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<p><span style="line-height: 25.6px; color: rgb(62, 62, 62); font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; font-size: 16px; max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;">医用耗材的市场遍布全国大大小小所有的医疗机构,历来是医疗器械销售的主战场。在耗材招标大降价席卷全国背景下,医院耗材托管又浮出水面,</span><span style="line-height: 25.6px; color: rgb(62, 62, 62); font-size: 16px; max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;">中小医疗器械耗材经销商</span><span style="line-height: 25.6px; color: rgb(62, 62, 62); font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; font-size: 16px; max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;">将</span><span style="line-height: 25.6px; color: rgb(62, 62, 62); font-size: 16px; max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;">雪上加霜</span><span style="line-height: 25.6px; color: rgb(62, 62, 62); font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; font-size: 16px; max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;">。</span></p><p><span style="line-height: 25.6px; color: rgb(62, 62, 62); font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; font-size: 16px; max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;"><br /></span></p><p style="text-align: center;"><span style="line-height: 25.6px; color: rgb(62, 62, 62); font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; font-size: 16px; max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/A1DicCH9Vl6PxOHe1ichd19vOOUpEPJ1qsLW1krB4ckObFOicaFAaBqo14RP43eHyv0TbCPG2FTkdbZkLZ7CtjAeQ/0?wx_fmt=jpeg" data-ratio="0.75" data-w="320" /><br /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; color: rgb(20, 59, 186); font-weight: bold; box-sizing: border-box !important; word-wrap: break-word !important;">医疗机构建立耗材托管小组,实施耗材托管</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-weight: bold; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">耗材由于其种类丰富,规格多,从而形成了品种多,价格参差不齐的现状。再加上为照顾关系而购进的“洋,新,贵”的耗材,增加患者负担;耗材采购不规范容易出现严重浪费。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">由于品种多,出现了厂家促销,医生使用容易受利益驱使,为商业贿赂提供了条件;品种多,管理、库存、使用工程繁、杂、乱,遭成了患者不满意、医务人员不满意、耗材公司不满意、医院不满意的"四不满意"。正是由于这些诸多弊端才会出现耗材托管这个名词。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">南京市是最先实施耗材托管的城市,其结果是:努力减轻患者负担,实现了市委提出的“防腐、增效、惠民”的目标,达到了群众得实惠、医院得发展、</span><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">托管</span><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">公司得利润、政府树形象的“四赢”效果,得到了社会方方面面关注和广泛认可。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; text-indent: 32px; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; text-indent: 32px; box-sizing: border-box !important; word-wrap: break-word !important;">实行耗材托管后,质优价廉的耗材使用降低了患者费用,节约了医疗费用的支出,同时通过托管挤出利润让利于民,医院有50%以上品种耗材不收取患者费用,收费耗材在进价基础上只加收10%,各项服务得到了理解和认可,患者更加信任医院,行风的各项检查评比中满意度在不断提升,群众满意度在97%以上。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; text-indent: 32px; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; text-indent: 32px; box-sizing: border-box !important; word-wrap: break-word !important;">当然政府设计该项措施的目的和初衷是好的,但是如果监管和操作不当还是会产生一些弊端和社会影响的,首当其冲就是影响到众多中小经销商的生存状况,进而转化为有可能影响其对医院的服务质量不能保证。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(20, 59, 186); font-family: 宋体; font-weight: bold; box-sizing: border-box !important; word-wrap: break-word !important;">医院实行耗材托管,等于给中、小型器械耗材经销商判了远期死刑</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-weight: bold; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">举个典型的例子,上海东方医院将全院药品、高值耗材的采购权都委托给一家供应商,其结果是该医院的运营成本大大减少。该院统一集中采购之前,骨科、心内科、检验科分别对接厂商23家、43家、51家;统一采购后,骨科类仅对接2家,心脏支架2家,检验科1家。由原来的117家,缩减至5家,减少了96%。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">若医院都像东方医院这样做的话,那么中国的耗材市场</span><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">中的中小经销商短期面临利润再次被扒皮,和医院直接关系中断,只能通过统一采购商和医院产生关系,长期来看遇到其他的风水草动,中小经销商将与医院彻底绝缘,导致企业破产。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">另一方面,托管了医院</span><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">耗材</span><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">就等于垄断了医院的医疗器械供应渠道,由于一家独大,托管企业替代医疗机构掌控了上游供应商进入医院销售的入口,谁想要进</span><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">耗材</span><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">谁就要给其返利,他们</span><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">会对医疗器械</span><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">耗材经销企业或</span><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">生产企业提出高额的扣率要求,并将其中产生的利润由托</span><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">管方</span><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">和相关人员</span><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">共同分享,与医疗器械</span><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">经销企业和</span><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">生产企业再谈判不可避免。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; line-height: 25.6px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: Calibri; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">再者说,国家一直在抓商业贿赂。特别是医械圈内的,抓的很严。但为什么商业贿赂的案例还是比比皆是,层出不穷?原因就是没有根治贿赂现象。医院实施耗材托管,耗材</span><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">经销和生产</span><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">企业如何有更大的机会拿到订单?那就只有和医生套近乎了呗,这样不又为耗材企业贿赂医院提供了理由吗?</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 16px; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif; line-height: 26px; box-sizing: border-box !important; word-wrap: break-word !important; background: rgb(255, 255, 255);"><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">耗材托管好不好?其实每个办法和政策的实施都是双刃剑,利好了一方绝对会亏损一方</span><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">,</span><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">很难达到双方和多方的共赢</span><span style="max-width: 100%; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">。我们应该辨证的看待耗材托管问题。而政府更应该</span><span style="max-width: 100%; font-family: 宋体; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;">出台一些配套的监管和处罚机制,来保证政府的好心能够给广大老百姓带来实惠,同时又不要因为此而断了众多中小器械耗材经销商们的活路!</span></p><section class="pEditor " style="line-height: 25.6px; 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