集采背景下医用耗材的发展所产生的影响及挑战

The Impact and Challenges of the Development of Medical Consumables under the Background of Centralized Procurement

摘要: 集采是我国一项创新性举措，其目的是使药品、医用耗材以及医疗设备大幅降价的同时，又使其质量与疗效得到保证；减轻患者的医疗负担，为人民的幸福健康提供保障。回顾历史进程，我国集采制度的推进稳步向前，各项政策一脉相承。本文着重分析医用耗材的集采对器械厂商、医务人员及患者三方面的影响，结合对一线医务人员的问卷调查，为评估政策效果提供微观实证。同时，本文也探讨了集采政策面临的问题与挑战，以期为集采制度的不断完善提供参考。

Abstract: Centralized procurement is an innovative initiative in China, aimed at significantly lowering the prices of medicines, medical consumables, and medical devices while ensuring their quality and efficacy; it also seeks to reduce the medical burden on patients and safeguard the health and well-being of the people. Looking back at the historical process, the advancement of China’s centralized procurement system has been steady, with various policies being consistent and coherent. This article focuses on analyzing the impact of centralized procurement of medical consumables on medical device manufacturers, healthcare professionals, and patients, supplemented by survey data from frontline medical staff to provide micro-level empirical evidence for evaluating policy effects. Additionally, this paper discusses the problems and challenges faced by the centralized procurement policy, aiming to offer references for its continuous improvement.