代建制医院建设项目审计与监督问题探讨

Discussion on Audit and Supervision of Construction Project of Hospital under Agent Construction Mode

医院代建项目中遇到的主要问题有:不能按期完工;设计存在漏项;设计图纸变更较多;预算项目被占用;招投标管理不够严格;现场管理不到位;项目资金管理不严等。造成这些问题的原因主要有:对图审和深化设计重视不够;医疗专项设计没有全面完成就进行预算评审并开工建设;建设过程中预算控制不力等。提升医院代建项目建设质量的主要路径包括:加强统筹协调;努力做细项目前期工作;加强合同管理;加强施工管理;积极参与预算评审和过程管控;提升审计质量;防范廉政风险等。

The main problems encountered in the hospital agent construction projects included: It couldn’t be completed on time;There were missing items in the design;There were many changes in design drawings;Budget items were occupied;Bidding management was not strict enough;On-site management was not in place;Project funds were not strictly managed, and etc.. The main reasons for these problems included: The attention to drawing review and in-depth design was insufficient;Budget review and construction started before the medical special design was fully completed;Budget control was poor during construction, and etc.. The main paths to improve the construction quality of hospital agency construction projects include: strengthening overall planning and coordination, diligently doing pre-project work, strengthening contract management, strengthening construction management, actively participating in budget review and process control, improving audit quality, preventing integrity risks, and etc.