Issues in centralized procurement with volume of medical consumables in public hospitals
10.3969/j.issn.1671-332X.2024.05.027
- VernacularTitle:公立医院医用耗材带量集采管理问题与对策研究
- Author:
Lihua WU
1
;
Jiaqing MIAO
;
Siwei DU
;
Jiawen TAN
;
Zhilun YANG
;
Donglan YU
;
Qingtang ZHU
Author Information
1. 中山大学附属第一医院 广东广州 510080
- Keywords:
Centralized procurement with volume;
Medical consumables;
Public hospitals;
Fishbone analysis
- From:
Modern Hospital
2024;24(5):757-761
- CountryChina
- Language:Chinese
-
Abstract:
Objective In the context of expanding in size and improving the quality of medical consumables,the"one product,one policy"approach has brought challenges to the management of consumables in public hospitals.This study investi-gated the potential management problems in the process of centralized procurement with volume of medical consumables in a pub-lic tertiary hospital in Guangdong Province,and accordingly worked out the corresponding management countermeasures and then assessed their implementation effects.Methods The fishbone diagrams was applied to systematically analyze the potential prob-lems in the implementation process of centralized procurement with volume of medical consumables.Targeted measures were worked out from May to July 2023 in the hospital.The time series data of centralized procurement of coronary stents,pacemak-ers,tubular/end-to-end anastomoses,and spinal products from December 2022 to December 2023 were analyzed.Changes in the monthly implementation rate and contract completion volume pre-and post-intervention were measured to evaluate the effectiveness of the intervention.Results The fishbone diagrams analysis revealed that the primary factors impeding procurement implementa-tion were internal system flaws,personnel management inadequacy,supply issues,and an absence of an information system.Post-intervention,the monthly implementation rate(t=-4.19,P＜0.05)and contract completion(t=-2.38,P＜0.05)significantly improved.Conclusion The implementation of intervention management for centralized procurement with volume of medical consumables can effectively promote the related implementation effect in the department.In the context of centralized pro-curement,clinical and health management personnel need to bolster their professionalism to ensure the procurement management efficiency and quality.It is crucial to deepen policy understanding and implementation,enhance production and distribution process supervision and disciplinary mechanisms,ensure multi-departmental coordination for supply security,and improve hospi-tal information systems and procurement platforms.
