基于KANO模型的公立医院采购需求管理探索

Exploration of public hospital procurement demand management based on the KANO model

在公立医院的采购管理中,购置需求提出与采购预算制定分别由不同部门完成,极易导致无效需求的产生,加强采购需求管理成为促进医院降本增效的重要管理方向。作者基于KANO模型建立了公立医院采购需求管理机制,按照基本型需求、期望型需求、魅力型需求、无差异型需求和反向型需求分类识别公立医院的采购需求,然后制定符合医院资源分配原则的需求满足原则,并通过建立风险共担机制、选择合格的决策代理人和建立过程约束机制对需求满足过程进行监督。某医院自2022年开始基于该管理机制进行了采购需求管理实践,有效强化了采购需求管理意识,提高了资源配置决策效率和需求牵引作用的发挥,可为公立医院的采购需求管理提供参考。

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.