Ngokumiselwa kwesiqhelo kunye nokumiselwa kokuthengwa kweziyobisi kuzwelonke kunye nezinto ezityiwayo zonyango, ukuthengwa kwezixhobo zonyango kuzwelonke nakwindawo yokuhlala kuye kwaphononongwa kwaye kwakhuthazwa ngokuqhubekayo, imithetho yokuthengwa kwempahla esembindini iye yaphuculwa, umda wokuthengwa kwezinto ezingundoqo uye wandiswa ngakumbi, kwaye ixabiso leemveliso lehle kakhulu.Kwangaxeshanye, i-ecology yoshishino lwezixhobo zonyango nayo iyaphucuka.
Siza kusebenza nzima ukulungisa imigodi edibeneyo
NgoJuni 2021, uLawulo lwe-Inshurensi yezoNyango lweSizwe kunye namanye amasebe asibhozo ngokudibeneyo akhuphe iziKhokelo kwi-Centralised Procurement kunye nokuSetyenziswa kwezinto eziThengiswayo zezoNyango eziPhezulu eziququzelelwe nguRhulumente.Ukususela ngoko, uluhlu lwamaxwebhu axhasayo luye lwaqulunqwa kwaye lwakhutshwa, olubeka phambili imimiselo emitsha kunye nemikhombandlela emitsha yokuthengwa okuphakathi kwezinto ezisetyenziswa zonyango zexabiso eliphezulu ngobuninzi.
Ngo-Okthobha waloo nyaka, iQela eliKhokelayo lokuNxilisa uHlaziyo lweNkqubo yezoNyango kunye nezeMpilo yeBhunga likaRhulumente likhuphe iimbono zokuPhunyezwa ngokuNxibisa uHlaziyo lweNkqubo yezoNyango kunye neMpilo ngokuPhakamisa ngokuNxibelela amava eSanming City yePhondo laseFujian, ethe yabonisa ukuba onke amaphondo kunye nomanyano lwamaphondo akhuthazwa ukuba aqhube okanye athathe inxaxheba ekuthengweni kweziyobisi kwindawo enye kunye nezinto ezisetyenziswayo ubuncinane kanye ngonyaka.
NgoJanuwari kulo nyaka, intlanganiso yesiGqeba seBhunga leSizwe lagqiba ekubeni lilungelelanise kwaye lifake iziko ukuthengwa kwempahla yexabiso eliphezulu kwixabiso eliphezulu ngokuqhubekayo ukunciphisa amaxabiso amayeza kunye nokukhawulezisa ukwandiswa kwe-coverage.Oorhulumente basekhaya bayakhuthazwa ukuba baphumeze ukuthengwa kwempahla yephondo okanye phakathi kwamaphondo, kwaye baqhube ukuthengwa kwezinto ezisetyenziswa ngamathambo, iibhaluni zamachiza, ukufakelwa kwamazinyo kunye nezinye iimveliso ezixhalabisa uluntu kuzwelonke nakwiphondo ngokulandelelanayo.Emva koko, i-State Council yenkqubo yokwazisa ngenkqubo yesiqhelo yale nkqubo yachazwa.Kwingqungquthela, u-Chen Jinfu, usekela-mlawuli woLawulo lwe-Inshurensi yezoNyango lweSizwe, wathi ekupheleni kwe-2022, ngaphezu kwe-350 iintlobo zamachiza kunye ne-5 yexabiso eliphezulu lezinto ezisetyenziswayo zonyango ziya kugutyungelwa kwiphondo ngalinye (kwingingqi kunye nesixeko) ngokusebenzisa. imibutho yesizwe kunye nomanyano lwamaphondo.
NgoSeptemba ka-2021, ibhetshi yesibini yengqokelela elungelelaniswe ngurhulumente yezinto ezityiwayo zexabiso eliphezulu zokudibanisa okwenziweyo ziya kuqaliswa.Ngokuhambelana nomgaqo "wemveliso enye, umgaqo-nkqubo omnye", oku kuthengwa ngokubambisana kuye kwaqhuba uphando olutsha ngendlela yokubika ubuninzi, isivumelwano sobuninzi bokuthengwa, imithetho yokukhetha, imithetho yobunzima, iinkonzo ezihamba kunye nezinye iinkalo.NgokoLawulo lwe-Inshurensi yezoNyango lweSizwe, amashishini angama-48 ewonke athathe inxaxheba kulo mjikelo, apho angama-44 akhethwa ngamakhaya, kunye nereyithi yokuphumelela yeepesenti ezingama-92 kunye nokucuthwa kwexabiso okuphakathi kwama-82 ekhulwini.
Kwangaxeshanye, amagunya asekuhlaleni nawo awenza ngenkuthalo umsebenzi wokulinga.Ngokweenkcukacha-manani, ukusuka kuJanuwari wama-2021 ukuya kumhla wama-28 kuFebruwari kulo nyaka, iiprojekthi ezingama-389 zokuthengwa kwempahla yezonyango (kubandakanywa neerejenti) ziye zaphunyezwa kwilizwe lonke, kubandakanywa iiprojekthi zesizwe ezi-4, iiprojekthi zephondo ezingama-231, iiprojekthi zikamasipala ezili-145 kunye nezinye iiprojekthi ezili-9.Iiprojekthi ezintsha ezili-113 (ezibandakanya izinto ezityiwayo zonyango ezingama-88 iiprojekthi ezikhethekileyo, iiprojekthi ezikhethekileyo ezi-7, izinto ezisetyenziswa zonyango + iiprojekthi ezikhethekileyo ezili-18), kubandakanywa iiprojekthi ezi-3 zesizwe, iiprojekthi zephondo ezingama-67, iiprojekthi zikamasipala ezingama-38, ezinye iiprojekthi ezi-5.
Kungabonwa ukuba i-2021 ayilona kuphela unyaka wokuphucula umgaqo-nkqubo kunye nokuqulunqa inkqubo yokuthengwa kwe-centralized ye-medical consumables, kodwa kwakhona unyaka wokuphumeza imigaqo-nkqubo kunye neenkqubo ezifanelekileyo.
Uluhlu lweendidi luye lwandiswa ngakumbi
Ngo-2021, i-24 eyongezelelekileyo yonyango yonyango yaqokelelwa ngamandla, kubandakanywa ne-18 yexabiso eliphezulu lokusetyenziswa kwezonyango kunye ne-6 yexabiso eliphantsi lokusetyenziswa kwezonyango.Ngokwembono yengqokelela yesizwe yeentlobo ngeentlobo, i-coronary stent, i-artificial joint njalo njalo iphumelele ukhuseleko kwilizwe lonke;Ngokombono weentlobo zephondo, ibhaluni ye-coronary dilatation, i-iOL, i-cardiac pacemaker, i-stapler, i-coronary guide wire, inaliti yokuhlala, intloko yemela ye-ultrasonic kunye nokunye kuye kwagubungela amaphondo amaninzi.
Ngo-2021, amanye amaphondo, afana ne-Anhui kunye ne-Henan, baphonononga ukuthengwa kwe-reagents yovavanyo lweklinikhi ngobuninzi.I-Shandong kunye ne-Jiangxi zifake ii-reagents zovavanyo lweklinikhi kumda womnatha.Kuyafaneleka ukukhankanya ukuba iphondo lase-Anhui likhethe i-reagents ye-chemiluminescence, icandelo elikhulu lemarike kwintsimi ye-immunodiagnosis, ukuphumeza ukuthengwa kwe-centralized kunye neemveliso ze-145 kwiindidi ze-23 ze-5 iindidi.Phakathi kwabo, iimveliso ezingama-88 zamashishini ali-13 zakhethwa, kwaye ixabiso eliphakathi kweemveliso ezinxulumeneyo lehle nge-47.02%.Ukongeza, iGuangdong kunye namanye amaphondo ali-11 aqhubele phambili ukuthengwa kwezixhobo zovavanyo zeCoronavirus (2019-NCOV).Phakathi kwazo, amaxabiso aphakathi ee-nucleic acid zokubona ii-reagents, ii-nucleic acid zokubona ngokukhawuleza ii-reagents, ii-antibody reagents ze-IgM/IgG, ii-anti-detection reagents zizonke kunye ne-antigen reagents zehle malunga nama-37%, 34.8%, 41%, 29% kunye nama-44%. %, ngokulandelelanayo.Ukusukela ngoko, ngaphezulu kwamaphondo ali-10 aqale unxibelelwano lwamaxabiso.
Kuyaphawuleka ukuba nangona ukuthengwa okuphakathi kwezinto ezisetyenziswa zonyango kunye nee-reagents kuqhutywa rhoqo kumaphondo ahlukeneyo, inani leentlobo ezibandakanyekayo lisanganelanga xa lithelekiswa neemfuno zeklinikhi.Ngokuhambelana neemfuno "zeSicwangciso seminyaka yeshumi elinesine yoKhuseleko lwezoNyango lweHlabathi" olukhutshwe yi-Ofisi Jikelele yeBhunga leSizwe, izinto zonyango zexabiso eliphezulu zesizwe kunye nezephondo kufuneka zongezwe ngakumbi kwixesha elizayo.
Ukufunyanwa kwe-Alliance kuya kuhluka ngakumbi
Ngo-2021, umfelandawonye wamaphondo uya kuvelisa iiprojekthi zokuthengwa kwempahla ezili-18, eziquka amaphondo angama-31 (imimandla noomasipala abazimeleyo) kunye neXinjiang Production and Construction Corps.Phakathi kwabo, umanyano olukhulu lweBeijing-Tianjin-Hebei "3 + N" (kunye nenani elikhulu lamalungu, i-23), amaphondo e-13 akhokelwa yi-Inner Mongolia Autonomous Region, amaphondo e-12 akhokelwa yi-Henan kunye ne-Jiangsu amaphondo, amaphondo angama-9 akhokelwa nguJiangxi. iPhondo;Ukongezelela, kukho kwakhona i-Chongqing-Guiyun-Henan Alliance, i-Shandong jin-Hebei-Henan Alliance, i-Chongqing-Guiqiong Alliance, i-Zhejiang-Hubei Alliance kunye ne-Yangtze River Delta Alliance.
Ngokombono wokuthatha inxaxheba kwamaphondo kumanyano lwamaphondo, iphondo laseGuizhou liza kuthatha inxaxheba kwelona nani likhulu leembumbano ngo-2021, ukuya kutsho kwi-9. IPhondo laseShanxi kunye neChongqing zilandele ngokusondeleyo ngezivumelwano ezithatha inxaxheba ezisi-8.I-Ningxia Hui Autonomous Region kunye nePhondo laseHenan zombini zineemanyano ezisi-7.
Ukongeza, umfelandawonye wedolophu wenze inkqubela entle.Ngo-2021, kuya kubakho iiprojekthi ze-18 zokuthengwa kwe-inter-city, ngakumbi e-Jiangsu, e-Shanxi, e-Hunan, e-Guangdong, e-Henan, e-Liaoning nakwamanye amaphondo.Yintoni ephawulekayo kukuba indlela yentsebenziswano ye-cross-level yephondo kunye nesixeko yavela okokuqala: NgoNovemba ka-2021, iSixeko sase-Huangshan sePhondo lase-Anhui sajoyina umanyano lwemimandla ye-16 ekhokelwa yiPhondo lase-Guangdong ukuqhuba ukuthengwa kwentloko ye-ultrasonic cutter head.
Kunokuqikelelwa ukuba, ngokuqhutywa yimigaqo-nkqubo, umanyano lwasekhaya luya kuba neendlela zokuthenga ezohlukeneyo kwaye iintlobo ezininzi ziya kugaywa ngo-2022, into engenakuphepheka neqhelekileyo.
Ukwembiwa kwemigodi okuqhelekileyo kuya kutshintsha i-ikholoji yoshishino
Okwangoku, ukuthengwa kwe-centralized ye-medical consumables ngokuthe ngcembe kungena kwixesha elinzima: ilizwe liququzelela ukuthengwa kwe-centralized ye-high-value ye-medical consumables kunye ne-dosage enkulu yekliniki kunye neendleko eziphezulu;Kwinqanaba lephondo, ezinye izinto ezisetyenziswayo zonyango eziphezulu neziphantsi kufuneka zithengwe ngamandla.Ukuthengwa kweenkonzo kumgangatho wesithili kwenzelwa ubukhulu becala iintlobo ezingezizo iiprojekthi zesizwe nezephondo zokuthengwa kweempahla neenkonzo.La maqela mathathu adlala indima yawo ngokwahlukeneyo kwaye aqhuba ukuthengwa kwezinto ezisetyenziswa zonyango kumanqanaba ahlukeneyo.Umbhali ukholelwa ukuba ukukhuthazwa okunzulu kwezinto ezisetyenziswayo zonyango e-China kuya kukhuthaza ukuphuculwa okuqhubekayo kwe-ecology yoshishino, kwaye kuya kuba neendlela ezilandelayo zophuhliso.
Okokuqala, njengoko eyona njongo iphambili yohlaziyo lwenkqubo yezonyango yaseTshayina kwinqanaba langoku isengokunciphisa amaxabiso kunye neendleko zokulawula, ukuthengwa kwempahla kwindawo esembindini kube yindawo ebalulekileyo yokuqala kunye nokuphumelela.Unxulumano phakathi kobuninzi kunye nexabiso kunye nokudityaniswa kokufunwa kunye nokufunyanwa kuya kuba ziimpawu eziphambili zokuthengwa kwempahla yonyango, kunye nokugubungela umda wommandla kunye noluhlu oluhlukeneyo luya kwandiswa ngakumbi.
Okwesibini, ukuthengwa kwempahla ngemfelandawonye kuye kwaba ngumkhombandlela wenkxaso yomgaqo-nkqubo kwaye indlela yokuqalisa yokuthengwa kwempahla yesizwe iye yasekwa.Umda wokuthenga ngokudibeneyo phakathi kwamaphondo uya kuqhubeka usanda kwaye ugxile ngokuthe ngcembe, kwaye uya kuphuhlisela ngakumbi ukubekwa emgangathweni.Ukongeza, njengesongezo esibalulekileyo kuhlobo lwemigodi edityanelweyo, ukumbiwa kwemigodi ehlangeneyo phakathi kwezixeko nako kuya kukhuthazwa ngokuthe ngcembe.
Okwesithathu, izinto ezisetyenziswayo zonyango ziya kuqokelelwa ngokuhlelwa, ibhetshi kunye nokuhlelwa, kunye nemithetho yokuvavanya eneenkcukacha ngakumbi iya kusekwa.Ukufikelela kuthungelwano kuya kuba yindlela ebalulekileyo eyongezelelweyo yokuthengwa kwempahla edibeneyo, ukwenzela ukuba iintlobo ezininzi zezixhobo zonyango zingathengwa ngeqonga.
Okwesine, imigaqo yokuthenga ngokubambisana iya kuphuculwa rhoqo ukuzinzisa ukulindela kweemarike, amanqanaba exabiso kunye nemfuno yekliniki.Ukuqinisa ukusetyenziswa kokusetyenziswa, ukugqamisa ukhetho lwekliniki, ukuhlonipha ipateni yemarike, ukuphucula ukuthatha inxaxheba kwamashishini kunye namaziko ezonyango, ukuqinisekisa umgangatho wemveliso kunye nokunikezelwa kwemveliso, ukuhambisa ukusetyenziswa kweemveliso.
Okwesihlanu, ukukhethwa kwexabiso eliphantsi kunye noqhagamshelwano lwamaxabiso luya kuba lukhokelo olubalulekileyo lwengqokelela yezinto ezityiwayo.Oku kuya kunceda ekucoceni imeko-bume yokusebenza yezinto ezityiwayo zonyango, kukhawuleziswe ukutshintshwa kwempahla yezonyango yasekhaya endaweni yangaphandle, kuphuculwe ubume bemalike yempahla ekhoyo ngoku, nokukhuthaza uphuhliso lwezixhobo zonyango ezitsha zasekhaya kwinkalo yezoqoqosho lwezempilo.
Okwesithandathu, iziphumo zovavanyo lwetyala ziya kuba ngumgangatho obalulekileyo kumashishini asetyenziswayo zonyango ukuba athathe inxaxheba ekuthengeni ngokudibeneyo kunye namaziko ezonyango ukukhetha iimveliso.Ukongeza, inkqubo yokuzibophelela, inkqubo yokunika ingxelo ngokuzithandela, inkqubo yokuqinisekisa ulwazi, inkqubo yezohlwayo ngokoluhlu, inkqubo yokulungisa ikhredithi iya kuqhubeka ukuseka nokuphucula.
Okwesixhenxe, ukuthengwa okuhlangeneyo kwezixhobo zonyango kuya kuqhubeka kukhuthazwa ngokubambisana nokuphunyezwa kwenkqubo "ye-surplus" yeemali ze-inshorensi yezonyango, ukulungiswa koluhlu lwe-inshurensi yonyango lwezibonelelo zonyango, ukuguqulwa kweendlela zokuhlawula i-inshurensi yonyango, kunye no uhlaziyo lwamaxabiso eenkonzo zonyango.Kukholelwa ukuba phantsi kokulungelelaniswa, ukukhawulwa kunye nokuqhutyelwa kwemigaqo-nkqubo, intshiseko yamaziko ezonyango ukuba athathe inxaxheba ekuthengeni ngokubambisana kuya kuqhubeka nokuphucula, kwaye ukuziphatha kwabo kokuthenga kuya kutshintsha.
Okwesibhozo, ukuthengwa okunzulu kwezinto ezisetyenziswayo zonyango kuya kukhuthaza ukwakhiwa ngokutsha kwepateni yoshishino, kwandisa kakhulu ukuxinana kwezoshishino, kuphuculwe ngakumbi i-ecology yeshishini, kunye nokulinganisa imithetho yokuthengisa.
(Umthombo: Uthungelwano lwezoNyango)
Ixesha lokuposa: Jul-11-2022