公立醫院藥品聯標作業現況與創新採行最有利標之經驗分享

公立醫院藥品採購依政府採購法規範，招標方式有公開招標、選擇性招標及限制性招標，決標方式則分為最低價決標、最有利標、適用最有利標等。傳統各公立醫院之藥品聯標方式，歷年多採公開招標或選擇性招標，且採最低價決標。公開招標最低價決標之作業方式單純，只要符合列標規格即可參與競標；但單以最低價格決標，易致惡性低價搶標，無法確認決標藥品品質，有損病人用藥權益且醫療品質易遭質疑。臺北市立聯合醫院藥品聯標自103年起創新採行最有利標決標，提升招標作業效率、確保決標藥品品質、增益藥品折讓營收，執行成果符合作業目標，且作業過程圓滿順利，為贏得醫藥各界肯定及佳評。

關鍵字

藥品採購；最有利標；政府採購法

並列摘要

Public hospitals are obliged to follow the Government Procurement Law in pharmaceutics procurements. The procurement methods include open tendering, selective tendering, and limited tendering, and the contract is awarded based on the lowest quotient of price, most advantageous tender or most advantageous tender applicable, etc. In the past, the public hospitals adopted opening tendering procedure or limited tendering procedure in joint pharmaceutical procurement and decided the contract on the lowest quotient of price. Open tendering is simple in operation and whoever that provides the qualified item might participate in the bid; however, contract award criteria on price alone may easily lead to vicious cycle of low-priced bid competitions that neglect the quality of procured medications, which call into question the quality of medical treatments and patients' right. The Taipei City Hospital pioneered the adoption of the most advantageous tendering in joint pharmaceutical procurement. This action improved procurement efficacy, ensured quality of procured drugs, increased overall profits and led to desired procurement goal. The achievement is highly appraised by peers in the industry.

並列關鍵字

Pharmaceutical Procurement ； The most advantageous tender ； Government Procurement Law (GPL)

國際替代計量

公立醫院藥品聯標作業現況與創新採行最有利標之經驗分享

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