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<section data-style-type="4" data-tools="新媒体排版" data-id="8543"><p><p><img src="image/20200927/235c83affac5bc02eabfc30ba93569c1_1.gif" /></p></p></section><p><br /></p><p><span>来源：医疗器械经销商联盟整理</span></p><p><span>作者：联盟菌</span></p><p><span>24小时后方可转载</span></p><p><span></span><br /></p><section data-role="outer" label="Powered by gulangu"><section data-role="paragraph"><section data-tools="gulangu" data-id="88767" data-color="#0070c0" data-custom="#0070c0"><section><section><section><span>“</span><section></section></section><section><p><span>国家卫健委一纸通知，567个县、118个市先行，每个市、县公立医疗机构组成的医联体，要建统一药品耗材管理平台，实现全市、县耗材统一配送、结算货款！</span></p></section><section><section><br /></section><span>”</span></section></section></section></section><p><br /></p><p><br /></p><section data-tools="gulangu" data-id="94151" data-color="#0070c0" data-custom="#0070c0"><section><section><section><section></section><section></section></section><section></section><section><section data-brushtype="text"><strong>118个市+567个县，公立医疗机构耗材药品统一配送支付</strong></section><section data-bgless="spin" data-bglessp="280" data-bgopacity="80%" data-width="100%"></section></section><section><section></section><section></section></section><section></section></section></section></section><p><span>8月30日，国家卫生健康委、国家中医药管理局正式发布了《关于印发紧密型县域医疗卫生共同体建设试点省和试点县名单的通知》。</span></p><p><br /></p><p><strong><span>全国县域紧密型医共体建设试点县名单正式出炉，试点县的数量从原来遴选公布的500个增加到了567个。</span></strong><span>同时，还增加了山西省和浙江省2个省级试点。</span></p><p><br /></p><p><span><p><img src="image/20200927/4006dee87e535ff202596831142e5844_2.png" /></p></span></p><p><br /></p><p><span>就在此前8月13日，国家卫健委、国家中医药局发布《关于印发城市医疗联合体建设试点城市名单的通知》。<strong><span>确定了118个城市医联体建设试点城市。</span></strong></span></p><p><br /></p><p><span><strong><span><p><img src="image/20200927/dc73dc091f02ece1931b654544ab6cd4_3.png" /></p></span></strong></span></p><p><br /></p><p><span>而在今年年初，国家卫健委就表态，今年将大力推进医疗联合体建设试点，在全国建设100个城市医疗集团和500个县域医疗共同体。<strong><span>不到一年时间，所有试点城市、县名单已经全部确定了！</span></strong></span></p><p><br /></p><p><span><strong><strong>试点县域医共体的</strong>567个县名单</strong></span></p><p><br /></p><p><span><span>↓</span>滑动下图查看<span>↓</span></span></p><section data-tools="gulangu" data-id="72469" data-color="#f5f5f4" data-custom="#f5f5f4"><section data-width="100%"><section><section data-autoskip="1" data-style="clear: none; margin-top: 0px; margin-bottom: 0px; line-height: 1.5em; text-align: right; color: inherit; border-color: rgb(239, 112, 96);"><p><p><img src="image/20200927/092a6f2ed627580427fc99e222fadb73_4.png" /></p><br /></p><section><section><p><img src="image/20200927/f07ec18ac64f5278d730ef538285d238_5.png" /></p></section></section><section><section><p><img src="image/20200927/4916d2123a9060fdadec15c4f7844fd1_6.png" /></p></section></section><section><section><p><img src="image/20200927/eb7094172641fe98abb95a48952c8eba_7.png" /></p></section></section><section><section><p><img src="image/20200927/d4518dec24e969523990bd3585d8fdcb_8.png" /></p></section></section><section><section><p><img src="image/20200927/c1c97bd9221b470308270496a4e03a91_9.png" /></p></section></section><section><section><p><img src="image/20200927/4c5bf87417a1e4731ccbb9a11f96f03f_10.png" /></p></section></section><section><section><p><img src="image/20200927/69a79955e91afe574a4e2a8115ea13de_11.png" /></p></section></section><section><section><p><img src="image/20200927/f91646742af37e0970d87949c54b441c_12.png" /></p></section></section><section><section><p><img src="image/20200927/3833c5c88f12fc2770f432dbb1a37af8_13.png" /></p></section></section><section><section><p><img src="image/20200927/edf4e59f2d2c6ee96980b9d198b64006_14.png" /></p></section></section><section><section><p><img src="image/20200927/5f2d5a3a05d2074e942123ec4639f668_15.png" /></p></section></section><section><section><p><img src="image/20200927/1cf8a1095633e79d6afb629365aedf9a_16.png" /></p></section></section><section><section><p><img src="image/20200927/5d1514895f6f770221fcaa1e4db5b94e_17.png" /></p></section></section><section><section><p><img src="image/20200927/d9df759bcf5db4be64b878e5f1597f97_18.png" /></p></section></section><section><section><p><img src="image/20200927/eb1e6aea834c42125c33a74b61b9813b_19.png" /></p></section></section><section><section><p><img src="image/20200927/73683aa8d40f789fafa94fa7c161c7f7_20.png" /></p></section></section><section><section><p><img src="image/20200927/dceea24c37872819b69a59d4aa09e665_21.png" /></p></section></section><section><section><p><img src="image/20200927/a6f9c877ac5ba609cb66bc9a55c89e0a_22.png" /></p></section></section><section><section><p><img src="image/20200927/5de5672070d629753a8cbb179286edd5_23.png" /></p></section></section><section><section><p><img src="image/20200927/d38ebbe3968d8fb733feccb087634a38_24.png" /></p></section></section><section><section><p><img src="image/20200927/a8cc94d504c35490dced9ddf8560b8ec_25.png" /></p></section></section><section><section><p><img src="image/20200927/002969c66f3acdbc4f55cb5d8de1892f_26.png" /></p></section></section><section><section><p><img src="image/20200927/6475cb32750e7c6b162e14156cbfbd37_27.png" /></p></section></section><section><section><p><img src="image/20200927/7bc40f024661f20a26945a3d0ab4ba71_28.png" /></p></section></section><section><section><p><img src="image/20200927/7823a76097b5314df16dfdb7c4bfa0ef_29.png" /></p></section></section><section><section><p><img src="image/20200927/cdfd7fb5b915d707572f7501581e6bbb_30.png" /></p></section></section><section><section><p><img src="image/20200927/f62091a0a8935e467b1eccaebc55bb28_31.png" /></p></section></section><section><section><p><img src="image/20200927/7593dc34c54db9ff8f81214dcc1c2fa9_32.png" /></p></section></section><p><br /></p><p>终于被你滚到底了<br /></p></section></section></section></section><p><br /></p><p><span><strong>试点城市医联体</strong></span><span><strong>的118个市名单</strong></span></p><p><br /></p><p><span>↓滑动下图查看↓</span></p><section data-tools="gulangu" data-id="72469" data-color="#f5f5f4" data-custom="#f5f5f4"><section data-width="100%"><section><section data-autoskip="1" data-style="clear: none; margin-top: 0px; margin-bottom: 0px; line-height: 1.5em; text-align: right; color: inherit; border-color: rgb(239, 112, 96);"><p><p><img src="image/20200927/e54ba83245cadd1b0178026a4eb86451_33.png" /></p><br /></p><p><br /></p><p>终于被你滚到底了<br /></p></section></section></section></section><p><span>早前发布的城市医联体喝县域医共体建设国家文件中，就明确提出：</span></p><p><br /></p><section data-tools="gulangu" data-id="94554" data-color="#0070c0" data-custom="#0070c0"><section data-width="100%"><section><section><section data-autoskip="1"><p><span>加强城市医联体一体化管理。逐步实现医联体内行政管理、医疗业务、公共卫生服务、后勤服务、信息系统统一管理，统筹医联体内基础建设、物资采购和设备配置，主动控制运行成本。<strong><span>建立医联体内统一药品耗材管理平台，实现采购数据共享、处方自由流动、一体化配送支付；</span></strong></span></p><p><br /></p><p><strong><span>加强县域医共体实行药品耗材统一管理，统一用药目录、统一采购配送、统一支付货款。</span></strong><span>有条件的地区，要打破县域内不同医共体之间的区别，探索县域内药品耗材的统一管理和采购配送等。</span></p></section></section></section></section></section><p><br /></p><p><span>一个市医联体、一个县医共体内医疗机构要实现人事调配权、经营管理权、资产使用权一体化管理，<strong><span>并且建立统一药品耗材管理平台，实现药品耗材统一配送、结算货款。这意味着城市医联体、县域医共体的建设都进入紧密型医联体建设阶段！</span></strong></span></p><p><br /></p><p><span>567个县、118个市先行，城市医联体、县域医共体内要实现开始执行药品耗材统一采购、统一支付、统一配送的等工作，<strong><span>这就意味着，城市医联体内、县域医共体内的医疗机构将居于从属地位，从管理运营权的移交，到自我采购选择权的丧失或减弱将成必然！</span></strong></span></p><p><br /></p><p><strong><span>这也将直接导致城市医联体、县域医共体将利用更大的体量实行“联合议价”，对于大批耗材生产企业和代理商来说，意味着都必须得降价，要不就得出局！</span></strong></p><p><br /></p><p><span>另一方面，城市医联体、县域医共体内统一配送，货款统一结算，意味着在货款结算方面有可能更加及时，<strong><span>另一方面也意味着原有的配送商将面临新一轮的筛选和淘汰，配送关系迎来新的洗牌！</span></strong></span></p><p><br /></p><section data-tools="gulangu" data-id="94151" data-color="#374aae" data-custom="#374aae"><section><section><section><section></section><section></section></section><section></section><section><section data-brushtype="text"><strong>紧密型医联体全国铺开！耗材采购配送模式巨变！</strong></section><section data-bgless="spin" data-bglessp="280" data-bgopacity="80%" data-width="100%"></section></section><section><section></section><section></section></section><section></section></section></section></section><p><br /></p><p><span>目前国家试点的城市医联体、县域医共体都是紧密型医联体。</span></p><p><br /></p><p><span>构建紧密型医联体，通过托管或兼并等方式实现医院经营权和管理权分离，进行人、财、物的深度整合。对医联体的人事调配权、经营管理权、资产使用权统一调配，提高资源调配效率，促进分级诊疗体系形成是一种可行的方式。</span></p><p><br /></p><p><p><img src="image/20200927/7a750763557c63bd4e5daf7623d3f2f2_34.jpg" /></p></p><p><p><img src="image/20200927/4a5a357b4bfc71eacd3beb163bc479e2_35.png" /></p></p><p><br /></p><p><strong><span>全国567个县、118个市率先试点紧密型医联体，这意味着耗材采购模式迎来又一轮变革！上至市三级公立医院，下至乡村卫生室，耗材采购配送即将统一！</span></strong></p><p><br /></p><section data-tools="gulangu" data-id="93196" data-color="#0070c0" data-custom="#0070c0"><section><section><section><p><img src="image/20200927/d0768e79799985a4619b186fb9ca2107_36.gif" /></p></section><section><section></section><section><section data-brushtype="text"><strong>对于流通环节的影响有多大呢？</strong></section></section></section></section></section></section><p><br /></p><p><span>举个小例子，山西吉县医疗集团此前公布《医用耗材配送企业遴选项目招标公告》.</span></p><p><br /></p><section data-tools="gulangu" data-id="94554" data-color="#0070c0" data-custom="#0070c0"><section data-width="100%"><section><section><section data-autoskip="1"><p><span>吉县目前共有卫生机构及诊所119个，其中县级医院6个，乡镇卫生院8个，村级卫生室79个，诊所26个。<strong><span>现在这个由119家医疗机构组成的医疗集团，进行集团内所有医用耗材统一配送，而且仅遴选8家配送商。</span></strong></span></p><p><br /></p><p><span>从《公告》对投标配送企业的资质要求来看，<strong><span>配送能力、注册资金实力、专业服务人员结构、配送服务质量、企业信誉程度、达到两票制的能力和履行合同情况等综合实力是重要准入条件。</span></strong></span></p></section></section></section></section></section><p><br /></p><p><span>城市医联体内以三级医院为龙头，若干专科医院，综合医院，社区医院统一采购、配送、货款结算；县级医共体以县级医联体为龙头，若干乡镇卫生院、村卫生室实现统一采购、配送、货款结算。<strong><span>这意味着以大体量优选供应商、配送商，也就对不合格的配送企业进行新一轮的过滤和绞杀，同时对于能够最终合格的配送企业能力、服务也提出更高的要求！</span></strong></span></p></section></section><p><br /></p>
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发表于 2020-9-27 07:21:42