《现代医院》2024年第2期246-249,共4页Modern Hospitals

摘　　要：采购工作是公立医院日常运转的基础工作,涉及医疗设备、医用材料、药品、基建工程、办公物资和服务类项目等方面。以往采购工作一直由各业务管理的职能部门负责,存在由一个部门、个别重点岗位说了算的局面,导致了采购工作不透明、不规范等。为了规范采购工作,国家政策层面上提出了“采”“管”分离模式。公立医院的采购工作包含两个方面,“采”是采购工作的具体实施,包括采购项目的市场调研、价格谈判、招标文件制订、合同签订等环节;“管”是对所购项目的前期调研、预算编制及立项、安装调试、入库验收、维修质控、使用管理等环节。“采”“管”分离是现代医院管理制度中采购管理单元的重要组成部分,即在流程上实现采购和管理职能的相互分离,促进医院多部门间的协作及相互制约监督,在保证采购质量的同时,降低采购廉洁风险。Procurement constitutes a cornerstone of daily operations in public hospitals,involving medical equipment,medical materials,pharmaceuticals,infrastructure projects,office supplies,and service-oriented projects.The responsibility for procurement used to rest on various functional departments overseeing business management,a situation that often led to a lack of transparency and standardization due to decisions made by a single department or a few key cadres.To standardize procurement practices,the national policy has introduced a“procurement”and“management”separation model.In public hospitals,procurement includes two main aspects:“procurement”entails the actual execution of purchasing activities,including market research,price negotiation,tender document formulation,and contract signing;and“management”involves the preliminary research,budgeting and project initiation,installation and commissioning,inventory acceptance,maintenance quality control,and usage management of procured items.The separation of“procurement”and“management”is an important part of the procurement management unit in the modern hospital administration.This process-based division ensures the functional distinction between procurement and management,fostering interdepartmental collaboration and mutual oversight,thereby mitigating procurement integrity while safeguarding procurement quality.

关 键 词：公立医院 采购模式 “采”“管”分离 监督 

分 类 号：R197.323[医药卫生—卫生事业管理] R197.39[医药卫生—公共卫生与预防医学]