大型综合医院SPD管理模式探讨OA
Discussion on the SPD Management Mode of Large General Hospitals
为应对国家医用耗材"零加成""集中带量采购"等政策对医院管理提出的更高要求,医疗耗材供应-加工-配送(Supply-Processing-Distribution,SPD)管理模式逐步推广,但目前缺乏统一管理标准,且模式呈多元化发展.本研究聚焦大型综合医院,首先梳理并对比了SPD 3大主流模式(院方自建自营模式、集中配送服务模式、医院主导下的运营外包模式)的运作特点与优劣势,其次分析全国SPD模式发展态势,最后总结当前模式创新方向,包括引入无利益关联的第三方SPD纯服务模式,以及通过多服务商组合、协作增强医院管理主动权.本文旨在明确现有SPD模式研究多为定性描述的局限,提出后续需强化供应链效率、管理质量等维度定量比较的方向;同时为大型综合医院(作为SPD模式创新核心载体)提供参考,助力其以实际数据分析模式优劣,推动SPD管理标准落地,提升医用耗材供应链管理效能.
To meet the higher requirements for hospital management imposed by national policies on medical consumables,such as"zero markup"and"centralized volume-based procurement",the supply-processing-distribution(SPD)management model for medical consumables has been gradually promoted.However,there is currently a lack of unified management standards,and the models are developing in a diversified manner.Focusing on large general hospitals,this study first sorted out and compared the operational characteristics,advantages and disadvantages of the three major mainstream SPD models,namely the hospital-owned and self-operated model,the centralized distribution service model,and the hospital-led operation outsourcing model.Secondly,it analyzed the development trend of the SPD model nationwide.Finally,it summarized the current innovation directions of the models,including the introduction of a third-party SPD pure service model with no interest ties,and the enhancement of hospitals'management initiative through the combination and collaboration of multiple service providers.This study aims to identify the limitation that existing research on the SPD model is mostly qualitative description,and proposes that subsequent research should strengthen the quantitative comparison in dimensions such as supply chain efficiency and management quality.Meanwhile,it provides references for large general hospitals(as the core carriers of SPD model innovation),helping them analyze the advantages and disadvantages of the models based on actual data,promote the implementation of SPD management standards,and improve the management efficiency of the medical consumables supply chain.
汪方杰;姜瑞瑶;郑岩;李猛;李进;季智勇
上海市第六人民医院 医学装备处,上海 200233上海市第六人民医院 医学装备处,上海 200233国药纵恒(上海)医疗管理有限公司,上海 200439国药纵恒(上海)医疗管理有限公司,上海 200439上海市第六人民医院 医学装备处,上海 200233上海市第六人民医院 医学装备处,上海 200233
医药卫生
大型综合医院医用耗材供应-加工-配送(SPD)管理模式院方自营自建模式集中配送服务模式医院主导下的运营外包模式
large general hospitalsmedical consumablessupply-processing-distribution(SPD)management modelhospital-owned and self-operated modelcentralized distribution service modelhospital-led operation outsourcing model
《中国医疗设备》 2025 (10)
1-4,4
上海卫健委"基于大数据循证标准的医用高值耗材合理化应用监管研究"(202040031).
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