公立医院政府采购组织与管理现状调研

Research on the current status of organization and management for government procurement in public hospitals

目的:调研公立医院政府采购现状与组织管理政策,以提高政府采购规范化管理水平。方法:采用电子问卷调查方式收集到全国216所公立医院(涉及28个省市自治区)的政府采购组织与管理现状信息进行调研,分析公立医院政府采购管理的组织结构管理体系、工作模式、监督评价、预算立项、招标采购、合同签订、验收流程、付款管理等现状。结果:调查问卷共回收216份(216所医院)有效问卷,其中综合医院、专科医院和中医医院分别为165、37和13所,分别占76.39%、17.13%和6.02%;医院级别中三级医院202所(占93.52%)。被调查公立医院政府采购管理机构中采购管理委员会、采购管理办公室、采购中心和业务及行政后勤部门4层组织机构分别为112、103、110和112个,分别占51.85%、47.69%、50.93%和51.85%;所有医院政府采购公开招标限额标准均符合国家法规要求;各医院付款必须条件的资金审批情况均符合要求;医院风险防控管理效果中非常好、良好、一般和不到位4种情况分别为48、125、34和9所,分别占22.22%、57.87%、15.74%、4.17%。结论:公立医院政府采购的组织框架与管理体系日趋规范,不同医院政府采购工作模式与流程存在一定差异,监管评价相对薄弱值得关注和加强管理。

Objective:To investigate the current situation and organizational management policies of government procurement in public hospitals,and to improve the level of standardized management of government procurement.Methods:An electronic questionnaire survey was conducted to investigate the current status of organization and administration of government procurement in different types and levels of public hospitals across the country.The current situation of the organizational structure,management system,working mode,supervision and evaluation,budget establishment,bidding and procurement,contract signing,acceptance process,payment management,and other aspects of government procurement management in public hospitals were analyzed.Results:A total of 216 valid questionnaires were collected from 216 public hospitals in 28 provinces,municipalities and autonomous regions across the country,including 165 general hospitals,37 specialized hospitals and 13 traditional Chinese medicine hospitals,accounting for 76.39%,17.13%and 6.02%respectively;among the hospital levels,there were 202 tertiary hospitals(accounting for 93.52%).Among the surveyed government procurement management institutions of public hospitals,there were 112,103,110 and 112 organizations at the four levels of procurement management committee,procurement management office,procurement center and business and administrative logistics department,accounting for 51.85%,47.69%,50.93%and 51.85%respectively.The quota standards for public bidding for government procurement in all hospitals were in line with the requirements of national laws and regulations.The approval of funds payment must conditions of each hospital complied with relevant requirements.In terms of management effects of risk prevention and control,the hospitals with very good,good,average and inadequate were 48,125,34 and 9 respectively,accounting for 22.22%,57.87%,15.74%and 4.17%.Conclusion:The organizational framework and management system of government procurement in public hospitals are becoming increasingly standardized,and there are certain differences in the work mode and process of government procurement in different hospitals,and the supervision and evaluation are relatively weak,which is worthy of attention and strengthened administration.