基于骨科医用耗材带量采购政策下的医院医用耗材最佳管理模式研究  

Research on the management practice based on the quantity-based procurement policy of orthopedic medical consumables

作　　者：徐璐 周欣 姚萍 千红 张慧 周君 邱杰 Xu Lu;Zhou Xin;Yao Ping;Qian Hong;Zhang Hui;Zhou Jun;Qiu Jie(Department of Medical Engineering,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China;Trade Union,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China;Department of Radiation Oncology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院医学工程处,北京100730 [2]中国医学科学院北京协和医院工会,北京100730 [3]中国医学科学院北京协和医院放射治疗科,北京100730

出　　处：《中国医学装备》2024年第7期155-159,共5页China Medical Equipment

摘　　要：目的:探索基于骨科医用耗材带量采购政策下的医院医用耗材带量采购管理最佳模式,推进骨科医用耗材带量采购执行。方法:梳理近年来我国关于骨科医用耗材带量采购相关政策,分析政策特点及管理要求,剖析医疗机构在医用耗材带量采购实践过程中存在采购模式、使用监管及供应链管理等方面的难点,建立以北京协和医院骨科临床专家组和带量采购医用耗材管理小组双层管理架构为主导的多部门管理协同模式,利用信息化手段构建医用耗材带量采购数据动态监测平台,评价2022—2023年医院基于双层管理架构的骨科医用耗材带量采购执行周期中,膝关节和髋关节的医用耗材带量采购执行情况。结果:在双层管理架构的带量采购执行周期中,实时监测带量采购医用耗材协议量完成情况,协议量统计时间由原先的1周时间缩短至实时统计,全年累计节约医用耗材费用83.6%。结论:基于双层管理架构的骨科医用耗材带量采购管理模式,通过构建医用耗材带量采购数据动态监测平台,能够强化医用耗材信息化监测手段,提高骨科医用耗材带量采购协议量完成率,推动骨科医用耗材带量采购工作平稳有序执行。Objective:To explore the best practices for the management of hospital medical consumables quantitybased procurement under the policy of quantity-based procurement for orthopedic medical consumables,and to promote the implementation of quantity-based procurement of orthopedic medical consumables.Methods:The relevant policies on quantity-based procurement of orthopedic medical consumables in recent years in China were sorted out,and the characteristics and management requirements of the policies were analyzed.The difficulties encountered by medical institutions in the practical process of quantity-based procurement of medical consumables in terms of procurement model,usage supervision and supply chain management were analyzed.A multi-departmental management collaboration model was established based on the two-tier management structure consisting of orthopedic clinical expert teams and quantity-based procurement medical consumable management teams of Peking Union Medical College Hospital,and a dynamic monitoring platform for medical consumables procurement data was built using information technology.The implementation of quantity-based procurement of orthopedic medical consumables for knee and hip joints in the implementation cycle of orthopedic medical consumables procurement based on the two-tier management structure of the hospital from 2022 to 2023 was evaluated.Results:In the execution cycle of quantity-based procurement based on the two-tier management structure,the completion of the quantity-based procurement medical consumables agreement could be monitored in real time.The agreement volume statistics time had been shortened from the original one week to real-time statistics,saving 83.6%of the medical consumables cost throughout the year.Conclusion:The quantity-based procurement management model for orthopedic medical consumables based on a two-tier management structure can strengthen the information monitoring means of medical consumables,improve the completion rate of quantity-based procurement agreements

关 键 词：骨科耗材 集中带量采购 医用耗材 精细化管理 带量采购监测 

分 类 号：R197.39[医药卫生—卫生事业管理]