高值医用耗材采购模式概述

摘要

高值医用耗材的采购管理对于控制医疗费用、规范医疗市场行为有重要意义.目前以医院为主体的高值医用耗材采购仍以科室需求为主导,采购部门仅负责谈判议价及货款报销等,被动性、灵活性及随意性较大;而以政府为主体的高值医用耗材集中采购则通过制定采购目录、减少流通环节等途径促进耗材的合理使用,并在很大程度上控制了医疗费用的过快增长.从医疗、社会、管理和政治等多方面来看,高值医用耗材采取集中招标采购模式是必然趋势.%The purchase management of the High Cost Medical Used-up Materials was important for controlling the medical expenses and regulating the medical market. At present, the purchase management of the High Cost Medical Used-up Materials in hospitals was still bas-ed on the demand of the medical departments, and the procurement departments were only responsible for negotiating a price and submitting an expense account. So this mode of the purchase management held such characteristics as inactivity, flexibility and subjectivity. On the other hand, the government management of the purchase of High Cost Medical Used-up Materials had certain effect on the reasonable use and con-trolling the medical expenses by making a purchasing list and reducing current segment. On the whole, the centralized bid procurement of the High Cost Medical Used-up Materials is a historic choice.