導語：醫療設(she)備經(jing)濟合同(tong)規(gui)范管(guan)理一文來源于網友上傳，不代(dai)表(biao)本站(zhan)觀點(dian)，若需要原創(chuang)文章可咨(zi)詢(xun)客服老師，歡(huan)迎參考。

摘要：文章立足于我國公立醫院醫療設備經濟合同管理實際情況，從制度、合同執行、合同簽署授權等方面闡述了各地公立醫院醫療設備經濟合同管理存在的問題，然后有針對性地提出了相關規范管理的對策。

關鍵詞：醫(yi)療(liao)設備采購(gou)；醫(yi)療(liao)設備經(jing)濟合(he)同(tong)(tong)；合(he)同(tong)(tong)管理；公(gong)立醫(yi)院(yuan)；內部控制

醫(yi)(yi)(yi)療(liao)(liao)(liao)設備(bei)經濟(ji)(ji)合(he)(he)同(tong)(tong)是醫(yi)(yi)(yi)院(yuan)和外部企業發生交易行(xing)為或(huo)(huo)者經濟(ji)(ji)往來(lai)的(de)重要基礎性依(yi)據，是醫(yi)(yi)(yi)院(yuan)經濟(ji)(ji)管(guan)理(li)(li)(li)、內部管(guan)理(li)(li)(li)的(de)重要構成部分。現如今，我國公立醫(yi)(yi)(yi)院(yuan)作為市場經濟(ji)(ji)環(huan)境下(xia)的(de)經濟(ji)(ji)實(shi)體，需(xu)要在提高醫(yi)(yi)(yi)療(liao)(liao)(liao)水準(zhun)、公共服務水準(zhun)的(de)同(tong)(tong)時(shi)，加強(qiang)設備(bei)經濟(ji)(ji)合(he)(he)同(tong)(tong)的(de)有(you)(you)效(xiao)管(guan)理(li)(li)(li)。在實(shi)踐(jian)中(zhong)，醫(yi)(yi)(yi)療(liao)(liao)(liao)設備(bei)經濟(ji)(ji)合(he)(he)同(tong)(tong)涉(she)及到申請、論證、招投(tou)標、評標、會簽(qian)、審查(cha)、登記、歸檔、執行(xing)等等環(huan)節，在這(zhe)些(xie)環(huan)節中(zhong)醫(yi)(yi)(yi)院(yuan)各個部門(men)(men)需(xu)要有(you)(you)機配合(he)(he)，同(tong)(tong)時(shi)需(xu)要有(you)(you)專門(men)(men)的(de)管(guan)理(li)(li)(li)部門(men)(men)統一(yi)協(xie)調(diao)或(huo)(huo)者有(you)(you)效(xiao)管(guan)理(li)(li)(li)。在具體工(gong)作落實(shi)的(de)過(guo)程(cheng)中(zhong)，常出(chu)現一(yi)些(xie)行(xing)政程(cheng)序以及管(guan)理(li)(li)(li)措施方面的(de)問題，各地醫(yi)(yi)(yi)院(yuan)醫(yi)(yi)(yi)療(liao)(liao)(liao)設備(bei)經濟(ji)(ji)合(he)(he)同(tong)(tong)管(guan)理(li)(li)(li)表現出(chu)一(yi)定的(de)粗(cu)放(fang)性特(te)征。因此，當下(xia)需(xu)要對醫(yi)(yi)(yi)院(yuan)醫(yi)(yi)(yi)療(liao)(liao)(liao)設備(bei)經濟(ji)(ji)合(he)(he)同(tong)(tong)的(de)規(gui)范管(guan)理(li)(li)(li)進(jin)行(xing)系統梳理(li)(li)(li)，以為相(xiang)關工(gong)作提供可靠的(de)參考借(jie)鑒。

一、醫(yi)院醫(yi)療設備(bei)經濟合同管理(li)普遍(bian)存在的(de)現(xian)實問題

（一）醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)無章可循(xun)。長久以來，各(ge)地公立(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)均采(cai)(cai)取(qu)粗放化的(de)(de)(de)(de)(de)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)模(mo)式(shi)，領(ling)(ling)導、管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)人(ren)(ren)員(yuan)對(dui)于醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)工作(zuo)(zuo)(zuo)的(de)(de)(de)(de)(de)認識(shi)不(bu)(bu)(bu)夠深刻，許(xu)多公立(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)缺少(shao)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)制(zhi)度，從招投(tou)標到(dao)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)執(zhi)(zhi)行(xing)(xing)，行(xing)(xing)政管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)程(cheng)序不(bu)(bu)(bu)科學，表(biao)現(xian)出一定的(de)(de)(de)(de)(de)隨意性。部(bu)(bu)(bu)(bu)(bu)分公立(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)雖然有(you)(you)(you)相(xiang)(xiang)關的(de)(de)(de)(de)(de)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)制(zhi)度，但(dan)(dan)是(shi)(shi)(shi)制(zhi)度多不(bu)(bu)(bu)符合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)實際情(qing)況，缺乏操作(zuo)(zuo)(zuo)性，在(zai)實踐(jian)中(zhong)往(wang)往(wang)流(liu)于形式(shi)，無法(fa)(fa)有(you)(you)(you)效(xiao)落(luo)實①。（二）醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)執(zhi)(zhi)行(xing)(xing)松散。各(ge)地公立(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)所采(cai)(cai)取(qu)的(de)(de)(de)(de)(de)傳統(tong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)模(mo)式(shi)，主(zhu)(zhu)要由(you)各(ge)個(ge)(ge)(ge)(ge)職(zhi)能(neng)部(bu)(bu)(bu)(bu)(bu)門(men)(men)協同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)運作(zuo)(zuo)(zuo)，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)行(xing)(xing)政辦公室往(wang)往(wang)只負(fu)責進行(xing)(xing)初步的(de)(de)(de)(de)(de)審(shen)(shen)核(he)以及蓋章，合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)執(zhi)(zhi)行(xing)(xing)過程(cheng)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)極為(wei)(wei)松散②。盡(jin)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)各(ge)個(ge)(ge)(ge)(ge)部(bu)(bu)(bu)(bu)(bu)門(men)(men)有(you)(you)(you)專人(ren)(ren)負(fu)責合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)，但(dan)(dan)是(shi)(shi)(shi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)想要全(quan)面(mian)掌控(kong)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)(de)(de)簽(qian)(qian)(qian)訂(ding)(ding)過程(cheng)、執(zhi)(zhi)行(xing)(xing)過程(cheng)極為(wei)(wei)困(kun)難。（三）醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)簽(qian)(qian)(qian)署(shu)授(shou)權(quan)相(xiang)(xiang)對(dui)模(mo)糊。“授(shou)權(quan)”模(mo)糊是(shi)(shi)(shi)諸(zhu)多公立(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)過程(cheng)中(zhong)出現(xian)的(de)(de)(de)(de)(de)主(zhu)(zhu)要問題之一，許(xu)多公立(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)因管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)模(mo)式(shi)較為(wei)(wei)粗放，各(ge)個(ge)(ge)(ge)(ge)職(zhi)能(neng)部(bu)(bu)(bu)(bu)(bu)門(men)(men)、各(ge)個(ge)(ge)(ge)(ge)崗位的(de)(de)(de)(de)(de)權(quan)責沒有(you)(you)(you)明晰，合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)簽(qian)(qian)(qian)訂(ding)(ding)往(wang)往(wang)由(you)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)辦人(ren)(ren)員(yuan)代(dai)表(biao)法(fa)(fa)人(ren)(ren)或者(zhe)職(zhi)能(neng)部(bu)(bu)(bu)(bu)(bu)門(men)(men)負(fu)責人(ren)(ren)代(dai)表(biao)法(fa)(fa)人(ren)(ren)簽(qian)(qian)(qian)訂(ding)(ding)，簽(qian)(qian)(qian)字效(xiao)力有(you)(you)(you)待商榷③。部(bu)(bu)(bu)(bu)(bu)分公立(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)用章不(bu)(bu)(bu)夠嚴(yan)謹，不(bu)(bu)(bu)具(ju)(ju)備(bei)(bei)(bei)(bei)法(fa)(fa)人(ren)(ren)資(zi)格(ge)的(de)(de)(de)(de)(de)部(bu)(bu)(bu)(bu)(bu)門(men)(men)直接利(li)用公章對(dui)外簽(qian)(qian)(qian)訂(ding)(ding)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)，或者(zhe)以職(zhi)能(neng)部(bu)(bu)(bu)(bu)(bu)門(men)(men)用章代(dai)替醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)公章簽(qian)(qian)(qian)訂(ding)(ding)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)，這不(bu)(bu)(bu)僅僅是(shi)(shi)(shi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)的(de)(de)(de)(de)(de)重(zhong)(zhong)大(da)缺陷，同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)時也是(shi)(shi)(shi)公立(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)內(nei)部(bu)(bu)(bu)(bu)(bu)控(kong)制(zhi)的(de)(de)(de)(de)(de)重(zhong)(zhong)大(da)漏洞。（四）醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)簽(qian)(qian)(qian)署(shu)流(liu)程(cheng)不(bu)(bu)(bu)夠規范。各(ge)大(da)公立(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)內(nei)部(bu)(bu)(bu)(bu)(bu)控(kong)制(zhi)往(wang)往(wang)將(jiang)資(zi)金支(zhi)付(fu)(fu)過程(cheng)作(zuo)(zuo)(zuo)為(wei)(wei)重(zhong)(zhong)要檢查(cha)(cha)環(huan)節，資(zi)金支(zhi)付(fu)(fu)有(you)(you)(you)嚴(yan)格(ge)的(de)(de)(de)(de)(de)授(shou)權(quan)審(shen)(shen)批(pi)制(zhi)度，需(xu)要經(jing)(jing)(jing)(jing)(jing)(jing)(jing)過繁瑣的(de)(de)(de)(de)(de)審(shen)(shen)核(he)流(liu)程(cheng)、審(shen)(shen)批(pi)流(liu)程(cheng)，重(zhong)(zhong)大(da)款項的(de)(de)(de)(de)(de)支(zhi)付(fu)(fu)甚至需(xu)要領(ling)(ling)導班子的(de)(de)(de)(de)(de)集體(ti)討(tao)論(lun)，各(ge)個(ge)(ge)(ge)(ge)部(bu)(bu)(bu)(bu)(bu)分的(de)(de)(de)(de)(de)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)工作(zuo)(zuo)(zuo)環(huan)環(huan)相(xiang)(xiang)扣。但(dan)(dan)許(xu)多醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)都(dou)(dou)沒有(you)(you)(you)將(jiang)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)上升到(dao)支(zhi)付(fu)(fu)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)等(deng)(deng)高度，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)領(ling)(ling)導、管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)人(ren)(ren)員(yuan)往(wang)往(wang)覺得醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)簽(qian)(qian)(qian)署(shu)并(bing)不(bu)(bu)(bu)是(shi)(shi)(shi)資(zi)金支(zhi)付(fu)(fu)行(xing)(xing)為(wei)(wei)，只需(xu)要把控(kong)好(hao)資(zi)金支(zhi)付(fu)(fu)關口(kou)便萬事大(da)吉(ji)。但(dan)(dan)是(shi)(shi)(shi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)簽(qian)(qian)(qian)署(shu)后(hou)便具(ju)(ju)有(you)(you)(you)了(le)法(fa)(fa)律(lv)(lv)效(xiao)益，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)必須根(gen)據法(fa)(fa)律(lv)(lv)法(fa)(fa)規執(zhi)(zhi)行(xing)(xing)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)，而(er)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)往(wang)往(wang)涉(she)(she)及到(dao)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)重(zhong)(zhong)大(da)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)支(zhi)付(fu)(fu)行(xing)(xing)為(wei)(wei)，所以醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)的(de)(de)(de)(de)(de)不(bu)(bu)(bu)重(zhong)(zhong)視有(you)(you)(you)可能(neng)導致(zhi)(zhi)(zhi)出現(xian)嚴(yan)重(zhong)(zhong)的(de)(de)(de)(de)(de)法(fa)(fa)律(lv)(lv)糾紛(fen)④。另外，有(you)(you)(you)相(xiang)(xiang)當一部(bu)(bu)(bu)(bu)(bu)分公立(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)的(de)(de)(de)(de)(de)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)內(nei)部(bu)(bu)(bu)(bu)(bu)控(kong)制(zhi)機制(zhi)都(dou)(dou)不(bu)(bu)(bu)完善，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)談判、簽(qian)(qian)(qian)訂(ding)(ding)、執(zhi)(zhi)行(xing)(xing)往(wang)往(wang)由(you)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)一個(ge)(ge)(ge)(ge)部(bu)(bu)(bu)(bu)(bu)門(men)(men)負(fu)責，缺少(shao)相(xiang)(xiang)互(hu)監督(du)、相(xiang)(xiang)互(hu)制(zhi)約的(de)(de)(de)(de)(de)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)機制(zhi)。（五）醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)行(xing)(xing)為(wei)(wei)不(bu)(bu)(bu)夠明晰醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)往(wang)往(wang)涉(she)(she)及到(dao)資(zi)信調查(cha)(cha)、審(shen)(shen)查(cha)(cha)、會(hui)簽(qian)(qian)(qian)、審(shen)(shen)核(he)、簽(qian)(qian)(qian)訂(ding)(ding)、登記、執(zhi)(zhi)行(xing)(xing)等(deng)(deng)等(deng)(deng)多個(ge)(ge)(ge)(ge)方面(mian)的(de)(de)(de)(de)(de)內(nei)容，不(bu)(bu)(bu)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)環(huan)節工作(zuo)(zuo)(zuo)涉(she)(she)及到(dao)不(bu)(bu)(bu)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)(de)(de)職(zhi)能(neng)部(bu)(bu)(bu)(bu)(bu)門(men)(men)，若(ruo)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)缺少(shao)明確的(de)(de)(de)(de)(de)流(liu)程(cheng)以及沒有(you)(you)(you)明確各(ge)個(ge)(ge)(ge)(ge)流(liu)程(cheng)的(de)(de)(de)(de)(de)權(quan)責，就(jiu)容易導致(zhi)(zhi)(zhi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)內(nei)部(bu)(bu)(bu)(bu)(bu)在(zai)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)執(zhi)(zhi)行(xing)(xing)的(de)(de)(de)(de)(de)過程(cheng)中(zhong)出現(xian)推諉(wei)扯皮(pi)等(deng)(deng)情(qing)況，導致(zhi)(zhi)(zhi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)制(zhi)度流(liu)于形式(shi)，管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)效(xiao)率以及效(xiao)果受到(dao)嚴(yan)重(zhong)(zhong)影響。另外，許(xu)多醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)都(dou)(dou)未實現(xian)信息化建設(she)(she)(she)(she)(she)(she)(she)，而(er)伴隨公立(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)規模(mo)的(de)(de)(de)(de)(de)擴張以及醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)水平(ping)的(de)(de)(de)(de)(de)提升，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)工作(zuo)(zuo)(zuo)量越(yue)來越(yue)大(da)，需(xu)要采(cai)(cai)購設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)的(de)(de)(de)(de)(de)種(zhong)類也越(yue)來越(yue)多，這就(jiu)致(zhi)(zhi)(zhi)使醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)設(she)(she)(she)(she)(she)(she)(she)備(bei)(bei)(bei)(bei)經(jing)(jing)(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)理(li)(li)效(xiao)率低(di)下，且(qie)容易出現(xian)人(ren)(ren)為(wei)(wei)因素導致(zhi)(zhi)(zhi)的(de)(de)(de)(de)(de)差錯⑤。

二、醫(yi)療(liao)設備經濟合(he)同規(gui)范(fan)化管理(li)對策

（一(yi)）建(jian)立完(wan)善(shan)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)制(zhi)度(du)。制(zhi)度(du)是(shi)(shi)(shi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)規(gui)(gui)范(fan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)工(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)基(ji)礎，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)務(wu)必(bi)(bi)(bi)要(yao)(yao)(yao)(yao)(yao)根(gen)(gen)據(ju)(ju)《合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)法(fa)》《關(guan)(guan)于進(jin)一(yi)步加強經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)工(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)通(tong)知》《重大經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)事項(xiang)決策制(zhi)度(du)》，制(zhi)定(ding)(ding)(ding)(ding)(ding)完(wan)善(shan)且切(qie)實可(ke)(ke)行(xing)(xing)(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)制(zhi)度(du)。制(zhi)度(du)中(zhong)(zhong)(zhong)(zhong)所(suo)需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)明(ming)(ming)確(que)(que)(que)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)內(nei)(nei)(nei)(nei)(nei)容(rong)為(wei)：醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)職(zhi)能部(bu)門(men)(men)(men)權(quan)(quan)責(ze)、合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)簽(qian)訂(ding)簽(qian)署權(quan)(quan)、合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)審(shen)(shen)查過(guo)(guo)(guo)(guo)程(cheng)(cheng)(cheng)、合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)審(shen)(shen)批工(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)流程(cheng)(cheng)(cheng)、合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)變更(geng)以(yi)(yi)(yi)及(ji)(ji)處理(li)(li)(li)(li)(li)(li)(li)(li)過(guo)(guo)(guo)(guo)程(cheng)(cheng)(cheng)、合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)體(ti)(ti)系(xi)(xi)內(nei)(nei)(nei)(nei)(nei)容(rong)等(deng)(deng)(deng)。制(zhi)度(du)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)完(wan)善(shan)需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)保(bao)(bao)(bao)證(zheng)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)簽(qian)署、執(zhi)(zhi)(zhi)行(xing)(xing)(xing)(xing)過(guo)(guo)(guo)(guo)程(cheng)(cheng)(cheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)權(quan)(quan)責(ze)均落實到(dao)人(ren)，同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)時(shi)要(yao)(yao)(yao)(yao)(yao)有(you)(you)(you)詳(xiang)細(xi)且規(gui)(gui)范(fan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)程(cheng)(cheng)(cheng)序(xu)，并(bing)有(you)(you)(you)側(ce)重的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)強化醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)歸(gui)口(kou)(kou)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)工(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)⑥。建(jian)議各(ge)(ge)大公(gong)(gong)立醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)在(zai)制(zhi)定(ding)(ding)(ding)(ding)(ding)完(wan)善(shan)制(zhi)度(du)內(nei)(nei)(nei)(nei)(nei)容(rong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)基(ji)礎上(shang)，確(que)(que)(que)定(ding)(ding)(ding)(ding)(ding)標(biao)準(zhun)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)范(fan)本。范(fan)本的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)制(zhi)定(ding)(ding)(ding)(ding)(ding)應(ying)該(gai)(gai)遵循以(yi)(yi)(yi)下(xia)原則(ze)(ze)：一(yi)是(shi)(shi)(shi)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)范(fan)本的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)形(xing)式(shi)、內(nei)(nei)(nei)(nei)(nei)容(rong)不(bu)可(ke)(ke)隨意更(geng)改(gai)，但(dan)是(shi)(shi)(shi)內(nei)(nei)(nei)(nei)(nei)容(rong)也(ye)需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)表(biao)現出(chu)(chu)一(yi)定(ding)(ding)(ding)(ding)(ding)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)靈活性，可(ke)(ke)根(gen)(gen)據(ju)(ju)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)采(cai)購實際(ji)情況(kuang)進(jin)行(xing)(xing)(xing)(xing)靈活調(diao)整(zheng)。建(jian)議公(gong)(gong)立醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)在(zai)充分總結既往經(jing)(jing)(jing)(jing)(jing)驗(yan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)基(ji)礎上(shang)，確(que)(que)(que)定(ding)(ding)(ding)(ding)(ding)范(fan)本中(zhong)(zhong)(zhong)(zhong)哪(na)些(xie)(xie)為(wei)不(bu)可(ke)(ke)更(geng)改(gai)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)條(tiao)款，哪(na)些(xie)(xie)能夠(gou)根(gen)(gen)據(ju)(ju)設(she)(she)(she)備(bei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)特(te)征進(jin)行(xing)(xing)(xing)(xing)更(geng)改(gai)。二(er)是(shi)(shi)(shi)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)范(fan)本需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)表(biao)現出(chu)(chu)突出(chu)(chu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)實用(yong)性，相(xiang)關(guan)(guan)內(nei)(nei)(nei)(nei)(nei)容(rong)務(wu)必(bi)(bi)(bi)要(yao)(yao)(yao)(yao)(yao)做到(dao)用(yong)詞(ci)準(zhun)確(que)(que)(que)，合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)中(zhong)(zhong)(zhong)(zhong)需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)明(ming)(ming)確(que)(que)(que)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)利益相(xiang)關(guan)(guan)方(fang)(fang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)具(ju)體(ti)(ti)權(quan)(quan)益，用(yong)詞(ci)務(wu)必(bi)(bi)(bi)清(qing)晰、準(zhun)確(que)(que)(que)，罰則(ze)(ze)內(nei)(nei)(nei)(nei)(nei)容(rong)要(yao)(yao)(yao)(yao)(yao)合(he)(he)(he)(he)(he)(he)(he)(he)(he)乎當(dang)前我(wo)國(guo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)法(fa)律(lv)法(fa)規(gui)(gui)，并(bing)具(ju)有(you)(you)(you)突出(chu)(chu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)操(cao)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)性。三是(shi)(shi)(shi)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)范(fan)本切(qie)忌一(yi)成(cheng)不(bu)變，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)應(ying)該(gai)(gai)根(gen)(gen)據(ju)(ju)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)在(zai)簽(qian)訂(ding)、執(zhi)(zhi)(zhi)行(xing)(xing)(xing)(xing)過(guo)(guo)(guo)(guo)程(cheng)(cheng)(cheng)中(zhong)(zhong)(zhong)(zhong)遭(zao)遇的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)問題(ti)，對(dui)(dui)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)范(fan)本進(jin)行(xing)(xing)(xing)(xing)有(you)(you)(you)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)放矢的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)調(diao)整(zheng)，避(bi)免此后(hou)在(zai)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)簽(qian)訂(ding)、合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)執(zhi)(zhi)(zhi)行(xing)(xing)(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)過(guo)(guo)(guo)(guo)程(cheng)(cheng)(cheng)中(zhong)(zhong)(zhong)(zhong)發(fa)生類似的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)問題(ti)⑦。就(jiu)當(dang)前我(wo)國(guo)各(ge)(ge)地(di)公(gong)(gong)立醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)現狀以(yi)(yi)(yi)及(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)內(nei)(nei)(nei)(nei)(nei)容(rong)構成(cheng)來看，合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)范(fan)本需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)包含以(yi)(yi)(yi)下(xia)幾(ji)個方(fang)(fang)面的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)內(nei)(nei)(nei)(nei)(nei)容(rong)：一(yi)是(shi)(shi)(shi)標(biao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)務(wu)必(bi)(bi)(bi)要(yao)(yao)(yao)(yao)(yao)準(zhun)確(que)(que)(que)描述(shu)，合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)中(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)內(nei)(nei)(nei)(nei)(nei)容(rong)要(yao)(yao)(yao)(yao)(yao)和(he)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)注冊證(zheng)上(shang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)信息(xi)數據(ju)(ju)保(bao)(bao)(bao)持(chi)一(yi)致。二(er)是(shi)(shi)(shi)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)中(zhong)(zhong)(zhong)(zhong)需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)明(ming)(ming)確(que)(que)(que)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)驗(yan)收(shou)(shou)標(biao)準(zhun)、驗(yan)收(shou)(shou)期(qi)限、驗(yan)收(shou)(shou)時(shi)間。三是(shi)(shi)(shi)所(suo)有(you)(you)(you)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)均需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)明(ming)(ming)確(que)(que)(que)保(bao)(bao)(bao)修的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)開始時(shi)間以(yi)(yi)(yi)及(ji)(ji)保(bao)(bao)(bao)修的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)范(fan)疇、年限等(deng)(deng)(deng)等(deng)(deng)(deng)相(xiang)關(guan)(guan)內(nei)(nei)(nei)(nei)(nei)容(rong)。四是(shi)(shi)(shi)頁）針(zhen)對(dui)(dui)雙(shuang)方(fang)(fang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)違約行(xing)(xing)(xing)(xing)為(wei)，要(yao)(yao)(yao)(yao)(yao)明(ming)(ming)確(que)(que)(que)違約行(xing)(xing)(xing)(xing)為(wei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)性質以(yi)(yi)(yi)及(ji)(ji)具(ju)體(ti)(ti)罰則(ze)(ze)。五(wu)是(shi)(shi)(shi)明(ming)(ming)確(que)(que)(que)設(she)(she)(she)備(bei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)到(dao)貨(huo)方(fang)(fang)式(shi)、安裝方(fang)(fang)式(shi)、驗(yan)收(shou)(shou)方(fang)(fang)式(shi)，針(zhen)對(dui)(dui)使(shi)用(yong)過(guo)(guo)(guo)(guo)程(cheng)(cheng)(cheng)中(zhong)(zhong)(zhong)(zhong)出(chu)(chu)現的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)問題(ti)，明(ming)(ming)確(que)(que)(que)雙(shuang)方(fang)(fang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)權(quan)(quan)利、責(ze)任以(yi)(yi)(yi)及(ji)(ji)具(ju)體(ti)(ti)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)賠償形(xing)式(shi)。六是(shi)(shi)(shi)針(zhen)對(dui)(dui)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)更(geng)換的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)消(xiao)耗部(bu)件，需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)規(gui)(gui)定(ding)(ding)(ding)(ding)(ding)消(xiao)耗品的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)報價以(yi)(yi)(yi)及(ji)(ji)維護價格，規(gui)(gui)避(bi)未來可(ke)(ke)能會(hui)出(chu)(chu)現的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)消(xiao)費陷阱。七是(shi)(shi)(shi)針(zhen)對(dui)(dui)逾期(qi)支付、逾期(qi)交貨(huo)等(deng)(deng)(deng)等(deng)(deng)(deng)情況(kuang)，確(que)(que)(que)定(ding)(ding)(ding)(ding)(ding)特(te)殊(shu)條(tiao)款并(bing)明(ming)(ming)確(que)(que)(que)相(xiang)關(guan)(guan)罰則(ze)(ze)。（二(er)）完(wan)善(shan)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)歸(gui)口(kou)(kou)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)。在(zai)我(wo)國(guo)現行(xing)(xing)(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)《經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)辦(ban)(ban)法(fa)》中(zhong)(zhong)(zhong)(zhong)明(ming)(ming)確(que)(que)(que)規(gui)(gui)定(ding)(ding)(ding)(ding)(ding)，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)明(ming)(ming)確(que)(que)(que)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)歸(gui)口(kou)(kou)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)部(bu)門(men)(men)(men)，歸(gui)口(kou)(kou)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)部(bu)分負責(ze)對(dui)(dui)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)蓋章(zhang)、審(shen)(shen)批、認(ren)可(ke)(ke)、歸(gui)檔等(deng)(deng)(deng)。各(ge)(ge)地(di)公(gong)(gong)立醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)應(ying)根(gen)(gen)據(ju)(ju)自(zi)身的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)行(xing)(xing)(xing)(xing)政管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)體(ti)(ti)系(xi)(xi)以(yi)(yi)(yi)及(ji)(ji)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)采(cai)購工(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)實際(ji)情況(kuang)，確(que)(que)(que)定(ding)(ding)(ding)(ding)(ding)合(he)(he)(he)(he)(he)(he)(he)(he)(he)理(li)(li)(li)(li)(li)(li)(li)(li)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)歸(gui)口(kou)(kou)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)部(bu)門(men)(men)(men)，確(que)(que)(que)定(ding)(ding)(ding)(ding)(ding)歸(gui)口(kou)(kou)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)部(bu)門(men)(men)(men)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)工(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)內(nei)(nei)(nei)(nei)(nei)容(rong)、工(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)流程(cheng)(cheng)(cheng)等(deng)(deng)(deng)。歸(gui)口(kou)(kou)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)工(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)應(ying)負責(ze)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)招(zhao)(zhao)標(biao)、執(zhi)(zhi)(zhi)行(xing)(xing)(xing)(xing)監(jian)督，并(bing)定(ding)(ding)(ding)(ding)(ding)期(qi)向醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)層(ceng)匯(hui)報醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)簽(qian)訂(ding)、執(zhi)(zhi)(zhi)行(xing)(xing)(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)具(ju)體(ti)(ti)情況(kuang)，同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)時(shi)合(he)(he)(he)(he)(he)(he)(he)(he)(he)理(li)(li)(li)(li)(li)(li)(li)(li)控(kong)(kong)制(zhi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)中(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)支付行(xing)(xing)(xing)(xing)為(wei)⑧。（三）健全經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)會(hui)簽(qian)制(zhi)度(du)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)涉及(ji)(ji)金額若比較(jiao)大，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)。在(zai)由經(jing)(jing)(jing)(jing)(jing)辦(ban)(ban)部(bu)門(men)(men)(men)擬定(ding)(ding)(ding)(ding)(ding)后(hou)，務(wu)必(bi)(bi)(bi)要(yao)(yao)(yao)(yao)(yao)經(jing)(jing)(jing)(jing)(jing)過(guo)(guo)(guo)(guo)相(xiang)關(guan)(guan)職(zhi)能部(bu)門(men)(men)(men)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)審(shen)(shen)核(he)，且需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)經(jing)(jing)(jing)(jing)(jing)過(guo)(guo)(guo)(guo)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)法(fa)律(lv)顧(gu)問的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)審(shen)(shen)查，領(ling)導班子需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)通(tong)過(guo)(guo)(guo)(guo)會(hui)議等(deng)(deng)(deng)方(fang)(fang)式(shi)形(xing)成(cheng)書面的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)審(shen)(shen)查意見(jian)，切(qie)忌僅僅將(jiang)支付過(guo)(guo)(guo)(guo)程(cheng)(cheng)(cheng)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)為(wei)控(kong)(kong)制(zhi)對(dui)(dui)象，而是(shi)(shi)(shi)要(yao)(yao)(yao)(yao)(yao)在(zai)簽(qian)訂(ding)前就(jiu)落實上(shang)述(shu)措施。如，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)經(jing)(jing)(jing)(jing)(jing)過(guo)(guo)(guo)(guo)總會(hui)計師內(nei)(nei)(nei)(nei)(nei)審(shen)(shen)后(hou)，需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)通(tong)過(guo)(guo)(guo)(guo)法(fa)定(ding)(ding)(ding)(ding)(ding)代表(biao)人(ren)或者(zhe)歸(gui)口(kou)(kou)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)部(bu)門(men)(men)(men)簽(qian)訂(ding)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)。（四）推(tui)行(xing)(xing)(xing)(xing)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)信息(xi)化建(jian)設(she)(she)(she)。醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)需(xu)(xu)(xu)(xu)要(yao)(yao)(yao)(yao)(yao)圍繞“科(ke)室討(tao)論、申請(qing)報告擬定(ding)(ding)(ding)(ding)(ding)、科(ke)室論證(zheng)、組織委員(yuan)會(hui)論證(zheng)、會(hui)議紀要(yao)(yao)(yao)(yao)(yao)、院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)務(wu)討(tao)論、招(zhao)(zhao)投標(biao)、監(jian)督審(shen)(shen)查、合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)擬定(ding)(ding)(ding)(ding)(ding)、合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)審(shen)(shen)查、合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)會(hui)簽(qian)、審(shen)(shen)核(he)蓋章(zhang)、合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)執(zhi)(zhi)(zhi)行(xing)(xing)(xing)(xing)”等(deng)(deng)(deng)等(deng)(deng)(deng)工(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)，推(tui)行(xing)(xing)(xing)(xing)信息(xi)化建(jian)設(she)(she)(she)，以(yi)(yi)(yi)信息(xi)技術(shu)來提(ti)高醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)效率(lv)，減少人(ren)為(wei)因素(su)對(dui)(dui)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)帶來的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)不(bu)利影(ying)響(xiang)。以(yi)(yi)(yi)此為(wei)基(ji)礎，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)還(huan)可(ke)(ke)進(jin)一(yi)步明(ming)(ming)確(que)(que)(que)相(xiang)關(guan)(guan)工(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)具(ju)體(ti)(ti)流程(cheng)(cheng)(cheng)，以(yi)(yi)(yi)真正實現醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)規(gui)(gui)范(fan)化。（五(wu)）合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)支付行(xing)(xing)(xing)(xing)為(wei)實時(shi)控(kong)(kong)制(zhi)。在(zai)信息(xi)化建(jian)設(she)(she)(she)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)基(ji)礎上(shang)，可(ke)(ke)規(gui)(gui)范(fan)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)支付行(xing)(xing)(xing)(xing)為(wei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)過(guo)(guo)(guo)(guo)程(cheng)(cheng)(cheng)。利用(yong)統一(yi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)信息(xi)化管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)平臺，科(ke)室可(ke)(ke)根(gen)(gen)據(ju)(ju)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)內(nei)(nei)(nei)(nei)(nei)容(rong)在(zai)網上(shang)發(fa)起申請(qing)，財務(wu)部(bu)門(men)(men)(men)經(jing)(jing)(jing)(jing)(jing)過(guo)(guo)(guo)(guo)審(shen)(shen)核(he)，歸(gui)口(kou)(kou)部(bu)門(men)(men)(men)經(jing)(jing)(jing)(jing)(jing)過(guo)(guo)(guo)(guo)審(shen)(shen)查后(hou)在(zai)線確(que)(que)(que)認(ren)付款，所(suo)有(you)(you)(you)申請(qing)均可(ke)(ke)留下(xia)記錄，管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)人(ren)員(yuan)能夠(gou)實時(shi)掌握合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)執(zhi)(zhi)(zhi)行(xing)(xing)(xing)(xing)、款項(xiang)發(fa)生的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)情況(kuang)。綜上(shang)所(suo)述(shu)，醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)關(guan)(guan)系(xi)(xi)著醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)穩(wen)定(ding)(ding)(ding)(ding)(ding)發(fa)展(zhan)以(yi)(yi)(yi)及(ji)(ji)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)水準(zhun)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)提(ti)升，合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)作(zuo)(zuo)(zuo)(zuo)(zuo)(zuo)為(wei)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)買賣雙(shuang)方(fang)(fang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)主要(yao)(yao)(yao)(yao)(yao)法(fa)律(lv)依據(ju)(ju)，其管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)措施是(shi)(shi)(shi)保(bao)(bao)(bao)證(zheng)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)合(he)(he)(he)(he)(he)(he)(he)(he)(he)理(li)(li)(li)(li)(li)(li)(li)(li)進(jin)入醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)重要(yao)(yao)(yao)(yao)(yao)關(guan)(guan)口(kou)(kou)。規(gui)(gui)范(fan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)體(ti)(ti)系(xi)(xi)，是(shi)(shi)(shi)確(que)(que)(que)保(bao)(bao)(bao)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)實現精(jing)細(xi)化、規(gui)(gui)范(fan)化內(nei)(nei)(nei)(nei)(nei)部(bu)控(kong)(kong)制(zhi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)前提(ti)。廣大從業者(zhe)對(dui)(dui)上(shang)述(shu)內(nei)(nei)(nei)(nei)(nei)容(rong)應(ying)該(gai)(gai)有(you)(you)(you)足夠(gou)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)認(ren)識(shi)，根(gen)(gen)據(ju)(ju)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)當(dang)前管(guan)(guan)(guan)(guan)理(li)(li)(li)(li)(li)(li)(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)設(she)(she)(she)備(bei)經(jing)(jing)(jing)(jing)(jing)濟(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)(he)(he)(he)(he)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)實際(ji)情況(kuang)，有(you)(you)(you)側(ce)重的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)采(cai)取規(gui)(gui)范(fan)措施予以(yi)(yi)(yi)應(ying)對(dui)(dui)，以(yi)(yi)(yi)為(wei)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)(yuan)(yuan)穩(wen)定(ding)(ding)(ding)(ding)(ding)發(fa)展(zhan)保(bao)(bao)(bao)駕護航。

注釋：

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作者(zhe):俞凡 單位:中國科學技術大學附屬第一醫(yi)院安徽省(sheng)立醫(yi)院