目的：聚焦医用耗材集采报量环节,剖析流程中的实际困难与管理瓶颈,为提升报量工作的准确性、时效性与规范性提供实证依据。方法：采用半结构化深度访谈法,选取某市5家代表性公立医院,围绕报量流程、数据审核、异常处理以及政策执行等核心内容开展调研与分析。结果：研究发现报量工作主要存在漏报、不及时和准确性不足三大问题,其根源涉及医院制度流程缺陷、重视程度不足、激励机制缺乏等多方面因素。结论：建议医院优化报量制度流程体系、压实管理主体责任、定制合理的激励约束机制,并提升医用耗材院内信息化管理水平。

Objective: Focusing on the stage of volume reporting for centralized procurement of medical consumables, the paper analyzes the practical difficulties and management bottlenecks in the process, providing empirical evidence for improving the accuracy, timeliness, and standardization of volume reporting work. Method: Using semi-structured in-depth interviews, five representative public hospitals in a city were selected to conduct research and analysis around core contents such as volume reporting process, data review, exception handling, and policy implementation. Result: The study found that there are three major problems in the volume reporting work, including underreporting, untimely reporting, and insufficient accuracy. The root causes involve multiple factors such as deficiencies in hospital system and process, insufficient prioritization, and the lack of incentive mechanisms. Conclusion: It is recommended to optimize the in-hospital volume reporting system and process framework, solidify the main responsibility for management, customize a reasonable incentive and restraint mechanism, and enhance the informatization management level of medical consumables in the hospital.