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集中带量采购模式下医用耗材管理的创新实践OA

Innovative practices in medical consumables management under the centralized volume-based procurement model

中文摘要英文摘要

目的 为解决集中带量采购政策落地过程中医用耗材管理精准性不足、监管滞后等问题.方法 本研究以安徽医科大学第一附属医院为实践对象,系统梳理带量采购全流程管理痛点,创新性构建"制度-档案-监测"三位一体管理体系.通过"七步法"规范品目遴选、优化院内物资档案字段、开发定制化监测报表三大关键举措,实现带量采购从品目筛选、协议申报到执行监管的全链条规范化管控.结果 该体系使带量采购报表生成时间从1个工作日缩短至1 min内,消除了人工统计中常见的计算错误、数据遗漏等问题,供应商履约合格率显著提升,明显改善了耗材信息"同名不同规、同品不同码"问题,为按疾病诊断相关分组付费(DRG)/按病种分值付费(DIP)改革提供可靠数据支撑.结论 依托精细化制度设计与信息化工具的管理创新,可有效破解医用耗材带量采购中的数据繁杂、监管乏力等困境,为医疗机构高效落实带量采购政策提供可复制、可推广的实践范式.

[Objective]To address issues such as insufficient precision in medical consumables management and lagging supervision during the implementation of centralized volume-based procurement policies.[Methods]Taking a public hospital as a practical case,this study systematically analyzed pain points in the entire process of volume-based procurement and innovatively established a"system-file-monitoring"trinity management framework.Through three key measures—standardizing item selection through"the seven-step method",optimizing internal material file fields,and developing customized monitoring reports—it achieved standardized control across the entire chain from item screening to agreement submission and execution supervision.[Results]The system reduced report generation time for volume-based procurement from one working day to under one minute,eliminated data statistical errors,significantly improved supplier compliance rates,and effectively resolved issues of"same name but different specifications or same product but different codes"in consumables information,providing reliable data support for diagnosis related group(DRG)/diagnosis-intervention packet(DIP)payment reform.[Conclusion]By leveraging refined system design and information technology tools for management innovation,it effectively tackled challenges such as data complexity and weak supervision in medical consumables volume-based procurement,offering replicable and scalable practical models for healthcare institutions to efficiently implement volume-based procurement policies.

蒋玲艳

安徽医科大学第一附属医院 医学工程处,安徽 合肥 230000

医药卫生

带量采购医用耗材管理数据标注规范化实践

quantity based procurementmedical consumables managementdata annotationstandardized practice

《中国医学工程》 2026 (4)

11-14,4

10.19338/j.issn.1672-2019.2026.04.003

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