我国公立医院医用耗材SPD外包模式发展动因、研究现状及展望  

Development motivation,research status,and prospects of the SPD outsourcing model for medical consumables in public hospitals in China

作　　者：丁勇 贲慧[1,3] DING Yong;BEN Hui(School of Health Policy and Management,Nanjing Medical University,Nanjing 210000,China;Women’s Hospital(Nanjing Women and Children’s Healthcare Hospital),Nanjing Medical University,Nanjing 210000,China;Jiangsu Provincial People’s Hospital,Nanjing Medical University First Hospital,Nanjing 210000,China)

机构地区：[1]南京医科大学医政学院,江苏南京210000 [2]南京医科大学附属妇产医院//南京市妇幼保健院,江苏南京210000 [3]南京医科大学第一附属医院//江苏省人民医院,江苏南京210000

出　　处：《现代医院》2025年第2期202-205,共4页Modern Hospitals

基　　金：南京大学中国医院改革发展研究院课题项目(NDYG2023014)。

摘　　要：随着公立医院医用耗材管理模式的变革,SPD(supply、processing、delivery)外包模式逐渐成为主流。文章分析了SPD外包模式的发展动因,指出政策驱动、技术进步和行业趋势是其外部动因,而成本控制、专业分工和精细化管理需求则是内部动因。通过文献分析,文章还梳理了SPD外包模式下应用效果评价、应用风险研究和管理实践等方面的成果,表明SPD模式在提高医院耗材管理效率、降低成本和提升医护人员满意度方面具有显著优势,但也存在供应链中断、信息安全等潜在风险。最后,文章对公立医院SPD外包模式的研究方向进行了展望,包括多主体协同机制、多院区和区域SPD模式以及精细化管理研究,以期为医院耗材管理的持续优化提供方向。With the development of the medical consumable management model in public hospitals,the supply,processing,delivery(SPD)outsourcing model has progressively emerged as the predominant approach.In this context,we explored the driving forces behind the development of this model in this study,concluding that the driving forces include external motivations:policy initiatives,technological progress,and industry trends,and internal motivations:needs for cost control,professional division of labor,and refined management.Additionally,this paper summarized the results of application effect evaluation,application risk research,and management practice of the SPD outsourcing model through literature analysis.These findings indicate that the SPD model plays significant roles in improving the efficiency of hospital consumable management,reducing costs,and enhancing the satisfaction of healthcare workers.However,there are also potential risks such as supply chain disruptions and information security concerns.Finally,this paper investigates future research directions for the SPD outsourcing model in public hospitals,including multi-body synergistic mechanisms,multi-campus and regional SPD models,and studies on refined management research,aiming to provide a direction for continuous optimization of the hospital consumable management.

关 键 词：公立医院 医用耗材 SPD外包模式 研究现状及展望 

分 类 号：R197.32[医药卫生—卫生事业管理]