采供血机构采购管理体系化建设的探索  

Explore to Establish Procurement Management System for Blood Centers

作　　者：王永嘉 陈诗妤 蒋晓波 袁华[1] 孙蕴华[1] 王俊[1] 马庆[1] WANG Yongjia;CHEN Shiyu;JIANG Xiaobo;YUAN Hua;SUN Yunhua;WANG Jun;MA Qing(Shanghai Blood Center,Shanghai 200051)

机构地区：[1]上海市血液中心,上海200051

出　　处：《临床输血与检验》2024年第4期549-555,共7页Journal of Clinical Transfusion and Laboratory Medicine

摘　　要：目的为进一步有效保障采购资金使用的合规性与安全性,开展采供血机构采购管理体系化建设并分析应用效果。方法以国家政策为基础,根据行业的采购特性,通过试点、多阶段推行的方式建立并实施符合规范的采购管理体系,并从提升工作效率、采购方式选择及信息公开、采购文件优化完善情况3个方面分析了体系应用效果。结果通过设立“实施-审核-控制”权力分层分级的组织架构、建立全过程采购内控制度(采购过程内控机制、绩效评价及改进机制、风险控制机制),形成持续改进、不断自我完善的采购管理体系。采购管理体系化实施后(2019—2023年),与实施前(2015—2017年)比较,年度采购环节项目处理效率提高了23.64%,采购工作效率显著提升。采用外送招标方式采购的项目占比由(23.18±6.10)%上升到(62.79±2.31)%,采用采购审核小组审议方式采购的项目占比由(76.82±6.10)%下降到(16.39±3.39)%,采购方式的占比差异具有统计学意义(P<0.05),采购评审越来越专业化。发布公告的项目占比由(23.18±6.10)%上升到(99.3±1.56)%,差异具有统计学意义(P<0.05),信息公开越来越透明化。采购管理体系化建立后,采购文件修改率达(36.31±12.19)%,采购工作越来越规范。结论采购管理体系的建立有效控制了采购权利的使用,提高了工作效率,进一步保障采供血机构的资金使用的合规性和安全性,采购过程的系统化、标准化、程序化,构建廉洁、合规、风清气正的采购环境,值得推广应用。Objective To ensure the rationality and safety of the use of procurement funds effectively,we established a procurement management system for blood centres and analyzed its application effects.Methods Based on national policies and the procurement characteristics of the industry,a standardized procurement management system was established and implemented through pilot projects and multi-stage implementation.The application effect of the system was analyzed from three aspects:improving work efficiency,selecting procurement methods and information disclosure,and optimizing and perfecting procurement documents.Results A continuous improvement and self-perfecting procurement management system was formed by establishing an"implementation-audit-control"power hierarchy,and establishing a full-process procurement internal control system(procurement process internal control mechanism,performance evaluation and improvement mechanism,risk control mechanism).After the implementation of the procurement management system(2019—2023)compared with the period before the implementation(2015—2017),the annual efficiency of processing the number of projects in the procurement increased by 23.64%,and the procurement work efficiency was significantly improved.The proportion of projects procured through external bidding increased from(23.18±6.10)%to(62.79±2.31)%,and the proportion of projects procured through the procurement review team deliberation decreased from(76.82±6.10)%to(16.39±3.39)%.The difference in the proportion of procurement methods is statistically significant(P<0.05),indicating that procurement review is becoming more professional.The proportion of projects with public announcements increased from(23.18±6.10)%to(99.3±1.56)%,and the difference is statistically significant(P<0.05),showing that information disclosure is becoming more transparent.After the establishment of the procurement management system,the modification rate of procurement documents reached(36.31±12.19)%,and procurement work is becoming more sta

关 键 词：采供血机构 采购管理体系 体系化管理 

分 类 号：R197[医药卫生—卫生事业管理]