摘要
目的: 归纳分析我国医用耗材集中采购过程中相关主体存在的违法违规行为,为完善医用耗材集中采购行为监管提供一定参考。方法: 搜集医用耗材集中采购相关学术文献、政策文件、官方报道、法律法规及裁判文书等资料并汇总分析,梳理存在问题。结果: 医用耗材集中采购过程中药械企业、医疗机构、招采机构可能存在多种违法违规违约行为,相关法律法规暂未出台,现行处理依据主要为医药价格和招采信用评价制度与各地政策。结论: 目前医用耗材集中采购存在法律法规尚不完善、违法违规行为监管困难等现实问题,建议尽快出台医疗保障法、完善监督管理机制、加强部门协同配合,以推动医用耗材集中采购工作高质量发展。
Abstract
Objective: The paper attempts to provide a reference for improving the supervision of centralized procurement of medical consumables by summarizing and analyzing illegal behaviors of relevant parties in the centralized procurement process of medical consumables in China. Methods: Relevant academic literature, government documents, official reports, laws and regulations, judgment documents and other materials were searched through open channels and problems were analyzed. Results: In the centralized procurement of medical consumables in China, there may be different types of illegal behaviors involving enterprises, medical institutions, and centralized procurement agencies. There is no medical consumables procurement laws and regulations at present. Violations are mainly regulated and punished according to the drug price and credit evaluation system and local policies. Conclusion: At present, there are difficulties in the centralized procurement of medical consumables, such as imperfect laws and regulations and difficulties in supervision of illegal behaviors. It is suggested to enact the healthcare security law, improve the supervision and management mechanism, and strengthen the collaboration of multi-departments to promote the high-quality development of the centralized procurement of medical consumables.
关键词
医用耗材 /
集中采购 /
违法违规行为 /
信用评价
Key words
medical consumables /
centralized procurement /
violations of laws and regulations /
credit evaluation
江晟瑜, 张嘉佳.
我国医用耗材集采领域违法违规行为研究[J]. 中国医疗保险. 2024, 0(6): 85-89 https://doi.org/10.19546/j.issn.1674-3830.2024.6.012
Study on the Illegal Behavior in the Field of Centralized Procurement of Medical Consumables in China[J]. China Health Insurance. 2024, 0(6): 85-89 https://doi.org/10.19546/j.issn.1674-3830.2024.6.012
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参考文献
[1] 蒋昌松,李熹阳,唐菲.医用耗材集采模式历史变迁及展望[J].中国医疗器械信息,2021,27(11):165-167.
[2] 国家医疗保障局.关于《医疗保障法(征求意见稿)》公开征求意见的公告[EB/OL].(2021-06-15)[2024-05-20].http://www.nhsa.gov.cn/art/2021/6/15/art_113_7134.html.
[3] 孙阳,宗欣.医药价格和招采信用评价制度的法律定位及实践价值[J].中国药业,2023,32(15):1-5.
[4] 陕西省公共资源交易中心.关于药品和医用耗材挂网价格专项治理处理结果的通知[EB/OL].(2024-01-11)[2024-05-20].http://sxsyxcg.sxggzyjy.cn/HomePage/ShowDetailNew.aspx?InfoId=3684.
[5] 深圳公共资源交易中心.关于深圳医用耗材阳光交易和监管平台议价采购有关要求的通知[EB/OL].(2021-06-30)[2024-05-20].https://www.szggzy.com/jygg/details.html?contentId=1476970.
[6] 江苏省公立医疗机构药品(医用耗材)阳光采购联盟办公室.关于江苏省第四轮公立医疗机构医用耗材联盟带量采购谈判结果的公示(二)[EB/OL].(2020-12-15)[2024-05-20].http://ybj.jiangsu.gov.cn/art/2020/12/15/art_73935_9604351.html.
[7] 上海市医药集中招标采购事务管理所.关于取消杭州协合医疗用品有限公司中选资格并将该企业列入违规名单的公告[EB/OL].(2023-02-16)[2024-05-20].https://www.smpaa.cn/xxgk/gggs/2023/02/16/11660.shtml.
[8] 辽宁省医疗机构药品和医用耗材集中采购工作领导小组办公室.关于对2022年度医用耗材供应配送情况的通报[EB/OL].(2023-08-08)[2024-05-20].http://ggzy.ln.gov.cn/yphc/tzgg/hc/202308/t20230808_4833968.html.
[9] 国家医疗保障局.价格招采信用评价“特别严重”和“严重”失信评定结果(第9期)[EB/OL].(2024-04-30)[2024-05-20].http://www.nhsa.gov.cn/art/2024/4/30/art_126_12567.html.
[10] 广州交易集团有限公司(广州公共资源交易中心).关于广州市医疗机构新增超期未结算排行榜功能的通知[EB/OL].(2023-04-11)[2024-05-20].https://gpo.gzggzy.cn/webPortal/detail.html?infoId=1000336&CatalogId=2.
[11] 广西壮族自治区医疗保障局.加大力度治理集采欠款助力优化营商环境[EB/OL].(2024-04-07)[2024-05-20].http://ybj.gxzf.gov.cn/xwdt/bjdt/t18233639.shtml.
[12] 广西壮族自治区公共资源交易中心.关于公立医疗机构违规线下采购的情况通报[EB/OL].(2021-07-12)[2024-05-20].http://gxggzy.gxzf.gov.cn/yxcgptrk/yxcgpt_tzgg/tzgg_qt/t11744892.shtml.
[13] 通江县医疗保障局.通江县医疗保障局关于9家定点医疗机构药械违规线下采购的通报[EB/OL].(2022-12-14)[2024-05-20].http://ylbzj.cnbz.gov.cn/xxgk/tzgg/22104970.html.
[14] 湖北省医疗保障局.省医疗保障局关于全省医用耗材集中带量采购和使用情况的通报[EB/OL].(2022-10-10)[2024-05-20].http://ybj.hubei.gov.cn/zfxxgk/zc/qtzdgkwj/202210/t20221010_4338020.shtml.
[15] 北京市医疗保障局.关于开展国家组织人工关节集中带量采购执行情况自查整改和数据报送工作的通知[EB/OL].(2023-07-07)[2024-05-20].https://ybj.beijing.gov.cn/zczxs/2020_hcgga/202307/t20230707_3158090.html.
[16] 中国医疗保险.地方越来越“抱团”,将会带来哪些影响?[EB/OL].(2022-08-18)[2024-05-20].https://mp.weixin.qq.com/s?src=11×tamp=1718087635&ver=5315&signature=5-RBPPrWWG4EL3463xouAekAK4G8NOFrCrEIW1Wxvarwg7ivD0SvblzIG6wupgaQhLPWxoaOJwhMLXb3rM-voiXb3JiGwNSrlMZwIY3dc7VCVNAUWqYQWPmfanzWIpCY&new=1.
[17] 新华社.湖南发布医保工作人员十二条禁令[EB/OL].(2019-05-07)[2024-05-20].https://www.gov.cn/xinwen/2019-05/07/content_5389329.htm.
[18] 福建省医疗保障局.省医疗保障局发布工作人员十条禁令[EB/OL].(2019-06-20)[2024-05-20].https://ybj.fj.gov.cn/zwgk/jgdj/201906/t20190624_4906013.htm.