三级医院药材集中采购四权分离模式SWOT分析

SWOT Analysis of Centralized Purchasing Management Model for Medicinal Material Under Separation of the Four Powers in Tertiary General Hospital

目的:规范医院药材采购管理。方法:介绍我院在统一集中采购药材的基础上,对药材的计划、采购、库管、付款进行四权分离管理模式的实践,通过SWOT法分析该模式的优势、劣势、威胁与机遇,并制订相关改进措施,最后评价此模式的效果。结果:四权分离采购模式可发挥采购管理专业化优势,弥补管理制度缺失和人力不足等劣势,适应政策抓住改进机遇,减少标准缺失威胁,降低采购成本,促进药材合理消耗;经采用该管理模式进行相应的完善制度流程、精细管理药材、提升业务水平后,我院的采购成本支出减少,医院的药占比从2010年的42%下降至2014年的37%,后勤保障稳定、规范,药材供应水平提升。结论:四权分离的药材采购模式为医院药材采购的标准化、规范化、现代化管理提供了借鉴。

OBJECTIVE：To standardize hospital purchasing management for medicinal material.METHODS：The separation of the four powers,including plan,purchase,supply,and payment,was practiced on the basis of centralized purchasing medicinal material in our hospital.SWOT method was used to analyze the strengths,weaknesses,opportunities and threats of the model;improvement measures were formulated;finally the effects of the model were evaluated.RESULTS：This model played an active role in the professional advantage of purchasing management,made up for the lack of management system and manpower shortage disadvantage;adapted to policies to seize the opportunities for improvement,reduced the threat of standard deletion and purchasing cost,and promoted reasonable consumption of medicinal materials.And then the purchasing cost of our hospital was reduced after system procedure improvement,fine management of medicinal material and professional level improvement,medicine ratio fell from 42% in 2010 to 37% in 2014;logistics support became stable and standard,and the level of medicinal material supply was improved.CONCLUSIONS：The purchasing model for medicinal material under separation of the four powers provides the reference for the correct course of the standardized,normalized and modernized hospital purchasing management.