医疗器械网上招标采购过程中供应商的信用管理

结合军区医疗器械网上招标采购的工作实践．分析了在医疗器械网上招标采购过程中出现的各种供应商违规行为及其危害，剖析了导致这些行为的原因，提出了加强医疗器械网上招标采购供应商信用管理的建议。     

浅谈医疗设备网上招标存在的不足与对策

医疗设备网上招标是新生事物，其操作公开透明、高效简便。分析了网上招标系统在实际操作中的一些问题，并针对问题，从4个方面提出参与招标各方应采取的措施，从而使网上招标系统不断完善，发挥其便利、高效的特性。     

安徽大医院年内全部网上购药

安徽省卫生厅近日出台了《安徽省医疗机构网上药品集中招标采购工作实施方案》，提出力争到今年年底前，全省公立三级医院、省直医院全部实行药品网上集中招标采购；明年6月底前，全省公立二级以上医院将全部实行药品网上招标采购。     

参加医疗设备网上招标的实践

2004年6月，南京军区卫生部在全军卫生系统率先开展了医疗设备网上招标工作，经过半年多的运行，取得了显著的成绩。截至04年底，先后50余次成功地为全区30多家医院招标采购各类医疗设备265台件，价值近一亿元人民币，收到所属医院和有关供应商的欢迎。笔者有机会多次参加了医疗设备网上招标的具体工作，从电子标书制作、网上标书审核到网上评标。也曾多次参加军内外有关部门组织的传统集会式医疗设备招标。实践证明医疗设备网上招标相对于传统集会式医疗设备招标方式，确实有其独特的优势，有利于加强管理、提高效率、方便医院、节约经费，在此谈谈个人的一点认识。     

医疗卫生装备网上招标系统的应用

医疗卫生装备网上招标是现代计算机技术、通讯技术和电子商务技术相结合的产物，是一种新的招标方式。在使用网上招标系统时除了应注重标书制作的全面、规范外，还应注意以下问题：正确打开下栽视频会议插件网页，适当调节视频音响．正确调试视频图像等，才能顺利完成网上招标工作。     

医院网上招投标系统的建设与应用

介绍了创建以网络平台为基础的招标方法。将网络资源与邀请招标的方式相结合，形成一套完善的招投标系统，以此扩大供应商数量与范围，从中挑选出符合医院实际需要的供应商参加投标，使招投标工作更加行之有效。网上招投标系统的建设有助于提升医院物资集中采购的整体水平和降低医院的采购成本。     

药品集中招标采购过程中常见问题及解决方法

药品集中招标采购是推进医疗改革的重要环节,是降低药品价格、减轻患者负担,建立和谐社会的重要举措。分析了药品集中招标采购过程中存在药品招标代理收费问题;厂商的价格垄断,使药品竞争机制弱化;药品替代问题;招标药品的采购工作不规范的问题,并针对问题,提出了严格新药的审批和管理,规范药品招标采购行为;改进药品招标代理收费标准;合理制定招标药品组合,增强药品招标采购的科学性;加强医院用药规范管理;推广网上采购工作的解决方法。     

构建医疗设备招标采购新机制——访兰州军区医疗设备网上招标采购评标中心

2005年9月,兰州军区下发了“兰州军区医疗设备网上招标采购管理暂行办法”,标志着经过半年多的试运行,兰州军区医疗设备招标采购工作纳入了法制化、制度化、规范化的渠道,中央电视台也专题报道了军区的做法。这是继2004年南京军区实施这一措施后,又一个在全区推广这一做法的单位。2年多来,兰州军区在实践这一做法的同时,不断完善网上招标制度,医疗设备招标工作取得了卓有成效的成绩,积累了丰富的经验。本刊对该区做法进行了专访。     

崇尚荣誉管理,进一步加强供应商信用管理

根据军区开展医疗设备网上招标采购工作的实践经验,通过实行供应商诚信动态管理,进一步激励企业诚信守法经营,维护军区采购制度的严肃性,有力确保了上级赋予各项应急与日常采购任务的高效完成,推动了军区医疗设备网上招标采购工作的健康发展。     

构建医疗设备招标采购新机制——兰州军区开展医疗设备网上招标采购工作剪影

根据总部、军区关于物资及医疗设备采购管理有关规定和要求，兰州军区按照“统筹安排，严密组织，稳步实施，注重实效”的原则，经认真筹备，于2006年开始组织全区医疗设备网上招标采购试运行工作。军区和联勤部首长对此项工作高度重视，作出指示并提出了具体要求，审批通过了《兰州军区医疗设备网上招标采购暂行规定》。     

浅谈医疗设备网上招标的注意事项

采用网络招标采购系统，不仅使医院设备采购方便快捷、高效经济，而且做到公平、公正、公开，可最大限度地保证医疗机构和供应商的合法利益。同时指出了医疗机构和供应商参加网络招标的注意事项。     

军队卫生装备网上采购平台及模式的研究与应用

介绍了军队卫生装备网上采购平台及采购模式的研究成果,网上采购平台由采购中心服务系统、网络系统和客户端组成,实现全程网上在线招标、投标、评标和开标等功能,研究了网上采购的组织形式、技术手段和保障机制等运行模式,该系统具有投入低、效率高、安全方便、便于监督、快速扩展等特点。     

Joint Attention and Toddler Characteristics: Race, Sex and Socioeconomic Status

In studies of joint attention and sequences of interaction that foster joint attention, limited focus has been placed on toddler characteristics such as race, sex and socioeconomic status (SES). The purpose of the present study was to investigate the relationship between joint attention and toddler's race, sex and SES. Eighty-four dyads of diverse race, sex and SES were videotaped playing, and joint attention and initiating matemal bid sequences were coded. Joint attention related to a “persisting” mother, whether or not the toddler accepted the initial maternal bid. No race differences were found; however, females engaged in more frequent bouts of joint attention and had more frequent nonpersistent maternal responses after the bid was accepted. Finally, SES was generally unrelated to joint attention. The manner in which bids for joint attention transpired and the amount of joint attention that occurred was largely independent of the dyad's SES as measured here.     

专科医用耗材邀标方案的设计

为进一步加强医院医用耗材的采购管理，理顺进货渠道，降低医疗成本，对医用耗材进行邀标采购。邀标方案的设计分3个步骤：先确定招标品种及招标方式；再编制招标文件；最后进行评标及汇总结论。设计邀标方案要始终遵循公开、公平、公正和诚实守信的原则，经临床专家确认，坚持安全有效、经济实用等原则。     

Women physicians are early adopters of on-line continuing medical education

INTRODUCTION: On-line continuing medical education (CME) provides advantages to physicians and to medical educators. Although practicing physicians increasingly use on-line CME to meet their educational needs, the overall use of on-line CME remains limited. There are few data to describe the physicians who use this new educational medium; yet, they clearly are the innovators and early adopters who will facilitate the growth of this educational technology. It would be useful to instructional designers and CME developers to better understand the characteristics of this influential group. METHODS: We studied the actual use of several different on-line CME programs within three different groups of physicians. The on-line programs were developed as part of research studies funded by the National Institutes of Health, with no relationship to commercial interests. They were presented to physicians using mass mailouts (two physician groups) or personal contact and were accompanied by incentives to reduce resistance to the new technology. We compared the characteristics of physicians who chose to use these on-line programs with demographic data from larger populations representing the groups from which these users originated. RESULTS: We found that physicians who used these on-line CME programs were younger than average and, importantly, more likely to be female than expected. This finding was consistent across different types of physician populations and different types of CME programs. DISCUSSION: Based on data reflecting actual use of on-line CME, younger physicians appear to be adopting on-line CME more rapidly than others, and women physicians appear to be adopting on-line CME at a faster rate than their male counterparts. This latter finding conflicts with the impression provided by some survey-based studies that male physicians are more likely than female physicians to use on-line CME. The data suggest that the growth of on-line CME is most likely occurring in diffusion networks dominated by relatively new medical school graduates and, possibly, women physicians. These results provide valuable insight to those who seek to develop and market on-line CME and those who seek to reach women physicians with CME programs.     

药品招投标计算机管理系统设计开发

本文介绍了一种比较通用的中小型药品招标计算机管理系统的设计方法，该系统投入成本低，可以明显节省招投标单位的人力、物力，降低招标成本，缩短药品招投标周期，满足了医院药品统一招标采购的需要。     

ABC analysis helps to determine which drugs to bid purchase

The advantages of bid purchasing to both buyer and supplier are described and an explanation of how an ABC classification of inventory helps to determine which items should be bid upon is provided. The cost savings that resulted from bid purchasing of drugs by one hospital using an ABC analysis is also described.     

Shifts go up for bid: hospitals see boost in patient care, staff morale

Having hospital staff fill all shifts leads to consistency of care, greater quality. Nurses can earn much more, while hospital outlays are lower without agency fees. Productivity also improves when in-house staff fill positions up for bid.