公立医院政府采购全过程管理的评价指标体系构建研究

Construction of the evaluation index system for the whole process management of government procurement in public hospitals

目的提升公立医院政府采购全过程管理工作的规范化和精细化水平, 推动医院高质量发展。方法通过文献分析和专家访谈, 基于"事前-事中-事后"逻辑初步构建公立医院政府采购全过程管理评价指标体系, 采用德尔菲法筛选指标并评价指标的重要性, 利用层次分析法确定指标权重。结果针对公立医院政府采购全过程构建了包含7个一级指标和38个二级指标的公立医院政府采购全过程管理评价指标体系, 一级指标按权重大小依次为组织实施过程(0.233)、需求管理(0.225)、内控管理(0.139)、结果反馈(0.126)、体制机制建设(0.113)、代理机构及评审专家(0.082)、信息化管理(0.082);二级指标中参数论证、确定采购需求、开展需求调查的权重较高, 分别为0.076、0.075、0.073。结论本研究构建的评价指标体系具有一定的科学性, 有助于公立医院政府采购管理的优化。

Objective To improve the standardization and refinement level of the whole process management of government procurement in public hospitals,and promote high-quality development of hospitals.Methods Through literature analysis and expert interviews,a preliminary evaluation index system for the whole process management of government procurement in public hospitals was constructed based on the"pre event,during event,and post event"logic.The Delphi method was used to screen indicators and evaluate their importance,and the analytic hierarchy process was used to assign indicator weights.Results A management evaluation index system for the entire process of government procurement in public hospitals has been constructed,which included 7 first-level indicators and 38 second-level indicators.The first-level indicators were,in order of weight,the organizational implementation process(0.233),demand management(0.225),internal control management(0.139),result feedback(0.126),institutional mechanism construction(0.113),agency and evaluation experts(0.082),and information management(0.082);The weight of parameter argumentation,determination of procurement needs,and conducting demand surveys in the second-level indicators was relatively high,with values of 0.076,0.075,and 0.073,respectively.Conclusions The evaluation index system constructed in this study has a certain degree of scientificity,which is helpful for the optimization of government procurement management in public hospitals.