Objective:To investigate the current situation and organizational management policies of government procurement in public hospitals,and to improve the level of standardized management of government procurement.Methods:An electronic questionnaire survey was conducted to investigate the current status of organization and administration of government procurement in different types and levels of public hospitals across the country.The current situation of the organizational structure,management system,working mode,supervision and evaluation,budget establishment,bidding and procurement,contract signing,acceptance process,payment management,and other aspects of government procurement management in public hospitals were analyzed.Results:A total of 216 valid questionnaires were collected from 216 public hospitals in 28 provinces,municipalities and autonomous regions across the country,including 165 general hospitals,37 specialized hospitals and 13 traditional Chinese medicine hospitals,accounting for 76.39％,17.13％and 6.02％respectively;among the hospital levels,there were 202 tertiary hospitals(accounting for 93.52％).Among the surveyed government procurement management institutions of public hospitals,there were 112,103,110 and 112 organizations at the four levels of procurement management committee,procurement management office,procurement center and business and administrative logistics department,accounting for 51.85％,47.69％,50.93％and 51.85％respectively.The quota standards for public bidding for government procurement in all hospitals were in line with the requirements of national laws and regulations.The approval of funds payment must conditions of each hospital complied with relevant requirements.In terms of management effects of risk prevention and control,the hospitals with very good,good,average and inadequate were 48,125,34 and 9 respectively,accounting for 22.22％,57.87％,15.74％and 4.17％.Conclusion:The organizational framework and management system of government procurement in public hospitals are becoming increasingly standardized,and there are certain differences in the work mode and process of government procurement in different hospitals,and the supervision and evaluation are relatively weak,which is worthy of attention and strengthened administration.

In the procurement management of public hospitals, the proposal of procurement demands and the formulation of procurement budgets are completed by different departments, which can easily lead to the generation of ineffective demands. Strengthening procurement demand management has become an important management direction to promote cost reduction and efficiency increase in hospitals. The authors established a procurement demand management mechanism for public hospitals based on the KANO model. The procurement demands of public hospitals were identified according to basic, expected, charismatic, indifference, and reverse types. Then, a demand satisfaction principle that conforms to the hospital resource allocation principle was formulated, and the demand satisfaction process was supervised by establishing a risk sharing mechanism, selecting qualified decision agents, and establishing a process constraint mechanism. A certain hospital has been implementing procurement demand management practices based on this management mechanism since 2022, effectively strengthening the awareness of procurement demand management, improving the efficiency of resource allocation decision-making and the role of demand traction. This can provide reference for the procurement demand management of public hospitals.