Objective: Through in-depth analysis of the effects and problems of the centralized procurement policy of high-value medical consumables in a first-class a hospital in Shanghai, the paper evaluates the efficiency change of medical service, and puts forward suggestions accordingly, taking the centralized procurement of intraocular lens as an example. Methods: Through the literature research, Horn-meter model, projection-after implementation comparative analysis, case study and interview, we summarize rules and methods to provide a reference for the implementation of centralized procurement policy of high-value medical consumables. Conclusion: The government should continue to promote and guarantee the implementation of centralized procurement policy. Medical institutions should actively implement the policy, strengthen the construction of compensation mechanism, optimize the price structure of medical services and ensure the diversity of clinical products. Medical insurance departments should give full play to the guiding role of medical insurance and relieve the pressure of expenditure.
Key words
medical consumables /
procurement with quantity /
policy evaluation
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References
[1] 白宏. 不合作患者行白内障手术的麻醉方法[J].中国实用医药,2016,11(26):257-258.
[2] 国务院办公厅.关于印发治理高值医用耗材改革方案的通知[EB/OL].(2019-07-19)[2023-04-05].http://www.gov.cn/zhengce/content/2019-07/31/content_5417518.htm.
[3] VAN METER, D VAN HORN, C E.The Policy Implementation Process: A Conceptual Framework[J].Administration and Society,1975,6( 4):445-488.
[4] KIPO-SUNYEHZI D D.Perspectives on Public Policy Implementation in Developing World Context: The Case of Ghana's Health Insurance Scheme[J].Public Organization Review,2022,22:611-621.
[5] 陈永超,王芳,丁雪,等.我国婚检政策执行分析——基于米特—霍恩模型[J].中国卫生政策研究,2016,9(5):24-29.
[6] 高奇龙,孙雪姗,魏景明,等.义乌市完善职工医保个人账户政策效果的评价研究——基于“投射——实施后”对比分析法[J].中国卫生政策研究期刊,2019,12(10),8-14.
[7] 索丽君,袁焱,苟莉莉,等.某医院前三位恶性肿瘤住院费用影响因素分析[J].中国病案,2019,20(10):78-82.
[8] 文小焱,陈俐,潘惊萍,等.2015年-2018年四川省恶性肿瘤住院患者医疗费用分析[J].中国病案,2020,21(9):60-63.
[9] 刘新奎,杨林朋.疾病诊断相关分组( DRG) 在我国的发展与应用[J].中华医学图书情报杂志,2018,27(8):48-51.
[10] 许建强,胥敏,徐凌忠,等.基于病案系统的肺癌患者住院费用分布及影响因素研究[J].中国农村卫生事业管理,2019,39(3):195-198,202.