This paper focuses on the procurement of construction projects in universities,conducting research on the influencing factors of procurement risks in such projects.By combining questionnaire surveys with expert interv...This paper focuses on the procurement of construction projects in universities,conducting research on the influencing factors of procurement risks in such projects.By combining questionnaire surveys with expert interviews,numerous factors affecting procurement are analyzed.Subsequently,these factors are refined and summarized to construct a procurement risk evaluation index system for construction projects,which includes three first-level indicators,such as process management risk and ethical/legal risk,and is further subdivided into 13 second-level indicators.展开更多
Khan et al’single-centre,retrospective study on the use of right or left kidneys in living-donor renal transplantation,offers the opportunity to further discuss a complex and debated topic in clinical transplantation...Khan et al’single-centre,retrospective study on the use of right or left kidneys in living-donor renal transplantation,offers the opportunity to further discuss a complex and debated topic in clinical transplantation.In brief,the authors confirm that,despite the historical preference for left kidneys,attributed to their anatomical advantages during donor nephrectomy and recipient transplantation,right kidneys can provide excellent outcomes when donors and recipients are carefully selected,and a meticulous surgical technique is applied in every step of the process.Usefully,the article includes some practical tips to help less experienced surgeons address the technical challenges of right kidney transplantation,such as extended renal vein dissection or full mobilization of the iliac vein of the recipient to minimize tension during anastomosis.Although limited by the selective use of minimally invasive(MI)nephrectomy for left kidneys,this work underscores the importance of expanding the living-donor pool,challenging the traditional taboos,and facilitating access to transplantation for a wider population of patients around the globe.Properly designed studies with larger sample size,comparable MI surgical techniques,prospective data collection,and long-term donor and recipient outcomes are warranted.展开更多
With the acceleration of the global digital wave,enterprise procurement management is facing multiple challenges such as cost pressure,supply chain collaboration demand,and insufficient information ability.Based on dy...With the acceleration of the global digital wave,enterprise procurement management is facing multiple challenges such as cost pressure,supply chain collaboration demand,and insufficient information ability.Based on dynamic capability theory,resource-based view,and value chain theory,this paper constructs a four-level research framework of“driving factors-transformation paths-strategic actions-performance evaluation”.Firstly,through literature analysis and case review,it summarizes the internal and external driving factors such as external market competition pressure,supply chain coordination demand,policy and regulatory environment,as well as enterprise information foundation,organizational culture,and talent reserve,and analyzes their mechanism of action on procurement digital transformation.Secondly,the procurement digital transformation path is divided into two types:gradual upgrading and leap-forward reconstruction,and the strategic and tactical level strategies,such as top-level design,data governance,process remodeling,supplier collaboration platform construction,and intelligent decision support,are proposed.Thirdly,the implementation guarantee mechanism was designed from the four aspects of organization management,technology platform,talent culture,and risk control.Finally,the performance evaluation index system covering cost,cycle,quality,risk,and digital maturity was constructed,and the evaluation method and continuous improvement mechanism based on balanced scorecard and ROI/TCO analysis were proposed.The results show that the systematic strategy design and multi-dimensional guarantee can effectively improve the procurement efficiency of enterprises,reduce operating costs,enhance supply chain resilience,and provide theoretical and practical guidance for enterprises to achieve sustainable competitive advantage.展开更多
Objective To quantitatively analyze the policy of centralized drug procurement centralized drug procurement in order to provide reference for the subsequent policy formulation and improvement.Methods Text mining metho...Objective To quantitatively analyze the policy of centralized drug procurement centralized drug procurement in order to provide reference for the subsequent policy formulation and improvement.Methods Text mining method was used to process 15 centralized drugs procurement policies issued at the national level during 2015-2022,and a PMC index evaluation model of centralized drug procurement policies was established.Then,15 centralized drug procurement policies were quantitatively analyzed from the overall and comparative perspective through an evaluation model.Results and Conclusion The average PMC index of 15 centralized drug procurement policies was 6.95,which was acceptable on the whole.Among them,eight were excellent and seven were acceptable.As to the first-order variables,the centralized drugs procurement policy still lacks incentives and constraints.The comparative results show that there are differences in the content and structure of policies,but they are strongly related to each other.Chinese centralized drug procurement policy has been basically formed,which is closely related to medical insurance and medical policies.However,it is still necessary to pay attention to the structure of the policy to ensure the elaboration of the policy content.展开更多
The centralized procurement of drugs in the medical system is a key link,which not only affects the economic effect of institutions,but also relates to the medical quality and patient safety.In the current era,central...The centralized procurement of drugs in the medical system is a key link,which not only affects the economic effect of institutions,but also relates to the medical quality and patient safety.In the current era,centralized drug procurement in hospitals can meet the needs of most patients;however,the specific steps of the work still need to be optimized.Starting from the level of hospital drug centralized procurement work,this paper discusses the policy background,analyzes the practice of drug centralized procurement in tertiary hospitals,and provides specific work management suggestions,aiming to improve work efficiency and serve as a reference for optimizing subsequent hospital drug centralized procurement work.展开更多
Objective To establish a scientific,reliable,objective,and effective clinical comprehensive evaluation system for drugs centralized bidding procurement by government,and to conduct reliability and validity test and em...Objective To establish a scientific,reliable,objective,and effective clinical comprehensive evaluation system for drugs centralized bidding procurement by government,and to conduct reliability and validity test and empirical analysis of the evaluation index system through simulated measurement.Methods Literature research method was used to select comprehensive evaluation indicators for drugs centralized bidding procurement.Then,Dephi method was applied to screen the final evaluation indicators,and the weight of the indicators was determined using analytic hierarchy process.Results and Conclusion The final clinical efficacy evaluation index system for drugs centralized bidding procurement includes 5 primary indicators and 13 secondary indicators.The experts authority coefficient in this study is high,and their opinions relatively coincide.Through the empirical research,the reliability and structural validity of the indicator system is good.This indicator system enriches methods and tools for scientifically evaluating the clinical efficacy of drugs centralized bidding procurement.展开更多
Background:Atherosclerotic cardiovascular disease remains the leading cause of death worldwide.This study aims to explore the impact of national volume-based procurement(NVBP)on Chinese patent medicines and provide ev...Background:Atherosclerotic cardiovascular disease remains the leading cause of death worldwide.This study aims to explore the impact of national volume-based procurement(NVBP)on Chinese patent medicines and provide evidence for improving policies and promoting rational drug use.Methods:The study was based on data from the China National Health Insurance Agency that spanned January 2019 to December 2020.Descriptive analysis was conducted using volume and expenditure as variables.Interrupted time series analysis was applied to further analyze Chinese patent medicines.Results:The unit prices of atorvastatin and rosuvastatin decreased by 25%-96%,whereas the prices of Zhibitai and Xuezhikang fluctuated slightly.The affordability is measured as the monthly expenditure on treatment divided by the daily wage.After policy implementation,the affordability of atorvastatin and rosuvastatin improved from 0.242 to 0.014 and from 0.247 to 0.019,respectively.The defined daily doses(DDDs)for atorvastatin and rosuvastatin also increased,whereas total expenditures decreased in hospitals of all levels.Both at the national level and at all levels of hospital,the policy had no significant impact on expenditures for Zhibitai and Xuezhikang and their defined daily doses.Conclusions:The NVBP saved costs in the short term by incorporating high-quality,widely used lipid-lowering drugs.Notably,the policy impacted lipid-lowering chemical drugs,whereas Chinese patent medicines remained largely unaffected.Doctors'use of Chinese patent medicines did not decline,highlighting the clinical specificity of these medicines.展开更多
In the project procurement management process of telecommunication enterprises,due to the complexity of technology,the professional procurement project manager is responsible for the whole process of professional proc...In the project procurement management process of telecommunication enterprises,due to the complexity of technology,the professional procurement project manager is responsible for the whole process of professional procurement in a one-stop way.The integration of this management process superficially improves labor productivity,but in essence lacks effective checks and balances and supervision.In order to supervise the project procurement management process and ensure the legal compliance of procurement management,this paper studies the project procurement management process of telecommunication enterprises,proposes the optimization process of project procurement management in the segmentation of purchasing manager-business manager,and constructs a matrix project procurement management model,which will contribute to the overall improvement of the telecommunication enterprises’procurement performance.展开更多
Quality engineers play a key role in software product development,covering various stages such as requirements analysis,design,coding,testing,and delivery.Its responsibilities include formulating quality standards,wri...Quality engineers play a key role in software product development,covering various stages such as requirements analysis,design,coding,testing,and delivery.Its responsibilities include formulating quality standards,writing test cases,conducting functional and performance tests,and optimizing the product based on feedback.In government procurement projects,quality evaluation focuses on process compliance,security,and functional compatibility.KPI evaluation trees are commonly used for quantitative assessment,and a dynamic adjustment mechanism for indicators needs to be established to cope with complex demands.In addition,risk-driven testing and agile development should be combined to set up quality access control to ensure that each iteration version meets expectations.The multi-dimensional quality assurance and verification scoring mechanism can effectively enhance product reliability and reduce project risks.展开更多
Background:Acquiring relevant information about procurement targets is fundamental to procuring medical devices.Although traditional Natural Language Processing(NLP)and Machine Learning(ML)methods have improved inform...Background:Acquiring relevant information about procurement targets is fundamental to procuring medical devices.Although traditional Natural Language Processing(NLP)and Machine Learning(ML)methods have improved information retrieval efficiency to a certain extent,they exhibit significant limitations in adaptability and accuracy when dealing with procurement documents characterized by diverse formats and a high degree of unstructured content.The emergence of Large Language Models(LLMs)offers new possibilities for efficient procurement information processing and extraction.Methods:This study collected procurement transaction documents from public procurement websites,and proposed a procurement Information Extraction(IE)method based on LLMs.Unlike traditional approaches,this study systematically explores the applicability of LLMs in both structured and unstructured entities in procurement documents,addressing the challenges posed by format variability and content complexity.Furthermore,an optimized prompt framework tailored for procurement document extraction tasks is developed to enhance the accuracy and robustness of IE.The aim is to process and extract key information from medical device procurement quickly and accurately,meeting stakeholders'demands for precision and timeliness in information retrieval.Results:Experimental results demonstrate that,compared to traditional methods,the proposed approach achieves an F1 Score of 0.9698,representing a 4.85%improvement over the best baseline model.Moreover,both recall and precision rates are close to 97%,significantly outperforming other models and exhibiting exceptional overall recognition capabilities.Notably,further analysis reveals that the proposed method consistently maintains high performance across both structured and unstructured entities in procurement documents while balancing recall and precision effectively,demonstrating its adaptability in handling varying document formats.The results of ablation experiments validate the effectiveness of the proposed prompting strategy.Conclusion:Additionally,this study explores the challenges and potential improvements of the proposed method in IE tasks and provides insights into its feasibility for real-world deployment and application directions,further clarifying its adaptability and value.This method not only exhibits significant advantages in medical device procurement but also holds promise for providing new approaches to information processing and decision support in various domains.展开更多
In modern enterprise management,strengthening the control and management of procurement processes can effectively reduce operational costs.However,with the continuous reform and improvement of China’s market economy ...In modern enterprise management,strengthening the control and management of procurement processes can effectively reduce operational costs.However,with the continuous reform and improvement of China’s market economy system,competition among supply chain enterprises has intensified.The traditional procurement management model is no longer able to meet the needs of enterprise development in the current era.As a result,procurement management based on supply chain management has emerged,offering significant improvements in the scientific management of procurement processes.It has become an important means of promoting the long-term development of enterprises.This paper primarily analyzes and studies procurement cost control based on supply chain management,providing insights for reference.展开更多
We examine Africa's vaccine manufacturing potential,spurred by the coronavirus disease 2019(COVID-19)pan-demic,while critically analyzing vaccine price inequities and procurement strategies during the pandemic,wit...We examine Africa's vaccine manufacturing potential,spurred by the coronavirus disease 2019(COVID-19)pan-demic,while critically analyzing vaccine price inequities and procurement strategies during the pandemic,with anticipation of future outbreaks.Although Africa consumes approximately 25%of the global vaccine supply,over 99%of these vaccines are produced outside the continent,primarily due to insufficient local investment.Vaccine procurement strategies have relied heavily on pooled procurement mechanisms and tiered-pricing mod-els,predominantly controlled by external organizations.Significant disparities in vaccine pricing have resulted in vaccine price inequities,with evidence suggesting price discrimination,where different prices are charged for the same vaccine across countries and regions.While vaccine prices are only one component of vaccination cam-paign costs,the inequitable pricing of vaccines poses serious challenges to fair access,especially in low-income countries.Given the inevitability of future pandemics and other outbreaks,the central question remains:Does Africa possess the capacity to strengthen its vaccine production infrastructure and reduce dependency on ex-ternal suppliers?Our review reveals that,with robust political commitment,enhanced investment in Research and Development,and leveraging the heterogeneous nature of the regional bloc,Africa has made strides toward establishing vaccine manufacturing hubs with the potential for substantial capacity expansion.Furthermore,we argue for a regional campaign based on the principles of the fair priority model as an ethical framework for vaccine procurement,which prioritizes need and ensures equitable distribution,thereby complementing existing pooled procurement arrangements in times of future pandemics.This paper concludes with two key recommen-dations based on lessons learned from the COvID-19 crisis and future preparedness.First,Africa must push for a transparent and equitable tiered-pricing structure to ensure affordability for all Second,intentional and sustained investment in R&D is critical to addressing systemic inequities in vaccine supply,not only for cOVID-19 but for future outbreaks and routine immunization programs.展开更多
Risk management in public procurement is a critical aspect that needs to be addressed in the public sector.Several studies have been conducted to understand the challenges and factors influencing risk management in pu...Risk management in public procurement is a critical aspect that needs to be addressed in the public sector.Several studies have been conducted to understand the challenges and factors influencing risk management in public procurement.These studies have explored the importance of risk management principles,the role of political influence,and the need for effective risk assessment and anticipation.The research has also highlighted the need for specific risk management mechanisms and tools to be implemented in public procurement processes.Risk management reforms in the public sector are essential but often circumvented due to assorted reasons,such as political influence and the emergence of new risks.The research investigation employs a quantitative research design.A total of 380 questionnaires were recovered from respondents.The study showed that the public sector has a procurement risk management system that is effective,but there may be some areas for improvement in the prequalification process,onboarding process,and support provided to newly onboarded suppliers.Additionally,the public sector used some strategies to mitigate and control contract risks during the procurement process,but there were some areas for improvement in the review and lessons learned process,risk mitigation measures,contract monitoring and performance evaluation mechanisms,and communication and documentation process.Finally,the results suggest that there were constraints placed on the risk management strategies currently utilized by professionals working in the public sector.These constraints include insufficient support and buy-in from senior management and stakeholders,bureaucratic or administrative hurdles,inadequate policies and regulations,insufficient training and skill development opportunities,and insufficient resources.The study highlights the significance of tackling risk management in the realm of public procurement and offers valuable perspectives on avenues for enhancement,obstacles encountered by practitioners,and the necessity of thorough evaluation and revisions.Through the adoption of the suggestions originating from this study,governmental entities can improve their procurement risk management frameworks and guarantee improved adherence to risk management principles.展开更多
The procurement process for organ donation begins with the identification of potential organ donors in emergency or critical care units(CCU),followed by their clinical evaluation,diagnostic procedures,and therapeutic ...The procurement process for organ donation begins with the identification of potential organ donors in emergency or critical care units(CCU),followed by their clinical evaluation,diagnostic procedures,and therapeutic interventions,mostly conducted in CCUs.It concludes with the request for organ donation and,if accepted,the retrieval of organs.Despite most interventions occurring in detection units,there has been a neglect of the strategic role played by critical care specialists(CCS)in managing and caring for brain-dead or near-brain-death patients.Questions arise:Are they willing to undertake this responsibility?Do they fully comprehend the nature of organ procurement?Are they aware of the specific interventions required to maintain possible organ donors in optimal physiological condition?Our objective is to examine the role of CCS in organ procurement and propose ways to enhance it,ultimately aiming to increase and enhance organ donation rates.展开更多
Objective To study the impact of the first national centralized procurement of coronary stents on patients’psychology,the economy of medical institutions,and the survival and development of the coronary stents indust...Objective To study the impact of the first national centralized procurement of coronary stents on patients’psychology,the economy of medical institutions,and the survival and development of the coronary stents industry,and to provide suggestions on perfecting procedures to better carry out the centralized procurement of coronary stents.Methods Literature analysis was used to investigate the results of the procurement of coronary stent in a province and a hospital.Results and Conclusion The centralized procurement of coronary stents has alleviated the economic pressure of patients,but it has many problems.Therefore,this paper proposes some suggestions,such as promoting the orderly development of the coronary stent industry,improving the evaluation link of the centralized procurement of coronary stents,adopting the accurate reporting model to ensure the quality of coronary stents and improving the standardization of clinical services.展开更多
Objective To analyze the impact of the centralized drug procurement policy on pharmaceutical enterprises,and put forward some suggestions for improving China’s centralized drug procurement policy.Methods Through lite...Objective To analyze the impact of the centralized drug procurement policy on pharmaceutical enterprises,and put forward some suggestions for improving China’s centralized drug procurement policy.Methods Through literature analysis and comparative research,the relevant policies and implementation effects from the“4+7”drug procurement pilot to the seventh batch of volume procurement were sorted out,and the impact of the procurement policy on pharmaceutical enterprises was analyzed.Results and Conclusion The centralized drug procurement policy has continuously improved the enthusiasm of enterprises to participate in bidding,and the consistency evaluation work has been carried out well.However,there are also some problems,such as the reduction of enterprise profits,the difficulty of enterprise operation,the decline in the quality of winning drugs,and the insufficient innovation ability and the supply capacity of enterprises.In this regard,enterprises should reasonably control the cost of drugs to ensure the stable supply of winning drugs.Besides,enterprises should create brand effect for their timely transformation and development.While strengthening pharmaceutical innovation,they can change from low-level generic drug production to R&D innovation.The government should pay close attention to the impact of centralized procurement on the quality and efficiency of enterprise drugs.For instance,the government should improve the pricing rules for drug procurement and increase supervision of drug quality and supply.At the same time,it should give certain policy and financial support to enterprises’technological innovation and talent introduction.展开更多
In order to make the supply chain select the best emergency procurement suppliers in case the procurement system encounters unexpected risks,six indices which can reflect the comprehensive abilities of alternative sup...In order to make the supply chain select the best emergency procurement suppliers in case the procurement system encounters unexpected risks,six indices which can reflect the comprehensive abilities of alternative suppliers are selected,i.e.,the product yield,the toll standard,the on-time-delivery rate,the rate of turnover industry experience and customer satisfaction.Then standardized processing of evaluation is performed.For quantitative indices,vector normalization is adopted to perform standardized processing,and qualitative fuzziness indices are quantified through assignment.Finally,each index can be transformed into a standardized mark which has dimensionless 1 and the same magnitude.And an expert method is used to determine the index weights and then the linear weighted sum method is used to calculate the alternative supplier's comprehensive ability score and by comparing these scores,the optimal emergency procurement supplier is selected.展开更多
文摘This paper focuses on the procurement of construction projects in universities,conducting research on the influencing factors of procurement risks in such projects.By combining questionnaire surveys with expert interviews,numerous factors affecting procurement are analyzed.Subsequently,these factors are refined and summarized to construct a procurement risk evaluation index system for construction projects,which includes three first-level indicators,such as process management risk and ethical/legal risk,and is further subdivided into 13 second-level indicators.
文摘Khan et al’single-centre,retrospective study on the use of right or left kidneys in living-donor renal transplantation,offers the opportunity to further discuss a complex and debated topic in clinical transplantation.In brief,the authors confirm that,despite the historical preference for left kidneys,attributed to their anatomical advantages during donor nephrectomy and recipient transplantation,right kidneys can provide excellent outcomes when donors and recipients are carefully selected,and a meticulous surgical technique is applied in every step of the process.Usefully,the article includes some practical tips to help less experienced surgeons address the technical challenges of right kidney transplantation,such as extended renal vein dissection or full mobilization of the iliac vein of the recipient to minimize tension during anastomosis.Although limited by the selective use of minimally invasive(MI)nephrectomy for left kidneys,this work underscores the importance of expanding the living-donor pool,challenging the traditional taboos,and facilitating access to transplantation for a wider population of patients around the globe.Properly designed studies with larger sample size,comparable MI surgical techniques,prospective data collection,and long-term donor and recipient outcomes are warranted.
文摘With the acceleration of the global digital wave,enterprise procurement management is facing multiple challenges such as cost pressure,supply chain collaboration demand,and insufficient information ability.Based on dynamic capability theory,resource-based view,and value chain theory,this paper constructs a four-level research framework of“driving factors-transformation paths-strategic actions-performance evaluation”.Firstly,through literature analysis and case review,it summarizes the internal and external driving factors such as external market competition pressure,supply chain coordination demand,policy and regulatory environment,as well as enterprise information foundation,organizational culture,and talent reserve,and analyzes their mechanism of action on procurement digital transformation.Secondly,the procurement digital transformation path is divided into two types:gradual upgrading and leap-forward reconstruction,and the strategic and tactical level strategies,such as top-level design,data governance,process remodeling,supplier collaboration platform construction,and intelligent decision support,are proposed.Thirdly,the implementation guarantee mechanism was designed from the four aspects of organization management,technology platform,talent culture,and risk control.Finally,the performance evaluation index system covering cost,cycle,quality,risk,and digital maturity was constructed,and the evaluation method and continuous improvement mechanism based on balanced scorecard and ROI/TCO analysis were proposed.The results show that the systematic strategy design and multi-dimensional guarantee can effectively improve the procurement efficiency of enterprises,reduce operating costs,enhance supply chain resilience,and provide theoretical and practical guidance for enterprises to achieve sustainable competitive advantage.
文摘Objective To quantitatively analyze the policy of centralized drug procurement centralized drug procurement in order to provide reference for the subsequent policy formulation and improvement.Methods Text mining method was used to process 15 centralized drugs procurement policies issued at the national level during 2015-2022,and a PMC index evaluation model of centralized drug procurement policies was established.Then,15 centralized drug procurement policies were quantitatively analyzed from the overall and comparative perspective through an evaluation model.Results and Conclusion The average PMC index of 15 centralized drug procurement policies was 6.95,which was acceptable on the whole.Among them,eight were excellent and seven were acceptable.As to the first-order variables,the centralized drugs procurement policy still lacks incentives and constraints.The comparative results show that there are differences in the content and structure of policies,but they are strongly related to each other.Chinese centralized drug procurement policy has been basically formed,which is closely related to medical insurance and medical policies.However,it is still necessary to pay attention to the structure of the policy to ensure the elaboration of the policy content.
文摘The centralized procurement of drugs in the medical system is a key link,which not only affects the economic effect of institutions,but also relates to the medical quality and patient safety.In the current era,centralized drug procurement in hospitals can meet the needs of most patients;however,the specific steps of the work still need to be optimized.Starting from the level of hospital drug centralized procurement work,this paper discusses the policy background,analyzes the practice of drug centralized procurement in tertiary hospitals,and provides specific work management suggestions,aiming to improve work efficiency and serve as a reference for optimizing subsequent hospital drug centralized procurement work.
文摘Objective To establish a scientific,reliable,objective,and effective clinical comprehensive evaluation system for drugs centralized bidding procurement by government,and to conduct reliability and validity test and empirical analysis of the evaluation index system through simulated measurement.Methods Literature research method was used to select comprehensive evaluation indicators for drugs centralized bidding procurement.Then,Dephi method was applied to screen the final evaluation indicators,and the weight of the indicators was determined using analytic hierarchy process.Results and Conclusion The final clinical efficacy evaluation index system for drugs centralized bidding procurement includes 5 primary indicators and 13 secondary indicators.The experts authority coefficient in this study is high,and their opinions relatively coincide.Through the empirical research,the reliability and structural validity of the indicator system is good.This indicator system enriches methods and tools for scientifically evaluating the clinical efficacy of drugs centralized bidding procurement.
基金funded by the Beijing Natural Science Foundation(grant number 9232010)Capital's Funds for Health Improvement and Research(grant number 2022-2-4079).
文摘Background:Atherosclerotic cardiovascular disease remains the leading cause of death worldwide.This study aims to explore the impact of national volume-based procurement(NVBP)on Chinese patent medicines and provide evidence for improving policies and promoting rational drug use.Methods:The study was based on data from the China National Health Insurance Agency that spanned January 2019 to December 2020.Descriptive analysis was conducted using volume and expenditure as variables.Interrupted time series analysis was applied to further analyze Chinese patent medicines.Results:The unit prices of atorvastatin and rosuvastatin decreased by 25%-96%,whereas the prices of Zhibitai and Xuezhikang fluctuated slightly.The affordability is measured as the monthly expenditure on treatment divided by the daily wage.After policy implementation,the affordability of atorvastatin and rosuvastatin improved from 0.242 to 0.014 and from 0.247 to 0.019,respectively.The defined daily doses(DDDs)for atorvastatin and rosuvastatin also increased,whereas total expenditures decreased in hospitals of all levels.Both at the national level and at all levels of hospital,the policy had no significant impact on expenditures for Zhibitai and Xuezhikang and their defined daily doses.Conclusions:The NVBP saved costs in the short term by incorporating high-quality,widely used lipid-lowering drugs.Notably,the policy impacted lipid-lowering chemical drugs,whereas Chinese patent medicines remained largely unaffected.Doctors'use of Chinese patent medicines did not decline,highlighting the clinical specificity of these medicines.
文摘In the project procurement management process of telecommunication enterprises,due to the complexity of technology,the professional procurement project manager is responsible for the whole process of professional procurement in a one-stop way.The integration of this management process superficially improves labor productivity,but in essence lacks effective checks and balances and supervision.In order to supervise the project procurement management process and ensure the legal compliance of procurement management,this paper studies the project procurement management process of telecommunication enterprises,proposes the optimization process of project procurement management in the segmentation of purchasing manager-business manager,and constructs a matrix project procurement management model,which will contribute to the overall improvement of the telecommunication enterprises’procurement performance.
文摘Quality engineers play a key role in software product development,covering various stages such as requirements analysis,design,coding,testing,and delivery.Its responsibilities include formulating quality standards,writing test cases,conducting functional and performance tests,and optimizing the product based on feedback.In government procurement projects,quality evaluation focuses on process compliance,security,and functional compatibility.KPI evaluation trees are commonly used for quantitative assessment,and a dynamic adjustment mechanism for indicators needs to be established to cope with complex demands.In addition,risk-driven testing and agile development should be combined to set up quality access control to ensure that each iteration version meets expectations.The multi-dimensional quality assurance and verification scoring mechanism can effectively enhance product reliability and reduce project risks.
文摘Background:Acquiring relevant information about procurement targets is fundamental to procuring medical devices.Although traditional Natural Language Processing(NLP)and Machine Learning(ML)methods have improved information retrieval efficiency to a certain extent,they exhibit significant limitations in adaptability and accuracy when dealing with procurement documents characterized by diverse formats and a high degree of unstructured content.The emergence of Large Language Models(LLMs)offers new possibilities for efficient procurement information processing and extraction.Methods:This study collected procurement transaction documents from public procurement websites,and proposed a procurement Information Extraction(IE)method based on LLMs.Unlike traditional approaches,this study systematically explores the applicability of LLMs in both structured and unstructured entities in procurement documents,addressing the challenges posed by format variability and content complexity.Furthermore,an optimized prompt framework tailored for procurement document extraction tasks is developed to enhance the accuracy and robustness of IE.The aim is to process and extract key information from medical device procurement quickly and accurately,meeting stakeholders'demands for precision and timeliness in information retrieval.Results:Experimental results demonstrate that,compared to traditional methods,the proposed approach achieves an F1 Score of 0.9698,representing a 4.85%improvement over the best baseline model.Moreover,both recall and precision rates are close to 97%,significantly outperforming other models and exhibiting exceptional overall recognition capabilities.Notably,further analysis reveals that the proposed method consistently maintains high performance across both structured and unstructured entities in procurement documents while balancing recall and precision effectively,demonstrating its adaptability in handling varying document formats.The results of ablation experiments validate the effectiveness of the proposed prompting strategy.Conclusion:Additionally,this study explores the challenges and potential improvements of the proposed method in IE tasks and provides insights into its feasibility for real-world deployment and application directions,further clarifying its adaptability and value.This method not only exhibits significant advantages in medical device procurement but also holds promise for providing new approaches to information processing and decision support in various domains.
文摘In modern enterprise management,strengthening the control and management of procurement processes can effectively reduce operational costs.However,with the continuous reform and improvement of China’s market economy system,competition among supply chain enterprises has intensified.The traditional procurement management model is no longer able to meet the needs of enterprise development in the current era.As a result,procurement management based on supply chain management has emerged,offering significant improvements in the scientific management of procurement processes.It has become an important means of promoting the long-term development of enterprises.This paper primarily analyzes and studies procurement cost control based on supply chain management,providing insights for reference.
文摘We examine Africa's vaccine manufacturing potential,spurred by the coronavirus disease 2019(COVID-19)pan-demic,while critically analyzing vaccine price inequities and procurement strategies during the pandemic,with anticipation of future outbreaks.Although Africa consumes approximately 25%of the global vaccine supply,over 99%of these vaccines are produced outside the continent,primarily due to insufficient local investment.Vaccine procurement strategies have relied heavily on pooled procurement mechanisms and tiered-pricing mod-els,predominantly controlled by external organizations.Significant disparities in vaccine pricing have resulted in vaccine price inequities,with evidence suggesting price discrimination,where different prices are charged for the same vaccine across countries and regions.While vaccine prices are only one component of vaccination cam-paign costs,the inequitable pricing of vaccines poses serious challenges to fair access,especially in low-income countries.Given the inevitability of future pandemics and other outbreaks,the central question remains:Does Africa possess the capacity to strengthen its vaccine production infrastructure and reduce dependency on ex-ternal suppliers?Our review reveals that,with robust political commitment,enhanced investment in Research and Development,and leveraging the heterogeneous nature of the regional bloc,Africa has made strides toward establishing vaccine manufacturing hubs with the potential for substantial capacity expansion.Furthermore,we argue for a regional campaign based on the principles of the fair priority model as an ethical framework for vaccine procurement,which prioritizes need and ensures equitable distribution,thereby complementing existing pooled procurement arrangements in times of future pandemics.This paper concludes with two key recommen-dations based on lessons learned from the COvID-19 crisis and future preparedness.First,Africa must push for a transparent and equitable tiered-pricing structure to ensure affordability for all Second,intentional and sustained investment in R&D is critical to addressing systemic inequities in vaccine supply,not only for cOVID-19 but for future outbreaks and routine immunization programs.
文摘Risk management in public procurement is a critical aspect that needs to be addressed in the public sector.Several studies have been conducted to understand the challenges and factors influencing risk management in public procurement.These studies have explored the importance of risk management principles,the role of political influence,and the need for effective risk assessment and anticipation.The research has also highlighted the need for specific risk management mechanisms and tools to be implemented in public procurement processes.Risk management reforms in the public sector are essential but often circumvented due to assorted reasons,such as political influence and the emergence of new risks.The research investigation employs a quantitative research design.A total of 380 questionnaires were recovered from respondents.The study showed that the public sector has a procurement risk management system that is effective,but there may be some areas for improvement in the prequalification process,onboarding process,and support provided to newly onboarded suppliers.Additionally,the public sector used some strategies to mitigate and control contract risks during the procurement process,but there were some areas for improvement in the review and lessons learned process,risk mitigation measures,contract monitoring and performance evaluation mechanisms,and communication and documentation process.Finally,the results suggest that there were constraints placed on the risk management strategies currently utilized by professionals working in the public sector.These constraints include insufficient support and buy-in from senior management and stakeholders,bureaucratic or administrative hurdles,inadequate policies and regulations,insufficient training and skill development opportunities,and insufficient resources.The study highlights the significance of tackling risk management in the realm of public procurement and offers valuable perspectives on avenues for enhancement,obstacles encountered by practitioners,and the necessity of thorough evaluation and revisions.Through the adoption of the suggestions originating from this study,governmental entities can improve their procurement risk management frameworks and guarantee improved adherence to risk management principles.
文摘The procurement process for organ donation begins with the identification of potential organ donors in emergency or critical care units(CCU),followed by their clinical evaluation,diagnostic procedures,and therapeutic interventions,mostly conducted in CCUs.It concludes with the request for organ donation and,if accepted,the retrieval of organs.Despite most interventions occurring in detection units,there has been a neglect of the strategic role played by critical care specialists(CCS)in managing and caring for brain-dead or near-brain-death patients.Questions arise:Are they willing to undertake this responsibility?Do they fully comprehend the nature of organ procurement?Are they aware of the specific interventions required to maintain possible organ donors in optimal physiological condition?Our objective is to examine the role of CCS in organ procurement and propose ways to enhance it,ultimately aiming to increase and enhance organ donation rates.
基金2022 Discipline Construction Project of School of Business Administration,Shenyang Pharmaceutical University(2022-SYGSXK-05).
文摘Objective To study the impact of the first national centralized procurement of coronary stents on patients’psychology,the economy of medical institutions,and the survival and development of the coronary stents industry,and to provide suggestions on perfecting procedures to better carry out the centralized procurement of coronary stents.Methods Literature analysis was used to investigate the results of the procurement of coronary stent in a province and a hospital.Results and Conclusion The centralized procurement of coronary stents has alleviated the economic pressure of patients,but it has many problems.Therefore,this paper proposes some suggestions,such as promoting the orderly development of the coronary stent industry,improving the evaluation link of the centralized procurement of coronary stents,adopting the accurate reporting model to ensure the quality of coronary stents and improving the standardization of clinical services.
基金Research on the Technical System for Monitoring Adverse Drug Reactions/Events(Regulatory Technology System Research)(2019-0-4-040).
文摘Objective To analyze the impact of the centralized drug procurement policy on pharmaceutical enterprises,and put forward some suggestions for improving China’s centralized drug procurement policy.Methods Through literature analysis and comparative research,the relevant policies and implementation effects from the“4+7”drug procurement pilot to the seventh batch of volume procurement were sorted out,and the impact of the procurement policy on pharmaceutical enterprises was analyzed.Results and Conclusion The centralized drug procurement policy has continuously improved the enthusiasm of enterprises to participate in bidding,and the consistency evaluation work has been carried out well.However,there are also some problems,such as the reduction of enterprise profits,the difficulty of enterprise operation,the decline in the quality of winning drugs,and the insufficient innovation ability and the supply capacity of enterprises.In this regard,enterprises should reasonably control the cost of drugs to ensure the stable supply of winning drugs.Besides,enterprises should create brand effect for their timely transformation and development.While strengthening pharmaceutical innovation,they can change from low-level generic drug production to R&D innovation.The government should pay close attention to the impact of centralized procurement on the quality and efficiency of enterprise drugs.For instance,the government should improve the pricing rules for drug procurement and increase supervision of drug quality and supply.At the same time,it should give certain policy and financial support to enterprises’technological innovation and talent introduction.
基金The National Key Technology R&D Program of China during the 11th Five-Year Plan Period(No.2006BAH02A06)
文摘In order to make the supply chain select the best emergency procurement suppliers in case the procurement system encounters unexpected risks,six indices which can reflect the comprehensive abilities of alternative suppliers are selected,i.e.,the product yield,the toll standard,the on-time-delivery rate,the rate of turnover industry experience and customer satisfaction.Then standardized processing of evaluation is performed.For quantitative indices,vector normalization is adopted to perform standardized processing,and qualitative fuzziness indices are quantified through assignment.Finally,each index can be transformed into a standardized mark which has dimensionless 1 and the same magnitude.And an expert method is used to determine the index weights and then the linear weighted sum method is used to calculate the alternative supplier's comprehensive ability score and by comparing these scores,the optimal emergency procurement supplier is selected.
