首页|期刊导航|中国医疗设备|基于利益相关者视角下医用耗材全生命周期管理的思考

基于利益相关者视角下医用耗材全生命周期管理的思考OA

Thoughts on the Whole Life Cycle Management Model of Medical Consumables from the Perspective of Stakeholders

中文摘要英文摘要

医用耗材管理是深化医药卫生体制改革的重点任务,尤其高值医用耗材治理对规范医疗市场、保障患者权益至关重要.目前对医用耗材全生命周期管理的研究已从单一机构物流管理向多维度拓展,但仍存在明显不足:利益相关者意愿整合难度大,政府、医疗机构、企业、患者四方在政策执行、成本控制、质量保障等方面的利益冲突尚未得到系统解决,导致市场运作机制不清晰、信息不对称等问题突出,制约了医疗资源的合理配置.为此,本文基于利益相关者视角,明确四方核心利益相关主体,梳理其在医用耗材研发生产、流通、使用及监管评估全生命周期各环节的研究现状与利益诉求,剖析各主体间利益冲突点,最终提出针对性优化建议,以期为相关政策制定提供科学依据,进而促进医疗市场公正稳定运行、减少利益冲突、保障患者权益,推动医疗行业健康可持续发展.

The management of medical consumables is a key task in deepening the reform of the medical and health system,and the governance of high-value medical consumables in particular is crucial for standardizing the medical market and safeguarding patients'rights and interests.Currently,research on the full-life-cycle management of medical consumables has expanded from single-institution logistics management to a multi-dimensional approach,yet significant gaps remain.Specifically,it is difficult to align the intentions of stakeholders,and the interest conflicts among the four parties-government,medical institutions,enterprises,and patients-in areas such as policy implementation,cost control,and quality assurance have not been systematically resolved.This leads to prominent issues including an unclear market operation mechanism and information asymmetry,which hinder the rational allocation of medical resources.Against this backdrop,this paper,from the perspective of stakeholders,identified the four core stakeholder groups,sorted out their research status and interest demands across all stages of the medical consumables'full life cycle including R&D,production,circulation,usage,and supervision&evaluation,and analyzed the points of interest conflict.Finally,targeted optimization suggestions were proposed,aiming to provide a scientific basis for the formulation of relevant policies,thereby promoting the fair and stable operation of the medical market,reducing interest conflicts,protecting patients'rights and interests,and advancing the healthy and sustainable development of the medical industry.

罗梦;陈嘉琦;杨治论;钟晓茹

深圳市人民医院 医学装备部,广东 深圳 518020深圳市人民医院 医学装备部,广东 深圳 518020深圳市人民医院 医学装备部,广东 深圳 518020深圳市人民医院 医学装备部,广东 深圳 518020||深圳市人民医院院办公室,广东 深圳 518020||深圳市医疗器械管理质量控制中心,广东 深圳 518020

医药卫生

医用耗材利益相关者全生命周期管理精细化管理监管机制

medical consumablesstakeholdersfull-life-cycle managementrefined managementsupervision mechanism

《中国医疗设备》 2025 (9)

174-182,9

2023年广东省医学会医学工程学分会青年委员会科研课题(2023-GDMAYB-06).

10.3969/j.issn.1674-1633.20241895

评论