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\n

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\n\t\u4e0a\u5e02\u8bb8\u53ef\u6301\u6709\u4eba\uff08Marketing Authorization Holder\uff0cMAH\uff09\u5236\u5ea6\u53c8\u79f0\u201c\u6ce8\u518c\u4eba\u5236\u5ea6\u201d\uff0c\u662f\u4e00\u79cd\u5c06\u4e0a\u5e02\u8bb8\u53ef\u4e0e\u751f\u4ea7\u8bb8\u53ef\u76f8\u5206\u79bb\u7684\u7ba1\u7406\u6a21\u5f0f\u3002\u5728\u8fd9\u79cd\u6a21\u5f0f\u4e0b\uff0c\u4e0a\u5e02\u8bb8\u53ef\u6301\u6709\u4eba\u53ef\u4ee5\u5c06\u4ea7\u54c1\u7684\u751f\u4ea7\u59d4\u6258\u7ed9\u5176\u4ed6\u4e13\u95e8\u7684\u751f\u4ea7\u5546\uff0c\u800c\u4ea7\u54c1\u7684\u5b89\u5168\u6027\u3001\u6709\u6548\u6027\u7b49\u8d28\u91cf\u4fdd\u969c\u5219\u5747\u7531\u4e0a\u5e02\u8bb8\u53ef\u6301\u6709\u4eba\u8d1f\u8d23\u3002\u7531\u6b64\uff0c\u901a\u8fc7\u5c06\u4e0a\u5e02\u8bb8\u53ef\u548c\u751f\u4ea7\u8bb8\u53ef\u8fdb\u884c\u201c\u89e3\u7ed1\u201d\uff0c\u53ef\u4ee5\u6709\u6548\u6291\u5236\u533b\u7597\u5668\u68b0\u5236\u9020\u4f01\u4e1a\u7684\u4f4e\u6c34\u5e73\u91cd\u590d\u5efa\u8bbe\uff0c\u63d0\u9ad8\u65b0\u578b\u4ea7\u54c1\u7814\u53d1\u548c\u751f\u4ea7\u7684\u79ef\u6781\u6027\uff0c\u63a8\u52a8\u59d4\u6258\u751f\u4ea7\u884c\u4e1a\u5feb\u901f\u53d1\u5c55\uff0c\u4ece\u800c\u5728\u6574\u4f53\u4e0a\u8fbe\u5230\u4fc3\u8fdb\u6211\u56fd\u533b\u7597\u5668\u68b0\u884c\u4e1a\u7e41\u8363\u53d1\u5c55\u7684\u76ee\u7684\u3002\n<\/p>\n

\n\t\u533b\u7597\u5668\u68b0 MAH \u5236\u5ea6\u7684\u76ee\u6807\u4e3b\u8981\u6709\u4e09\u70b9\uff1a\u4e00\u662f\u6784\u5efa\u4e00\u4e2a\u81ea\u59cb\u81f3\u7ec8\u4e3a\u533b\u7597\u5668\u68b0\u7684\u4ea7\u54c1\u8d28\u91cf\u627f\u62c5\u7ba1\u7406\u4e49\u52a1\u7684\u8d23\u4efb\u4e3b\u4f53\uff1b\u4e8c\u662f\u89e3\u9664\u533b\u7597\u5668\u68b0\u4ea7\u54c1\u4e0a\u5e02\u8bb8\u53ef\u548c\u751f\u4ea7\u8bb8\u53ef\u7684\u6346\u7ed1\u5173\u7cfb\uff0c\u8ba9\u533b\u7597\u5668\u68b0 MAH \u6210\u4e3a\u758f\u901a\u4ea7\u54c1\u6ce8\u518c\u4e0e\u751f\u4ea7\u7ba1\u7406\u58c1\u5792\u7684\u4e3b\u4f53\uff1b\u4e09\u662f\u4f18\u5316\u533b\u7597\u5668\u68b0\u884c\u4e1a\u8d44\u6e90\u7684\u5206\u914d\uff0c\u523a\u6fc0\u884c\u4e1a\u7814\u53d1\u6295\u5165\u589e\u52a0\uff0c\u4e3a\u9ad8\u6280\u672f\u542b\u91cf\u7684\u65b0\u4ea7\u54c1\u7814\u53d1\u626b\u9664\u969c\u788d\uff0c\u4ece\u800c\u63a8\u52a8\u6574\u4e2a\u884c\u4e1a\u7684\u521b\u65b0\u53d1\u5c55\u3002\n<\/p>\n

\n\t\u533b\u7597\u5668\u68b0 MAH \u5236\u5ea6\u7684\u5173\u952e\u5185\u5bb9\u5305\u62ec\uff1a\u9996\u5148\uff0c\u5141\u8bb8\u79d1\u7814\u673a\u6784\u548c\u7814\u53d1\u4eba\u5458\u4f5c\u4e3a\u6ce8\u518c\u7533\u8bf7\u4eba\uff0c\u63d0\u4ea4\u533b\u7597\u5668\u68b0\u4e34\u5e8a\u8bd5\u9a8c\u7533\u8bf7\u548c\u4e0a\u5e02\u8bb8\u53ef\u7533\u8bf7\uff0c\u53d6\u5f97\u533b\u7597\u5668\u68b0\u6ce8\u518c\u8bc1\u7684\u7533\u8bf7\u4eba\u5373\u8f6c\u53d8\u4e3a\u533b\u7597\u5668\u68b0\u6ce8\u518c\u4eba\uff0c\u4e5f\u5c31\u662f\u533b\u7597\u5668\u68b0 MAH\u3002\u5176\u6b21\uff0c\u533b\u7597\u5668\u68b0 MAH \u5177\u5907\u76f8\u5e94\u751f\u4ea7\u8d44\u8d28\u7684\uff0c\u65e2\u53ef\u81ea\u884c\u751f\u4ea7\uff0c\u4e5f\u53ef\u59d4\u6258\u751f\u4ea7\u3002\u6301\u6709\u4eba\u4e0d\u5177\u5907\u751f\u4ea7\u6761\u4ef6\u7684\uff0c\u53ef\u4ee5\u76f4\u63a5\u59d4\u6258\u5177\u5907\u8d44\u8d28\u7684\u4f01\u4e1a\u751f\u4ea7\u4ea7\u54c1\u3002\u7b2c\u4e09\uff0c\u5728\u533b\u7597\u5668\u68b0\u59d4\u6258\u751f\u4ea7\u4e2d\uff0c\u5982\u679c\u53d7\u6258\u65b9\u4e0d\u5177\u5907\u751f\u4ea7\u8d44\u8d28\uff0c\u53ef\u51ed\u59d4\u6258\u65b9\u7684\u6ce8\u518c\u8bc1\u529e\u7406\u751f\u4ea7\u8bb8\u53ef\u3002\u7b2c\u56db\uff0c\u533b\u7597\u5668\u68b0\u6ce8\u518c\u4eba\u53ef\u59d4\u6258\u591a\u4e2a\u53d7\u6258\u65b9\u8fdb\u884c\u751f\u4ea7\u3002\n<\/p>\n

\n\t\u5728\u533b\u7597\u5668\u68b0 MAH \u5236\u5ea6\u5b9e\u65bd\u4e4b\u524d\uff0c\u4e0a\u5e02\u8bb8\u53ef\u4e00\u822c\u53ea\u9881\u53d1\u7ed9\u5177\u6709\u533b\u7597\u5668\u68b0\u751f\u4ea7\u8d44\u8d28\u7684\u4f01\u4e1a\uff0c\u7814\u53d1\u673a\u6784\u548c\u79d1\u7814\u4eba\u5458\u5e76\u6ca1\u6709\u72ec\u7acb\u83b7\u5f97\u4e0a\u5e02\u8bb8\u53ef\u7684\u673a\u4f1a\u3002\u5728\u533b\u7597\u5668\u68b0\u59d4\u6258\u751f\u4ea7\u7684\u8fc7\u7a0b\u4e2d\uff0c\u4e00\u822c\u89c4\u5b9a\u53ea\u80fd\u6307\u5b9a\u4e00\u5bb6\u751f\u4ea7\u4f01\u4e1a\u4f5c\u4e3a\u53d7\u6258\u4eba\u3002\u4e5f\u5c31\u662f\u8bf4\uff0c\u533b\u7597\u5668\u68b0\u4ece\u4ea7\u54c1\u6ce8\u518c\u5230\u59d4\u6258\u751f\u4ea7\u8fd9\u4e00\u8fc7\u7a0b\u4e2d\uff0c\u6ce8\u518c\u4e0e\u751f\u4ea7\u662f\u6df1\u5ea6\u6346\u7ed1\u7684\uff0c\u8fd9\u5bfc\u81f4\u884c\u4e1a\u8d44\u6e90\u6d41\u52a8\u53d7\u9650\u548c\u793e\u4f1a\u751f\u4ea7\u5206\u5de5\u53d7\u963b\uff0c\u6700\u7ec8\u5f71\u54cd\u884c\u4e1a\u6574\u4f53\u7684\u5065\u5eb7\u53d1\u5c55\u3002\n<\/p>\n

\n\tMAH \u5236\u5ea6\u5bf9\u6211\u56fd\u533b\u7597\u5668\u68b0\u4f01\u4e1a\u7684\u5f71\u54cd\n<\/p>\n

\n\t\u5141\u8bb8\u7814\u53d1\u673a\u6784\u548c\u79d1\u7814\u4eba\u5458\u7533\u8bf7\u4e0a\u5e02\u8bb8\u53ef\u3002MAH \u5236\u5ea6\u6539\u5199\u4e86\u8fc7\u53bb\u533b\u7597\u5668\u68b0\u4ea7\u54c1\u6ce8\u518c\u548c\u751f\u4ea7\u8bb8\u53ef\u201c\u76f8\u4e92\u6346\u7ed1\u201d\u7684\u5386\u53f2\uff0c\u5141\u8bb8\u7b26\u5408\u6761\u4ef6\u7684\u533b\u7597\u5668\u68b0\u7814\u53d1\u673a\u6784\u3001\u79d1\u7814\u4eba\u5458\u3001\u533b\u751f\u7b49\u6210\u4e3a\u6ce8\u518c\u7533\u8bf7\u4eba\uff0c\u5355\u72ec\u7533\u8bf7\u533b\u7597\u5668\u68b0\u6ce8\u518c\u8bc1\uff0c\u5e76\u59d4\u6258\u6709\u8d44\u8d28\u548c\u751f\u4ea7\u80fd\u529b\u7684\u4f01\u4e1a\u8fdb\u884c\u751f\u4ea7\u3002\u6301\u6709\u4eba\u5236\u5ea6\u8fd8\u5c06\u6539\u53d8\u6211\u56fd\u539f\u6709\u5236\u5ea6\u4e0b\uff0c\u79d1\u7814\u4eba\u5458\u53ea\u80fd\u901a\u8fc7\u6280\u672f\u8f6c\u8ba9\u6216\u9690\u540d\u6301\u80a1\u83b7\u5f97\u77ed\u671f\u5229\u76ca\u3001\u9690\u540d\u5229\u76ca\u7684\u5c34\u5c2c\u5c40\u9762\uff0c\u6781\u5927\u5730\u9f13\u52b1\u7814\u53d1\u673a\u6784\u548c\u79d1\u7814\u4eba\u5458\u4ece\u4e8b\u533b\u7597\u5668\u68b0\u521b\u65b0\uff0c\u6709\u6548\u6fc0\u53d1\u5e02\u573a\u6d3b\u529b\uff0c\u52a0\u5feb\u6211\u56fd\u7531\u533b\u7597\u5668\u68b0\u751f\u4ea7\u5927\u56fd\u5411\u521b\u65b0\u5927\u56fd\u7684\u8f6c\u53d8\u3002\n<\/p>\n

\n\t\u7814\u53d1\u578b\u4f01\u4e1a\u4e13\u6ce8\u7814\u53d1\u73af\u8282\uff0c\u964d\u4f4e\u4f01\u4e1a\u6210\u672c\u3002\u636e\u7edf\u8ba1\uff0c\u6211\u56fd\u533b\u7597\u5668\u68b0\u76f8\u5173\u4f01\u4e1a\u5171\u67094 \u4e07\u591a\u5bb6\uff0c\u5176\u4e2d\u751f\u4ea7\u4f01\u4e1a\u7ea6 1.6 \u4e07\u5bb6\uff0c\u4e14 90%\u4ee5\u4e0a\u4e3a\u4e2d\u5c0f\u578b\u4f01\u4e1a\uff0c\u6280\u672f\u542b\u91cf\u8f83\u4f4e\uff0c\u5e74\u4ea7\u503c\u8fc7\u4ebf\u7684\u4f01\u4e1a\u4e0d\u8db3 400 \u5bb6\u3002\u533b\u7597\u5668\u68b0 MAH \u5236\u5ea6\u7684\u63a8\u51fa\u53ef\u6709\u6548\u89e3\u51b3\u521d\u521b\u4f01\u4e1a\u65e9\u671f\u9762\u4e34\u7684\u8d44\u91d1\u6709\u9650\u3001\u751f\u4ea7\u4eba\u5458\u7f3a\u4e4f\u7b49\u56f0\u5883\uff0c\u8ba9\u521b\u65b0\u4f01\u4e1a\u3001\u7814\u53d1\u4f01\u4e1a\u4e13\u6ce8\u4e8e\u4ea7\u54c1\u7684\u7814\u53d1\u73af\u8282\uff0c\u628a\u751f\u4ea7\u73af\u8282\u5f00\u653e\u7ed9\u670d\u52a1\u4f01\u4e1a\uff0c\u5728\u52a0\u5f3a\u521b\u65b0\u7684\u540c\u65f6\u964d\u4f4e\u4f01\u4e1a\u6210\u672c\u3002\u4f8b\u5982\uff0c\u91c7\u7528\u5916\u5305\u65b9\u5f0f\u751f\u4ea7\u4e8c\u7c7b(\u6c14\u8179\u673a\u7b49)\u533b\u7597\u5668\u68b0\u7684\u4f01\u4e1a\u4e09\u5e74\u4fbf\u53ef\u8282\u7ea6\u8d39\u7528\u8fd1 1000\u4e07\u5143\uff0c\u540c\u65f6\u8fd8\u53ef\u4ee5\u5927\u5e45\u7f29\u77ed\u4ea7\u54c1\u7684\u4e0a\u5e02\u5468\u671f\uff0c\u5b9e\u73b0\u65b0\u4ea7\u54c1\u7684\u5feb\u901f\u4ea7\u4e1a\u5316\uff0c\u4f7f\u4f01\u4e1a\u66f4\u5177\u5e02\u573a\u7ade\u4e89\u529b\u3002\n<\/p>\n

\n\t\u4f18\u5316\u8d44\u6e90\u914d\u7f6e\uff0c\u4ea7\u4e1a\u94fe\u6574\u4f53\u53d7\u76ca\u3002\u6570\u636e\u663e\u793a\uff0c\u6211\u56fd\u4e2d\u5c0f\u533b\u7597\u5668\u68b0\u751f\u4ea7\u4f01\u4e1a\u7684\u5de5\u5382\u4f7f\u7528\u7387\u53ea\u6709 5%-10%\uff0c\u9020\u6210\u5927\u91cf\u8d44\u6e90\u6d6a\u8d39\u3002\u65bd\u884c MAH \u5236\u5ea6\u540e\uff0c\u533b\u7597\u5668\u68b0\u7814\u53d1\u673a\u6784\u548c\u79d1\u7814\u4eba\u5458\u53ef\u4ee5\u9009\u62e9\u81ea\u884c\u751f\u4ea7\u6216\u59d4\u6258\u751f\u4ea7\uff0c\u6709\u6548\u907f\u514d\u4f01\u4e1a\u4f4e\u6c34\u5e73\u91cd\u590d\u73b0\u8c61\uff0c\u6539\u5584\u540c\u4e00\u54c1\u79cd\u591a\u5bb6\u8bb8\u53ef\u3001\u591a\u5bb6\u7ade\u4e89\u7684\u5c40\u9762\uff0c\u63d0\u9ad8\u8d44\u6e90\u7684\u4f7f\u7528\u6548\u80fd\u3002\u6b64\u5916\uff0cMAH \u5236\u5ea6\u8fd8\u53ef\u4fc3\u8fdb\u533b\u7597\u5668\u68b0\u884c\u4e1a\u7684\u4e13\u4e1a\u5316\u5206\u5de5\u8fdb\u7a0b\u3002\u521b\u65b0\u578b\u4f01\u4e1a\u4e13\u6ce8\u6e90\u5934\u521b\u65b0\uff0cCRO \u8f85\u52a9\u4f01\u4e1a\u7814\u53d1\uff0cCMO \u8fdb\u884c\u4ea7\u54c1\u751f\u4ea7\u843d\u5730\uff0c\u533b\u7597\u5668\u68b0\u670d\u52a1\u4f01\u4e1a\u4e5f\u53ef\u52a0\u901f\u8fdb\u884c\u5e02\u573a\u5e03\u5c40\u3002\u53ef\u4ee5\u9884\u8ba1\uff0c\u6301\u6709\u4eba\u5236\u5ea6\u5168\u9762\u5b9e\u65bd\u540e\uff0c\u6211\u56fd\u533b\u7597\u5668\u68b0\u4ea7\u4e1a\u5c06\u5feb\u901f\u8fdb\u5165\u5206\u5316\u4e0e\u91cd\u7ec4\u7684\u65f6\u671f\uff0c\u4ea7\u54c1\u4ea7\u4e1a\u96c6\u4e2d\u3001\u521b\u65b0\u96c6\u805a\u7684\u6b65\u4f10\u5c06\u8fdb\u4e00\u6b65\u52a0\u5feb\uff0c\u5e02\u573a\u7ade\u4e89\u3001\u751f\u6001\u4f18\u5316\u7684\u6d3b\u529b\u5c06\u8fdb\u4e00\u6b65\u8ff8\u53d1\u3002\n<\/p>\n

\n\t\u843d\u5b9e\u4f01\u4e1a\u8d23\u4efb\uff0c\u5f3a\u5316\u5168\u7a0b\u7ba1\u7406\u3002\u5728 MAH \u5236\u5ea6\u4e0b\uff0c\u4e0a\u5e02\u8bb8\u53ef\u6301\u6709\u4eba\u5bf9\u533b\u7597\u5668\u68b0\u8d28\u91cf\u7684\u5168\u751f\u547d\u5468\u671f\u8d1f\u8d23\uff0c\u8fd9\u79cd\u660e\u786e\u800c\u4e25\u683c\u7684\u8d23\u4efb\u5236\u5ea6\u5c06\u6709\u6548\u5f3a\u5316\u6301\u6709\u4eba\u201c\u4ece\u5b9e\u9a8c\u5ba4\u5230\u533b\u9662\u201d\u7ba1\u7406\u8d23\u4efb\u7684\u5168\u9762\u843d\u5b9e\u3002\u540c\u65f6\uff0c\u533b\u7597\u5668\u68b0\u7ba1\u7406\u7684\u76f4\u63a5\u5bf9\u8c61\u5c06\u4ece\u591a\u5143\u4e3b\u4f53\u8f6c\u79fb\u5230\u5355\u4e00\u4e3b\u4f53\uff0c\u7ba1\u7406\u7684\u6838\u5fc3\u5185\u5bb9\u5c06\u4ece\u51c6\u5165\u8d44\u683c\u7ba1\u7406\u8f6c\u79fb\u5230\u4f53\u7cfb\u80fd\u529b\u7ba1\u7406\uff0c\u7ba1\u7406\u7684\u57fa\u672c\u65b9\u5f0f\u5c06\u4ece\u4f20\u7edf\u7ba1\u7406\u8f6c\u79fb\u5230\u73b0\u4ee3\u7ba1\u7406\uff0c\u6211\u56fd\u7684\u533b\u7597\u5668\u68b0\u884c\u4e1a\u5c06\u8fdb\u5165\u5168\u65b0\u7684\u667a\u6167\u7ba1\u7406\u65f6\u4ee3\u3002\n<\/p>\n

\n

\n\t1.5\u3001\u6211\u56fd\u5668\u68b0\u6ce8\u518c\u5ba1\u6279\u4e0e\u56fd\u5916\u5dee\u5f02\uff08\u7565\uff09\n<\/p>\n

\n\t\n<\/p>\n

\n

\n

\n

\n

\n\t2\u3001\u533b\u7597\u5668\u68b0\u5b9a\u4ef7\u4e0e\u652f\u4ed8\u65b9\u5f0f\u5206\u6790\n<\/p>\n

\n\t2.1\u3001\u56fd\u5185\u533b\u7597\u5668\u68b0\u7684\u5b9a\u4ef7\u4e0e\u652f\u4ed8\u65b9\u5f0f\uff08\u7565\uff09\n<\/p>\n

\n\t\u6211\u56fd\u533b\u7597\u5668\u68b0\u5b9a\u4ef7\u53ca\u7ba1\u63a7\u673a\u5236\n<\/p>\n

\n\t\u5728\u5f53\u4e0b\uff0c\u6211\u56fd\u533b\u7597\u5668\u68b0\u5e02\u573a\u5b58\u5728\u4e24\u7ea7\u5206\u5316\u73b0\u8c61\u3002\u4f4e\u7aef\u5e02\u573a\u751f\u4ea7\u4f01\u4e1a\u4f17\u591a\uff0c\u7ade\u4e89\u5f02\u5e38\u6fc0\u70c8\uff0c\u4f4e\u7aef\u533b\u7597\u5668\u68b0\u4e3b\u8981\u7531\u5e02\u573a\u81ea\u4e3b\u5b9a\u4ef7\uff0c\u4f01\u4e1a\u7ed3\u5408\u751f\u4ea7\u6210\u672c\u3001\u5e02\u573a\u9700\u6c42\u548c\u7ade\u4e89\u60c5\u51b5\u786e\u5b9a\u4ea7\u54c1\u4ef7\u683c\uff0c\u4e0e\u836f\u54c1\u5e02\u573a\u8c03\u8282\u5b9a\u4ef7\u65b9\u6cd5\u7c7b\u4f3c\u3002\u56fd\u5185\u9ad8\u7aef\u533b\u7597\u5668\u68b0\u5e02\u573a\uff0c\u5c24\u5176\u662f\u5927\u578b\u5668\u68b0\u3001\u7cbe\u5bc6\u5668\u68b0\u7b49\uff0c\u6709 70%\u5de6\u53f3\u4f9d\u8d56\u8fdb\u53e3\uff0c\u884c\u4e1a\u7684\u5bf9\u5916\u4f9d\u5b58\u5ea6\u8f83\u9ad8\u3002\u6240\u4ee5\uff0c\u9ad8\u7aef\u533b\u7597\u5668\u68b0\u7684\u5e02\u573a\u5b9a\u4ef7\u53d7\u4ea7\u54c1\u5230\u5cb8\u4ef7\u3001\u5916\u8d38\u3001\u6d41\u901a\u7b49\u4f17\u591a\u73af\u8282\u548c\u56e0\u7d20\u7684\u5f71\u54cd\u3002\u5728\u6211\u56fd\u533b\u7597\u5668\u68b0\u5e02\u573a\u6f5c\u529b\u5de8\u5927\u3001\u672c\u571f\u7814\u53d1\u4e0d\u8db3\u3001\u8de8\u56fd\u4f01\u4e1a\u6280\u672f\u5f15\u9886\u7b49\u5f62\u52bf\u5171\u540c\u4f5c\u7528\u4e0b\uff0c\u884c\u4e1a\u7684\u5b9a\u4ef7\u673a\u5236\u65e2\u4e0d\u540c\u4e8e\u7f8e\u56fd\u7684\u57fa\u4e8e\u5e02\u573a\u89c4\u5f8b\u7684\u5b9a\u4ef7\uff0c\u4e5f\u4e0d\u540c\u4e8e\u82f1\u3001\u5fb7\u7684\u57fa\u4e8e\u653f\u5e9c\u7ba1\u5236\u6216\u533b\u4fdd\u5236\u5ea6\u7684\u5b9a\u4ef7\uff0c\u9700\u8981\u7efc\u5408\u8003\u8651\u591a\u79cd\u56e0\u7d20\u5236\u5b9a\u4e00\u5957\u5b9a\u4ef7\u7b56\u7565\u3002\n<\/p>\n

\n\t\u76ee\u524d\u6211\u56fd\u533b\u7597\u5668\u68b0\u5c1a\u4e0d\u5728\u653f\u5e9c\u5b9a\u4ef7\u8303\u7574\u5185\uff0c\u751f\u4ea7\u7ecf\u8425\u4f01\u4e1a\uff08\u4f9b\u5e94\u5546\uff09\u53ef\u4ee5\u81ea\u4e3b\u5b9a\u4ef7\uff0c\u653f\u5e9c\u5bf9\u533b\u7597\u5668\u68b0\u4ef7\u683c\u7684\u7ba1\u7406\u5c5e\u4e8e\u4e2d\u95f4\u7ba1\u7406\uff0c\u4e3b\u8981\u4f53\u73b0\u5728\u96c6\u4e2d\u91c7\u8d2d\u6216\u62db\u6807\u91c7\u8d2d\u4ee5\u53ca\u901a\u8fc7\u533b\u7597\u670d\u52a1\u9879\u76ee\u6253\u5305\u6536\u8d39\u4e0a\uff0c\u540c\u65f6\u5bf9\u690d (\u4ecb) \u5165\u7c7b\u533b\u7597\u5668\u68b0\u8fdb\u884c\u4ef7\u683c\u76d1\u63a7\u3002\u4e0e\u836f\u54c1\u5b9a\u4ef7\u673a\u5236\u3001\u533b\u7597\u670d\u52a1\u5b9a\u4ef7\u673a\u5236\u8f83\u4e3a\u5b8c\u5907\u7684\u73b0\u72b6\u76f8\u6bd4\uff0c\u533b\u7597\u5668\u68b0\u5b9a\u4ef7\u673a\u5236\u5c1a\u4e0d\u5065\u5168\u3002\n<\/p>\n

\n\t\u4ece\u56fd\u5185\u6765\u770b\uff0c\u6d59\u6c5f\u7701\u548c\u4e0a\u6d77\u5e02\u662f\u6211\u56fd\u533b\u7597\u5668\u68b0\u4ef7\u683c\u7ba1\u63a7\u7684\u5178\u578b\u6a21\u5f0f\u3002\u6d59\u6c5f\u7701\u4ece\u533b\u9662\u4f7f\u7528\u7684\u89d2\u5ea6\u6765\u786e\u5b9a\u6536\u8d39\u76ee\u5f55\uff0c\u7701\u96c6\u4e2d\u91c7\u8d2d\u62db\u6807\u529e\u6839\u636e\u6536\u8d39\u76ee\u5f55\u5185\u7684\u533b\u7597\u5668\u68b0\u8fdb\u884c\u62db\u6807\uff0c\u540c\u65f6\u533b\u4fdd\u90e8\u95e8\u4ec5\u4f9d\u636e\u6536\u8d39\u76ee\u5f55\u5185\u7684\u533b\u7597\u5668\u68b0\u8fdb\u884c\u533b\u4fdd\u652f\u4ed8\u3002\u6574\u4e2a\u6d41\u7a0b\u6709\u6548\u5730\u907f\u5f00\u4e86\u533b\u7597\u5668\u68b0\u54c1\u79cd\u7e41\u6742\u3001\u65e0\u6cd5\u7edf\u4e00\u7ba1\u7406\u7684\u96be\u70b9\u3002\u4e0a\u6d77\u5e02\u5219\u5145\u5206\u5229\u7528\u884c\u4e1a\u7ec4\u7ec7\u7684\u201c\u4e13\u4e1a\u6027\u3001\u793e\u4f1a\u6027\u201d\u7b49\u7279\u70b9\uff0c\u5c06\u6536\u8d39\u76ee\u5f55\u5185\u516d\u7c7b\u533b\u7597\u5668\u68b0\u4ef7\u683c\u7684\u7533\u62a5\u3001\u5ba1\u6838\u6743\u9650\u4ee5\u6cd5\u5f8b\u6761\u6587\u7684\u5f62\u5f0f\uff0c\u660e\u786e\u4e0b\u653e\u81f3\u4e0a\u6d77\u5e02\u533b\u7597\u5668\u68b0\u884c\u4e1a\u534f\u4f1a\u3001\u4e0a\u6d77\u5e02\u533b\u836f\u5546\u4e1a\u534f\u4f1a\uff0c\u4e0d\u4ec5\u6709\u6548\u63d0\u5347\u4e86\u533b\u7597\u5668\u68b0\u4ef7\u683c\u7ba1\u7406\u7684\u79d1\u5b66\u6027\uff0c\u4e5f\u63d0\u9ad8\u4e86\u4ef7\u683c\u7ba1\u7406\u7684\u5de5\u4f5c\u6548\u7387\u3002\n<\/p>\n

\n\t\u6211\u56fd\u533b\u7597\u5668\u68b0\u4ef7\u683c\u5f62\u6210\u65b9\u5f0f\n<\/p>\n

\n\t\u533b\u7597\u5668\u68b0\u4ef7\u683c\u7684\u5f62\u6210\u4e00\u822c\u8981\u7ecf\u5386\u4e09\u4e2a\u73af\u8282\uff1a\u751f\u4ea7\u3001\u6d41\u901a\u548c\u533b\u7597\u673a\u6784\u4f7f\u7528\u3002\u751f\u4ea7\u73af\u8282\u4e2d\uff0c\u56fd\u4ea7\u53ca\u8fdb\u53e3\u533b\u7597\u5668\u68b0\u4ea7\u54c1\u7684\u51fa\u5382\u4ef7\u683c\uff08\u5230\u5cb8\u4ef7\uff09\u5f62\u6210\u673a\u5236\u65e0\u660e\u663e\u5dee\u5f02\uff1b\u6d41\u901a\u73af\u8282\u4e2d\uff0c\u76ee\u524d\u8fdb\u53e3\u533b\u7597\u5668\u68b0\u7684\u57f9\u8bad\u3001\u8fd0\u8f93\u3001\u552e\u540e\u670d\u52a1\u7b49\u8d39\u7528\u4e3b\u8981\u7531\u533b\u7597\u5668\u68b0\u751f\u4ea7\u4f01\u4e1a\u6216\u603b\u7ecf\u9500\u5546\u8d1f\u62c5\uff0c\u800c\u8fd9\u4e9b\u73af\u8282\u7684\u76f8\u5173\u8d39\u7528\u5df2\u6210\u4e3a\u90e8\u5206\u5229\u76ca\u76f8\u5173\u8005\u725f\u53d6\u66b4\u5229\u7684\u624b\u6bb5\uff1b\u4f7f\u7528\u73af\u8282\u4e2d\uff0c\u56fd\u4ea7\u53ca\u8fdb\u53e3\u533b\u7528\u68c0\u67e5\u6cbb\u7597\u8bbe\u5907\u5747\u4ee5\u68c0\u67e5\u8d39\u7684\u5f62\u5f0f\u6765\u4f53\u73b0\u5176\u4ef7\u683c\uff0c\u533b\u7597\u5668\u68b0\u4ef7\u683c\u7ba1\u7406\u4e3b\u8981\u901a\u8fc7\u533b\u7597\u670d\u52a1\u9879\u76ee\u6253\u5305\u6536\u8d39\u6216\u52a0\u4ef7\u7387\uff08\u989d\uff09\u63a7\u5236\u4e24\u79cd\u65b9\u5f0f\uff1a\u4e00\u662f\u690d\uff08\u7f6e\uff09\u5165\u7c7b\u533b\u7597\u5668\u68b0\u548c\u5c11\u6570\u7279\u6b8a\u6750\u6599\uff0c\u5141\u8bb8\u5728\u533b\u7597\u670d\u52a1\u9879\u76ee\u5916\u5355\u72ec\u5411\u60a3\u8005\u6536\u8d39\uff1b\u4e8c\u662f\u4f4e\u503c\u536b\u751f\u6750\u6599\uff0c\u4f5c\u4e3a\u533b\u7597\u670d\u52a1\u6210\u672c\u7684\u4e00\u90e8\u5206\uff0c\u7eb3\u5165\u533b\u7597\u670d\u52a1\u9879\u76ee\u4e2d\u6253\u5305\u6536\u8d39\uff0c\u4e0d\u5355\u72ec\u8ba1\u4ef7\u3002\n<\/p>\n

\n\t\u6839\u636e 2009 \u5e74\u5e7f\u4e1c\u7701\u7269\u4ef7\u5c40\u5bf9\u533b\u7528\u8017\u6750\u4ef7\u683c\u7684\u4e13\u9879\u8c03\u7814\u7ed3\u679c\u663e\u793a\uff1a\u751f\u4ea7\u73af\u8282\uff0c\u90e8\u5206\u533b\u7597\u5668\u68b0\u7684\u5b9e\u9645\u5e73\u5747\u51fa\u5382\u4ef7\u6bd4\u5176\u5355\u4f4d\u4ea7\u54c1\u6210\u672c\u9ad8 70%\u4ee5\u4e0a\uff1b\u6d41\u901a\u73af\u8282\uff0c\u533b\u7597\u5668\u68b0\u4ece\u51fa\u5382\uff08\u6216\u8fdb\u53e3\uff09\u5230\u533b\u7597\u673a\u6784\u9500\u552e\u7ed9\u60a3\u8005\uff0c\u5e73\u5747\u52a0\u4ef7 2-3 \u500d\uff0c\u4e2a\u522b\u4ea7\u54c1\u751a\u81f3\u591a\u8fbe\u5341\u51e0\u500d\uff1b\u4f7f\u7528\u73af\u8282\uff0c\u5e7f\u4e1c\u533b\u836f\u4ef7\u683c\u534f\u4f1a\u4e3a\u671f\u4e09\u5e74\u7684\u8ddf\u8e2a\u8c03\u67e5\u663e\u793a\uff1a\u533b\u7528\u8017\u6750\u8d39\u7528\u5728\u4f4f\u9662\u60a3\u8005\u533b\u7597\u8d39\u7528\u4e2d\u7684\u5e73\u5747\u5360\u6bd4\u63a5\u8fd1 20%\uff0c\u4e14\u9010\u5e74\u589e\u52a0\u3002\n<\/p>\n

\n\t\u76ee\u524d\u6765\u770b\uff0c\u6211\u56fd\u533b\u7597\u5668\u68b0\u7684\u5b9a\u4ef7\u673a\u5236\u57fa\u672c\u4e0a\u5c5e\u4e8e\u653f\u5e9c\u7ba1\u7406\u4e0b\u7684\uff0c\u7531\u7ecf\u9500\u5546\u3001\u533b\u9662\u3001\u533b\u751f\u7b49\u5229\u76ca\u76f8\u5173\u4e3b\u4f53\u5f71\u54cd\u7684\u5e02\u573a\u5b9a\u4ef7\u673a\u5236\u3002\u7531\u4e8e\u533b\u7597\u5668\u68b0\u4ea7\u54c1\u8d28\u91cf\u53ca\u8425\u9500\u6a21\u5f0f\u4e0d\u540c\uff0c\u4e0d\u540c\u751f\u4ea7\u4f01\u4e1a\u3001\u4e0d\u540c\u54c1\u89c4\u7684\u9ad8\u503c\u533b\u7528\u8017\u6750\u9500\u552e\u4ef7\u683c\u5dee\u5f02\u5927\u3002\u6b64\u5916\uff0c\u533b\u7528\u8017\u6750\u91cf\u4ef7\u6302\u94a9\u7279\u5f81\u660e\u663e\uff0c\u90e8\u5206\u8017\u6750\u4ef7\u683c\u56e0\u533b\u9662\u4f9b\u8d27\u91cf\u4e0d\u540c\uff0c\u4f9b\u8d27\u4ef7\u683c\u5b58\u5728 10%-20%\u7684\u5dee\u5f02\u3002\u4ee5\u4f53\u5916\u8bca\u65ad\u4eea\u5668\u53ca\u8bd5\u5242\u7684\u5b9a\u4ef7\u4e3a\u4f8b\uff1a\n<\/p>\n

\n

\n\t\u6211\u56fd\u533b\u7597\u5668\u68b0\u652f\u4ed8\u65b9\u5f0f\n<\/p>\n

\n\t\u4f7f\u7528\u73af\u8282\u4e2d\uff0c\u56fd\u4ea7\u53ca\u8fdb\u53e3\u533b\u7528\u68c0\u67e5\u6cbb\u7597\u8bbe\u5907\u5747\u4ee5\u68c0\u67e5\u8d39\u7684\u5f62\u5f0f\u6765\u4f53\u73b0\u5176\u4ef7\u683c\u3002\u60a3\u8005\u5728\u533b\u9662\u8fdb\u884c\u5f71\u50cf\u5b66\u68c0\u67e5\uff08X \u7ebf\u9020\u5f71\u3001\u78c1\u5171\u632f\u548c CT \u68c0\u67e5\u8bca\u65ad\u7b49\u9879\u76ee\uff09\uff0c\u6216\u8005\u4f7f\u7528\u4f53\u5916\u8bca\u65ad\u8bd5\u5242\u8fdb\u884c\u68c0\u6d4b\u65f6\uff0c\u652f\u4ed8\u7684\u8d39\u7528\u662f\u533b\u9662\u7edf\u4e00\u6536\u8d39\u5b9a\u4ef7\u518d\u6263\u9664\u533b\u4fdd\u62a5\u9500\u90e8\u5206\u3002\u76ee\u524d\u533b\u9662\u7684\u6536\u8d39\u5b9a\u4ef7\u5404\u7701\u5e02\u4e0d\u5c3d\u76f8\u540c\uff0c\u6839\u636e\u5185\u90e8\u5b9e\u9645\u60c5\u51b5\u786e\u5b9a\u3002\n<\/p>\n

\n

\n\t2.2\u3001\u6d77\u5916\u533b\u7597\u5668\u68b0\u7684\u5b9a\u4ef7\u4e0e\u652f\u4ed8\u65b9\u5f0f\n<\/p>\n

\n\t\u6d77\u5916\u533b\u7597\u5668\u68b0\u5b9a\u4ef7\u53ca\u7ba1\u63a7\u673a\u5236\n<\/p>\n

\n\t\u7f8e\u56fd\u662f\u5e02\u573a\u5316\u4e3b\u5bfc\u7684\u56fd\u5bb6\uff0c\u4e14\u5176\u672a\u5efa\u7acb\u5168\u6c11\u533b\u4fdd\uff0c\u56e0\u6b64\uff0c\u7f8e\u56fd\u5bf9\u533b\u7597\u5668\u68b0\u4ea7\u54c1\u4ef7\u683c\u91c7\u53d6\u4ee5\u5e02\u573a\u5316\u5b9a\u4ef7\u673a\u5236\u4e3a\u4e3b\u3001\u536b\u751f\u90e8\u95e8\u8fdb\u884c\u9002\u5ea6\u8c03\u8282\u7684\u601d\u8def\uff0c\u6700\u7ec8\u4ea7\u751f\u4e86\u6309\u4ea7\u54c1\u4ef7\u503c\u4e0e\u5e02\u573a\u7ade\u4e89\u5b9a\u4ef7\u6cd5\u3001\u653f\u5e9c\u90e8\u95e8\u901a\u8fc7\u5e02\u573a\u624b\u6bb5\u5f71\u54cd\u91c7\u8d2d\u4ef7\u683c\u7684\u4ef7\u683c\u5f62\u6210\u673a\u5236\u3002\n<\/p>\n

\n\t\u82f1\u56fd\u7684\u533b\u7597\u536b\u751f\u4f53\u5236\u4e3a\u653f\u5e9c\u4e3b\u5bfc\u578b\uff0c\u82f1\u56fd\u536b\u751f\u670d\u52a1\u7cfb\u7edf\uff08NHS\uff09\u8d1f\u8d23\u7ba1\u7406\u533b\u7597\u536b\u751f\u7684\u76f8\u5173\u4e8b\u52a1\uff0c\u533b\u7597\u670d\u52a1\u548c\u836f\u54c1\u3001\u5668\u68b0\u7684\u652f\u4ed8\u65b9\u548c\u63d0\u4f9b\u65b9\u90fd\u662f\u6709\u653f\u5e9c\u76f4\u63a5\u63d0\u4f9b\u7ecf\u8d39\u3001\u63a7\u5236\u548c\u7ecf\u8425\u3002\u56e0\u6b64\uff0c\u82f1\u56fd\u4e3b\u8981\u901a\u8fc7\u653f\u5e9c\u91c7\u8d2d\u7684\u65b9\u5f0f\u548c\u8fc7\u7a0b\u5f71\u54cd\u5668\u68b0\u4ea7\u54c1\u7684\u4ef7\u683c\u5f62\u6210\u3002\n<\/p>\n

\n\t\u5fb7\u56fd\u62e5\u6709\u5f3a\u5927\u7684\u793e\u4f1a\u4fdd\u9669\u5236\u5ea6\uff0c\u5176\u5728\u5386\u53f2\u53d1\u5c55\u8fc7\u7a0b\u4e2d\u5f62\u6210\u4e86\u5f3a\u5236\u578b\u793e\u4f1a\u5065\u5eb7\u4fdd\u9669\u8f85\u4ee5\u5546\u4e1a\u4fdd\u9669\u7684\u533b\u7597\u4fdd\u9669\u5236\u5ea6\u3002\u5fb7\u56fd\u653f\u5e9c\u5728\u533b\u7597\u5668\u68b0\u7684\u62db\u6807\u91c7\u8d2d\u8fc7\u7a0b\u4e2d\u4ec5\u8d1f\u8d23\u5236\u5ea6\u548c\u6cd5\u89c4\u8bbe\u8ba1\uff0c\u5fb7\u56fd\u793e\u4f1a\u4fdd\u9669\u5236\u5ea6\u7531\u4e0a\u5343\u4e2a\u75be\u75c5\u57fa\u91d1\u8d1f\u8d23\u7ba1\u7406\uff0c\u56e0\u6b64\uff0c\u5176\u533b\u7597\u5668\u68b0\u5b9a\u4ef7\u4e3b\u8981\u7531\u793e\u4f1a\u4fdd\u9669\u90e8\u95e8\u6765\u7ea6\u675f\u3002\n<\/p>\n

\n\t\u533b\u7597\u5668\u68b0\u4ef7\u683c\u5f62\u6210\u8fc7\u7a0b\u6709\u8bf8\u591a\u5229\u76ca\u96c6\u56e2\u53c2\u4e0e\uff0c\u4e0d\u540c\u5229\u76ca\u96c6\u56e2\u7684\u89d2\u8272\u3001\u8d44\u6e90\u3001\u5f71\u54cd\u529b\u7b49\u65b9\u9762\u90fd\u5b58\u5728\u663e\u8457\u5dee\u5f02\uff0c\u4ed6\u4eec\u6700\u7ec8\u7684\u884c\u4e3a\u503e\u5411\u4f1a\u5bf9\u533b\u7597\u5668\u68b0\u4ef7\u683c\u7684\u786e\u5b9a\u4ea7\u751f\u91cd\u8981\u7684\u5f71\u54cd\u3002\n<\/p>\n

\n

\n\t\u6d77\u5916\u63a7\u5236\u533b\u7597\u8bbe\u5907\u548c\u8017\u6750\u8d39\u7528\u7684\u8fc7\u5feb\u589e\u957f\u4ee5\u95f4\u63a5\u7ba1\u7406\u4e3a\u4e3b\u3002\u5404\u56fd\u63a7\u5236\u533b\u7597\u8bbe\u5907\u548c\u8017\u6750\u8d39\u7528\u7684\u8fc7\u5feb\u589e\u957f\u4e3b\u8981\u6709\u4ee5\u4e0b\u51e0\u79cd\u65b9\u6cd5\uff1a\uff081\uff09\u901a\u8fc7\u7b2c\u4e09\u65b9\u7ec4\u7ec7\u5236\u8861\uff0c\u5982\u7f8e\u56fd\u901a\u8fc7\u4fdd\u9669\u516c\u53f8\u548c\u536b\u751f\u4fdd\u5065\u7ba1\u7406\u7ec4\u7ec7(MCO)\u6279\u91cf\u6298\u6263\u3001\u4f7f\u7528\u76ee\u5f55\u8fdb\u884c\u5236\u8861\uff1b\uff082\uff09\u901a\u8fc7\u96c6\u4e2d\u91c7\u8d2d\u964d\u4f4e\u91c7\u8d2d\u6210\u672c\uff0c\u5982\u82f1\u56fd\u96c6\u4e2d\u91c7\u8d2d\u5728\u63a7\u5236\u6210\u672c\u7684\u540c\u65f6\u6ce8\u91cd\u4ea7\u54c1\u7684\u6539\u8fdb\u548c\u521b\u65b0\uff1b\uff083\uff09\u901a\u8fc7\u533b\u4fdd\u63a7\u8d39\u5236\u5ea6\u8fdb\u884c\u5236\u8861\uff0c\u5982\u5fb7\u56fd\u7edf\u4e00\u89c4\u5b9a\u90e8\u5206\u533b\u7597\u5668\u68b0\u7684\u6700\u9ad8\u62a5\u9500\u9650\u989d\uff1b\uff084\uff09\u901a\u8fc7\u5236\u5b9a\u660e\u786e\u7684\u4ef7\u683c\u6cd5\u89c4\u8fdb\u884c\u7ba1\u7406\uff0c\u5982\u52a0\u62ff\u5927\u91c7\u53d6\u6bd4\u4ef7\u6cd5\u5236\u5b9a\u5668\u68b0\u4ef7\u683c\uff1b\uff085\uff09\u901a\u8fc7\u5236\u5b9a\u5927\u578b\u533b\u7528\u8bbe\u5907\u7684\u914d\u7f6e\u3001\u5ba1\u6279\u5236\u5ea6\u5236\u8861\u5927\u578b\u8bbe\u5907\u7684\u652f\u51fa\u6210\u672c\uff0c\u5982\u897f\u73ed\u7259\u548c\u6bd4\u5229\u65f6\uff0c\u5efa\u7acb\u4e86\u6839\u636e\u4eba\u53e3\u6bd4\u4f8b\u91c7\u8d2d\u5927\u578b\u533b\u7597\u8bbe\u5907\u7684\u5ba1\u6279\u5236\u5ea6\u3002\n<\/p>\n

\n\t\u6d77\u5916\u533b\u7597\u5668\u68b0\u652f\u4ed8\u65b9\u5f0f\n<\/p>\n

\n\t\u533b\u7597\u5668\u68b0\u7684\u652f\u4ed8\u4e5f\u4e0d\u540c\u4e8e\u4e00\u822c\u7684\u6d88\u8d39\u54c1\uff0c\u5f88\u591a\u65f6\u5019\u4f7f\u7528\u8005\u5e76\u4e0d\u662f\u533b\u7597\u5668\u68b0\u7684\u5b9e\u9645\u652f\u4ed8\u8005\uff08\u5e38\u5e38\u7531\u533b\u4fdd\u6765\u652f\u4ed8\uff0c\u4e5f\u53ef\u80fd\u662f\u533b\u9662\u6765\u652f\u4ed8\uff09\u3002\u76ee\u524d\u5168\u7403\u6bd4\u8f83\u5e38\u7528\u7684\u533b\u7597\u8d39\u7528\u652f\u4ed8\u65b9\u5f0f\u6709\uff1a\u6309\u9879\u76ee\u4ed8\u8d39\u3001\u6309\u670d\u52a1\u5355\u5143\u4ed8\u8d39\uff08\u5e94\u7528\u8f83\u5c11\uff09\u3001\u6309\u4eba\u5934\u4ed8\u8d39\u3001\u603b\u989d\u9884\u4ed8\u3001\u6309\u75c5\u79cd\u4ed8\u8d39\u7b49\uff0c\u5404\u79cd\u4ed8\u8d39\u65b9\u5f0f\u90fd\u6709\u5176\u4f18\u7f3a\u70b9\u3002\n<\/p>\n

\n\t\u6309\u4eba\u5934\u4ed8\u8d39\uff08Capitation\uff09\u662f\u6307\u533b\u7597\u4fdd\u9669\u7ec4\u7ec7\u6839\u636e\u533b\u7597\u673a\u6784\u7684\u89c4\u6a21\u3001\u6280\u672f\u3001\u670d\u52a1\u5bf9\u8c61\u7684\u7279\u70b9\u7b49\u60c5\u51b5\uff0c\u6309\u7167\u4e8b\u5148\u786e\u5b9a\u7684\u6bcf\u4e2a\u670d\u52a1\u5bf9\u8c61\uff08\u4eba\uff09\u7684\u652f\u4ed8\u6807\u51c6\u53ca\u6240\u670d\u52a1\u7684\u4eba\u53e3\u6570\uff0c\u5411\u8be5\u533b\u7597\u673a\u6784\u9884\u5148\u652f\u4ed8\u4e00\u7b14\u56fa\u5b9a\u8d39\u7528\uff0c\u533b\u7597\u673a\u6784\u5219\u8d1f\u8d23\u5411\u76ee\u6807\u4eba\u7fa4\u63d0\u4f9b\u76f8\u5e94\u7684\u533b\u7597\u670d\u52a1\uff0c\u5982\u679c\u533b\u7597\u673a\u6784\u63d0\u4f9b\u670d\u52a1\u7684\u603b\u6210\u672c\u8d85\u51fa\u4e86\u652f\u4ed8\u603b\u989d\uff0c\u5219\u7ecf\u6d4e\u98ce\u9669\u7531\u533b\u7597\u673a\u6784\u627f\u62c5\uff0c\u8fd9\u4e5f\u662f\u4e00\u79cd\u9884\u4ed8\u8d39\u65b9\u5f0f\uff0c\u5982\u82f1\u56fd\u7684\u5168\u79d1\u533b\u751f\u90fd\u662f\u91c7\u7528\u8fd9\u79cd\u65b9\u5f0f\u3002\n<\/p>\n

\n\t\u603b\u989d\u9884\u4ed8\uff08Global Budget\uff09\uff0c\u662f\u6307\u5728\u5e74\u5ea6\u533b\u4fdd\u57fa\u91d1\u6536\u5165\u9884\u7b97\u786e\u5b9a\u7684\u60c5\u51b5\u4e0b\uff0c\u5bf9\u533b\u4fdd\u57fa\u91d1\u603b\u652f\u51fa\u7684\u8ba1\u5212\u5b89\u6392\uff0c\u5373\u533b\u7597\u4fdd\u9669\u673a\u6784\u6839\u636e\u67d0\u4e00\u533a\u57df\u4ee5\u524d\u5e74\u5ea6\u53c2\u4fdd\u4eba\u6570\u3001\u5c31\u8bca\u60a3\u8005\u6570\u91cf\u3001\u6b21\u5747\u536b\u751f\u8d39\u7528\u6c34\u5e73\uff0c\u7efc\u5408\u8003\u8651\u5c31\u8bca\u60a3\u8005\u6570\u91cf\u589e\u957f\u3001\u901a\u8d27\u81a8\u80c0\u3001\u6280\u672f\u8fdb\u6b65\u7b49\u56e0\u7d20\u786e\u5b9a\u4e0b\u4e00\u5e74\u7684\u8d39\u7528\u9884\u7b97\u603b\u989d\uff0c\u7136\u540e\u5c06\u8d39\u7528\u5206\u914d\u5230\u4e0d\u540c\u7684\u533b\u9662\u53ca\u79d1\u5ba4\uff0c\u533b\u7597\u673a\u6784\u5728\u9884\u7b97\u8d39\u7528\u5185\u63d0\u4f9b\u533b\u7597\u670d\u52a1\u7684\u4e00\u79cd\u652f\u4ed8\u65b9\u5f0f\uff0c\u5982\u679c\u5b9e\u9645\u53d1\u751f\u8d39\u7528\u8d85\u652f\uff0c\u8d85\u652f\u90e8\u5206\u7531\u533b\u9662\u81ea\u5df1\u627f\u62c5\uff0c\u4ee5\u4fdd\u8bc1\u533b\u4fdd\u8d39\u7528\u652f\u51fa\u63a7\u5236\u5728\u5408\u7406\u7684\u589e\u957f\u8303\u56f4\uff08\u4e00\u822c\u4e0d\u5927\u4e8e\u533b\u4fdd\u57fa\u91d1\u6536\u5165\u7684\u589e\u957f\u6c34\u5e73\uff09\u3002\u603b\u989d\u9884\u4ed8\u662f\u8fc7\u6e21\u9636\u6bb5\u7684\u652f\u4ed8\u65b9\u5f0f\uff0c\u4f8b\u5982\u5fb7\u56fd 70 \u5e74\u4ee3\u5f00\u59cb\u5b9e\u65bd\u603b\u989d\u9884\u4ed8\uff0c2003 \u5e74\u540e\u9010\u6b65\u8fc7\u6e21\u5230\u6309\u75c5\u79cd\u4ed8\u8d39\u3002\n<\/p>\n

\n\t\u6309\u75c5\u79cd\u4ed8\u8d39\uff0c\u5373 DRGs( Diagnosis Related Groups)\u662f\u5f53\u4eca\u4e16\u754c\u516c\u8ba4\u7684\u6bd4\u8f83\u5148\u8fdb\u7684\u533b\u4fdd\u652f\u4ed8\u65b9\u5f0f\u4e4b\u4e00\uff0c\u79f0\u4e3a\u8bca\u65ad\u76f8\u5173\u5206\u7ec4\uff0c\u662f\u4e00\u79cd\u75c5\u4eba\u5206\u7c7b\u65b9\u6848\uff0c\u662f\u4e13\u95e8\u7528\u4e8e\u533b\u7597\u4fdd\u9669\u9884\u4ed8\u6b3e\u5236\u5ea6\u7684\u5206\u7c7b\u7f16\u7801\u6807\u51c6\u3002\u5b83\u6839\u636e\u75c5\u4eba\u7684\u5e74\u9f84\u3001\u6027\u522b\u3001\u4f4f\u9662\u5929\u6570\u3001\u4e34\u5e8a\u8bca\u65ad\u3001\u75c5\u75c7\u3001\u624b\u672f\u3001\u75be\u75c5\u4e25\u91cd\u7a0b\u5ea6\uff0c\u5408\u5e76\u75c7\u4e0e\u5e76\u53d1\u75c7\u53ca\u8f6c\u5f52\u7b49\u56e0\u7d20\u628a\u75c5\u4eba\u5206\u5165 500-600 \u4e2a\u8bca\u65ad\u76f8\u5173\u7ec4\uff0c\u5728\u5206\u7ea7\u4e0a\u8fdb\u884c\u79d1\u5b66\u6d4b\u7b97\uff0c\u7ed9\u4e88\u5b9a\u989d\u9884\u4ed8\u6b3e\u3002\u4e5f\u5c31\u662f\u8bf4 DRGs \u5c31\u662f\u533b\u7597\u4fdd\u9669\u673a\u6784\u5c31\u75c5\u79cd\u4ed8\u8d39\u6807\u51c6\u4e0e\u533b\u9662\u8fbe\u6210\u534f\u8bae\uff0c\u533b\u9662\u5728\u6536\u6cbb\u53c2\u52a0\u533b\u7597\u4fdd\u9669\u7684\u75c5\u4eba\u65f6\uff0c\u533b\u7597\u4fdd\u9669\u673a\u6784\u5c31\u8be5\u75c5\u79cd\u7684\u9884\u4ed8\u8d39\u6807\u51c6\u5411\u533b\u9662\u652f\u4ed8\u8d39\u7528\uff0c\u8d85\u51fa\u90e8\u5206\u7531\u533b\u9662\u627f\u62c5\u7684\u4e00\u79cd\u4ed8\u8d39\u5236\u5ea6\u3002\u76ee\u524d\u4e16\u754c\u4e0a\u5171\u6709 30 \u591a\u4e2a\u56fd\u5bb6\u5df2\u7ecf\u5b9e\u65bd\u6216\u6b63\u5728\u5b9e\u65bd\u6309\u75c5\u79cd\u4ed8\u8d39\u5236\u5ea6\uff0c\u5e94\u7528\u6bd4\u8f83\u6210\u719f\u7684\u56fd\u5bb6\u4e3b\u8981\u6709\u7f8e\u56fd\u3001\u82f1\u56fd\u3001\u5fb7\u56fd\u548c\u6fb3\u5927\u5229\u4e9a\u7b49\u3002\n<\/p>\n

\n

\n\t3\u3001\u533b\u7597\u5668\u68b0\u62db\u6807\u91c7\u8d2d\u65b9\u5f0f\u53ca\u6d41\u7a0b\u68b3\u7406\n<\/p>\n

\n\t3.1\u3001\u6211\u56fd\u8bbe\u5907\u62db\u6807\u91c7\u8d2d\u65b9\u5f0f\n<\/p>\n

\n\t\u516c\u7acb\u533b\u9662\u8bbe\u5907\u91c7\u8d2d\u8d44\u91d1\u7684\u6027\u8d28\u548c\u6765\u6e90\n<\/p>\n

\n\t\u6839\u636e\u300a\u8d22\u653f\u90e8\u5173\u4e8e\u5c06\u6309\u9884\u7b97\u5916\u8d44\u91d1\u7ba1\u7406\u7684\u6536\u5165\u7eb3\u5165\u9884\u7b97\u7ba1\u7406\u7684\u901a\u77e5\u300b\uff08\u8d22\u9884[2010]88 \u53f7\u6587\u4ef6\uff09\u89c4\u5b9a\u548c\u73b0\u884c\u300a\u653f\u5e9c\u6536\u652f\u5206\u7c7b\u79d1\u76ee\u300b\u7684\u5212\u5206\uff0c\u73b0\u5728\u516c\u7acb\u533b\u9662\u4e0d\u518d\u6709\u201c\u9884\u7b97\u5916\u8d44\u91d1\u201d\u8fd9\u4e00\u6982\u5ff5\uff0c\u516c\u7acb\u533b\u9662\u6240\u6709\u8d44\u91d1\u90fd\u7eb3\u5165\u9884\u7b97\u7ba1\u7406\uff0c\u90fd\u5c5e\u4e8e\u8d22\u653f\u6027\u8d44\u91d1\u3002\u516c\u7acb\u533b\u9662\u4f7f\u7528\u81ea\u7b79\u8d44\u91d1\u548c\u8d22\u653f\u62e8\u4ed8\u8d44\u91d1\u91c7\u8d2d\u653f\u5e9c\u91c7\u8d2d\u76ee\u5f55\u5185\u548c\u653f\u5e9c\u91c7\u8d2d\u76ee\u5f55\u5916\u9650\u989d\u6807\u51c6\u4ee5\u4e0a\u7684\u8d27\u7269\u9002\u7528\u4e8e\u300a\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\u653f\u5e9c\u91c7\u8d2d\u6cd5\u300b\u53ca\u5176\u5b9e\u65bd\u7ec6\u5219\uff1b\u516c\u7acb\u533b\u9662\u91c7\u8d2d\u7531\u56fd\u5bb6\u53d1\u6539\u59d4\u90e8\u95e8\u5355\u72ec\u7acb\u9879\u5ba1\u6279\u7684\u5de5\u7a0b\u53ca\u4e0e\u5de5\u7a0b\u76f4\u63a5\u76f8\u5173\u7684\u8d27\u7269\uff0c\u91c7\u8d2d\u9884\u7b97\u5728 100 \u4e07\u5143\u53ca\u4ee5\u4e0a\u9879\u76ee\u62db\u6295\u6807\u7684\uff0c\u9002\u7528\u300a\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\u62db\u6807\u6295\u6807\u6cd5\u300b\u53ca\u5176\u5b9e\u65bd\u7ec6\u5219\u3002\n<\/p>\n

\n\t\u5728\u533b\u7597\u8bbe\u5907\u5b9e\u9645\u91c7\u8d2d\u4e2d\uff0c\u516c\u7acb\u533b\u9662\u8d44\u91d1\u6765\u6e90\u5177\u6709\u591a\u6837\u6027\u3002\u5728\u516c\u7acb\u533b\u9662\u8bbe\u5907\u91c7\u8d2d\u7684\u8d44\u91d1\u4e2d\uff0c\u9664\u4e86\u533b\u9662\u7684\u81ea\u7b79\u8d44\u91d1\u4ee5\u5916\uff0c\u653f\u5e9c\u8d22\u653f\u4e3a\u63a8\u8fdb\u533b\u9662\u5efa\u8bbe\u548c\u533b\u7597\u6539\u9769\u4e5f\u4f1a\u6709\u4e13\u9879\u8bbe\u5907\u91c7\u8d2d\u7684\u8d44\u91d1\u62e8\u6b3e\u3002\u6b64\u5916\uff0c\u5728\u533b\u9662\u7684\u79d1\u7814\u8bbe\u5907\u7684\u91c7\u8d2d\u4e2d\u4e5f\u6709\u6a2a\u5411\u7684\u8bbe\u5907\u8d2d\u4e70\u4e13\u9879\u7ecf\u8d39\u3002\n<\/p>\n

\n

\n

\n\t\u516c\u7acb\u533b\u9662\u8bbe\u5907\u91c7\u8d2d\u7684\u65b9\u5f0f\n<\/p>\n

\n\t\u6211\u56fd\u516c\u7acb\u533b\u9662\u533b\u7597\u8bbe\u5907\u7684\u91c7\u8d2d\u4e3b\u8981\u6709\u653f\u5e9c\u91c7\u8d2d\u548c\u81ea\u884c\u91c7\u8d2d\u4e24\u79cd\u7c7b\u578b\uff1a\n<\/p>\n

\n\t\u516c\u7acb\u533b\u9662\u653f\u5e9c\u91c7\u8d2d\n<\/p>\n

\n\t\u516c\u7acb\u533b\u9662\u653f\u5e9c\u91c7\u8d2d\u7684\u4e3b\u8981\u65b9\u5f0f\u6709\u516c\u5f00\u62db\u6807\u3001\u9080\u8bf7\u62db\u6807\u3001\u7ade\u4e89\u6027\u8c08\u5224\u3001\u8be2\u4ef7\u548c\u5355\u4e00\u6765\u6e90\u91c7\u8d2d\u7b49\uff0c\u516c\u5f00\u62db\u6807\u662f\u653f\u5e9c\u91c7\u8d2d\u7684\u4e3b\u8981\u91c7\u8d2d\u65b9\u5f0f\u3002\u5404\u7701\u5e02\u516c\u7acb\u533b\u9662\u653f\u5e9c\u96c6\u4e2d\u91c7\u8d2d\u76ee\u5f55\u548c\u6807\u51c6\u7531\u6240\u5728\u5730\u653f\u5e9c\u9881\u5e03\uff0c\u96c6\u4e2d\u91c7\u8d2d\u76ee\u5f55\u662f\u516c\u7acb\u533b\u9662\u7f16\u5236\u5e74\u5ea6\u653f\u5e9c\u91c7\u8d2d\u9884\u7b97\u3001\u7533\u62a5\u653f\u5e9c\u91c7\u8d2d\u8ba1\u5212\u7684\u4f9d\u636e\uff0c\u4e5f\u662f\u8d22\u653f\u3001\u7eaa\u68c0\u76d1\u5bdf\u3001\u5ba1\u8ba1\u7b49\u90e8\u95e8\u5b9e\u65bd\u76d1\u7763\u68c0\u67e5\u7684\u4e3b\u8981\u5185\u5bb9\u3002\n<\/p>\n

\n\t\u653f\u5e9c\u96c6\u4e2d\u91c7\u8d2d\u76ee\u5f55\u4ee5\u5916\u3001\u9650\u989d\u6807\u51c6\u4ee5\u4e0a\u7684\u4e3a\u5206\u6563\u91c7\u8d2d\u3002\u5206\u6563\u91c7\u8d2d\u53ef\u4ee5\u7528\u62db\u6807\u91c7\u8d2d\uff0c\u4e5f\u53ef\u4ee5\u7528\u975e\u62db\u6807\u91c7\u8d2d\uff0c\u4f46\u8fbe\u5230\u516c\u5f00\u62db\u6807\u7684\u9650\u989d\u6807\u51c6\u5fc5\u987b\u6309\u7167\u56fd\u5bb6\u6cd5\u5f8b\u89c4\u5b9a\u8fdb\u884c\u516c\u5f00\u62db\u6807\uff0c\u7279\u6b8a\u60c5\u51b5\u4e0d\u80fd\u91c7\u53d6\u516c\u5f00\u62db\u6807\u7684\uff0c\u5fc5\u987b\u7ecf\u5f53\u5730\u8d22\u653f\u90e8\u95e8\u6279\u51c6\u540c\u610f\u540e\u624d\u80fd\u4f7f\u7528\u5176\u4ed6\u91c7\u8d2d\u65b9\u5f0f\u3002\n<\/p>\n

\n\t\u516c\u5f00\u62db\u6807\uff1a\u662f\u6307\u91c7\u8d2d\u65b9\u4f5c\u4e3a\u62db\u6807\u65b9\uff0c\u4e8b\u5148\u63d0\u51fa\u91c7\u8d2d\u7684\u6761\u4ef6\u548c\u8981\u6c42\uff0c\u4ee5\u5411\u5168\u793e\u4f1a\u516c\u5f00\u53d1\u5e03\u62db\u6807\u516c\u544a\u7684\u65b9\u5f0f\u9080\u8bf7\u4f17\u591a\u533b\u7597\u5668\u68b0\u5382\u5546\u6216\u4ee3\u7406\u5546\u53c2\u52a0\u6295\u6807\uff0c\u7136\u540e\u7531\u91c7\u8d2d\u65b9\u6309\u7167\u89c4\u5b9a\u7684\u7a0b\u5e8f\u548c\u6807\u51c6\u4e00\u6b21\u6027\u7684\u4ece\u4e2d\u62e9\u4f18\u9009\u62e9\u4ea4\u6613\u5bf9\u8c61\uff0c\u5e76\u4e0e\u63d0\u51fa\u6700\u6709\u5229\u6761\u4ef6\u7684\u6295\u6807\u65b9\u7b7e\u8ba2\u534f\u8bae\u7684\u8fc7\u7a0b\u3002\u5f53\u524d\u5f88\u591a\u533b\u7597\u8bbe\u5907\u7684\u91c7\u8d2d\uff0c\u90fd\u662f\u9009\u62e9\u7684\u8fd9\u4e00\u79cd\u62db\u6807\u65b9\u5f0f\u3002\n<\/p>\n

\n\t\u9080\u8bf7\u62db\u6807\uff1a\u6839\u636e\u300a\u653f\u5e9c\u91c7\u8d2d\u6cd5\u300b\u7b26\u5408\u4ee5\u4e0b 2 \u79cd\u60c5\u5f62\u4e4b\u4e00\u7684\u53ef\u4ee5\u91c7\u7528\u9080\u8bf7\u6307\u6807\u6cd5\uff1a\uff081\uff09\u5177\u6709\u7279\u6b8a\u6027\uff0c\u53ea\u80fd\u4ece\u6709\u9650\u8303\u56f4\u7684\u4f9b\u5e94\u5546\u5904\u91c7\u8d2d\u7684\uff1b\uff082\uff09\u91c7\u7528\u516c\u5f00\u62db\u6807\u65b9\u5f0f\u7684\u8d39\u7528\u5360\u653f\u5e9c\u91c7\u8d2d\u9879\u76ee\u603b\u4ef7\u503c\u7684\u6bd4\u4f8b\u8fc7\u5927\u7684\u3002\n<\/p>\n

\n\t\u7ade\u4e89\u6027\u8c08\u5224\uff1a\u662f\u6307\u91c7\u8d2d\u4eba\u6216\u8005\u91c7\u8d2d\u4ee3\u7406\u673a\u6784\u76f4\u63a5\u9080\u8bf7\u4e09\u5bb6\u4ee5\u4e0a\u4f9b\u5e94\u5546\u5c31\u91c7\u8d2d\u4e8b\u5b9c\u8fdb\u884c\u8c08\u5224\u7684\u65b9\u5f0f\u3002\u6839\u636e\u300a\u653f\u5e9c\u91c7\u8d2d\u6cd5\u300b\u7b26\u5408\u4ee5\u4e0b 4 \u79cd\u60c5\u5f62\u4e4b\u4e00\u7684\u53ef\u4ee5\u91c7\u7528\u7ade\u4e89\u6027\u8c08\u5224\uff1a\uff081\uff09\u62db\u6807\u540e\u6ca1\u6709\u4f9b\u5e94\u5546\u6295\u6807\u6216\u8005\u6ca1\u6709\u5408\u683c\u6807\u7684\u6216\u8005\u91cd\u65b0\u62db\u6807\u672a\u80fd\u6210\u7acb\u7684\uff1b\uff082\uff09\u6280\u672f\u590d\u6742\u6216\u8005\u6027\u8d28\u7279\u6b8a\uff0c\u4e0d\u80fd\u786e\u5b9a\u8be6\u7ec6\u89c4\u683c\u6216\u8005\u5177\u4f53\u8981\u6c42\u7684\uff1b\uff083\uff09\u91c7\u7528\u62db\u6807\u6240\u9700\u65f6\u95f4\u4e0d\u80fd\u6ee1\u8db3\u7528\u6237\u7d27\u6025\u9700\u8981\u7684\uff1b\uff084\uff09\u4e0d\u80fd\u4e8b\u5148\u7b97\u51fa\u4ef7\u683c\u603b\u989d\u7684\u3002\n<\/p>\n

\n\t\u8be2\u4ef7\u91c7\u8d2d\uff1a\u4e3b\u8981\u6307\u901a\u8fc7\u8be2\u4ef7\u7684\u65b9\u5f0f\uff0c\u76f4\u63a5\u5411 3 \u5bb6\u4ee5\u4e0a\u7684\u4f9b\u5e94\u5546\u8be2\u95ee\u62a5\u4ef7\uff0c\u5e76\u8fdb\u884c\u6a2a\u5411\u6bd4\u8f83\uff0c\u4f7f\u8981\u91c7\u8d2d\u7684\u5668\u68b0\u4ef7\u683c\u5177\u6709\u7ade\u4e89\u6027\u7684\u91c7\u8d2d\u65b9\u5f0f\u3002\u6839\u636e\u300a\u653f\u5e9c\u91c7\u8d2d\u6cd5\u300b\uff0c\u91c7\u8d2d\u7684\u8d27\u7269\u89c4\u683c\u3001\u6807\u51c6\u7edf\u4e00\u3001\u73b0\u8d27\u8d27\u6e90\u5145\u8db3\u4e14\u4ef7\u683c\u53d8\u5316\u5e45\u5ea6\u5c0f\u7684\u653f\u5e9c\u91c7\u8d2d\u9879\u76ee\u9002\u7528\u8be5\u65b9\u5f0f\u3002\n<\/p>\n

\n\t\u5355\u4e00\u6765\u6e90\u91c7\u8d2d\uff1a\u6839\u636e\u300a\u653f\u5e9c\u91c7\u8d2d\u6cd5\u300b\u7b26\u5408\u4ee5\u4e0b 3 \u79cd\u60c5\u5f62\u4e4b\u4e00\u7684\u53ef\u4ee5\u91c7\u7528\u5355\u4e00\u6765\u6e90\u6cd5\uff1a\uff081\uff09\u53ea\u80fd\u4ece\u552f\u4e00\u4f9b\u5e94\u5546\u5904\u91c7\u8d2d\u7684\uff1b\uff082\uff09\u53d1\u751f\u4e86\u4e0d\u53ef\u9884\u89c1\u7684\u7d27\u6025\u60c5\u51b5\u4e0d\u80fd\u4ece\u5176\u4ed6\u4f9b\u5e94\u5546\u5904\u91c7\u8d2d\u7684\uff1b\uff083\uff09\u5fc5\u987b\u4fdd\u8bc1\u539f\u6709\u91c7\u8d2d\u9879\u76ee\u4e00\u81f4\u6027\u6216\u8005\u670d\u52a1\u914d\u5957\u7684\u8981\u6c42\uff0c\u9700\u8981\u7ee7\u7eed\u4ece\u539f\u4f9b\u5e94\u5546\u5904\u6dfb\u8d2d\u7684\uff0c\u4e14\u6dfb\u8d2d\u8d44\u91d1\u603b\u989d\u4e0d\u8d85\u8fc7\u539f\u5408\u540c\u91c7\u8d2d\u91d1\u989d 10%\u3002\n<\/p>\n

\n

\n\t\u516c\u7acb\u533b\u9662\u81ea\u884c\u91c7\u8d2d\n<\/p>\n

\n\t\u653f\u5e9c\u96c6\u4e2d\u91c7\u8d2d\u76ee\u5f55\u4ee5\u5916\u3001\u9650\u989d\u6807\u51c6\u4ee5\u4e0b\u7684\u8d27\u7269\u3001\u670d\u52a1\u548c\u5de5\u7a0b\u7684\u91c7\u8d2d\u4e3a\u516c\u7acb\u533b\u9662\u96f6\u661f\u91c7\u8d2d\u6216\u79f0\u81ea\u884c\u91c7\u8d2d\u3002\u5404\u516c\u7acb\u533b\u9662\u5bf9\u8d27\u7269\u7684\u81ea\u884c\u91c7\u8d2d\u5747\u5236\u5b9a\u4e86\u5404\u81ea\u7684\u91c7\u8d2d\u7ba1\u7406\u529e\u6cd5\uff0c\u5efa\u7acb\u4e86\u76f8\u5e94\u7684\u91c7\u8d2d\u7ba1\u7406\u673a\u6784\u3002\u603b\u4f53\u4e0a\uff0c\u533b\u9662\u5927\u578b\u8bbe\u5907\u5927\u591a\u7531\u516c\u5f00\u62db\u6807\u65b9\u5f0f\u91c7\u8d2d\uff0c\u800c\u5c0f\u578b\u8bbe\u5907\u591a\u7531\u533b\u9662\u81ea\u884c\u7ec4\u7ec7\u91c7\u8d2d\u3002\n<\/p>\n

\n\t\u533b\u7597\u8bbe\u5907\u91c7\u8d2d\u5177\u4f53\u6d41\u7a0b\uff08\u7565\uff09\n<\/p>\n

\n\t3.2\u3001\u6211\u56fd\u8017\u6750\u62db\u6807\u91c7\u8d2d\u65b9\u5f0f\n<\/p>\n

\n\t\u6211\u56fd\u8017\u6750\u62db\u6807\u91c7\u8d2d\u65b9\u5f0f\u603b\u8ff0\n<\/p>\n

\n\t\u4ece\u8017\u6750\u91c7\u8d2d\u7684\u6a21\u5f0f\u6765\u770b\uff0c\u5e26\u91cf\u91c7\u8d2d+\u9633\u5149\u6302\u7f51+GPO \u7b49\u51e0\u79cd\u65b9\u5f0f\u5e76\u5b58\u3002\u4ece\u96c6\u91c7\u7684\u8017\u6750\u79cd\u7c7b\u6765\u770b\uff0c2019 \u5e74\u4e0d\u4ec5\u8f83\u591a\u7701\u4efd\u843d\u5730\u9ad8\u503c\u8017\u6750\u5e26\u91cf\u91c7\u8d2d\uff0c\u8fd8\u6709\u90e8\u5206\u7701\u5e02\u5bf9\u4e8e\u4f4e\u503c\u8017\u6750\uff0c\u751a\u81f3 IVD \u8bd5\u5242\u4e5f\u63a8\u884c\u5e26\u91cf\u91c7\u8d2d\u3002\n<\/p>\n

\n

\n\t\u9633\u5149\u6302\u7f51\u91c7\u8d2d\n<\/p>\n

\n\t\u9ad8\u503c\u533b\u7528\u8017\u6750\u4ea7\u54c1\u901a\u8fc7\u7701\u91c7\u8d2d\u5e73\u53f0\u96c6\u4e2d\u6302\u7f51\uff0c\u533b\u7597\u673a\u6784\u901a\u8fc7\u7701\u91c7\u8d2d\u5e73\u53f0\u9633\u5149\u91c7\u8d2d\u3002\u591a\u6570\u60c5\u51b5\u4e0b\u91c7\u8d2d\u4e3b\u7ba1\u90e8\u95e8\u4f1a\u7ed9\u51fa\u53c2\u8003\u9650\u4ef7\uff0c\u8981\u6c42\u533b\u9662\u91c7\u8d2d\u4e0d\u5f97\u9ad8\u4e8e\u9650\u4ef7\uff0c\u5728\u6b64\u57fa\u7840\u4e0a\u533b\u9662\u4e0e\u4f01\u4e1a\u76f4\u63a5\u8bae\u4ef7\u91c7\u8d2d\u3002\u7701\u7ea7\u6302\u7f51\u4ef7\u9010\u6e10\u6210\u4e3a\u5730\u533a\u5165\u5e02\u7684\u201c\u95e8\u69db\u201d\uff0c\u771f\u6b63\u62e5\u6709\u5b9a\u4ef7\u6743\u7684\u662f\u533b\u7597\u673a\u6784\u3001\u5730\u5e02\u3001\u533b\u8054\u4f53\u7b49\u4e3b\u4f53\u3002\u9633\u5149\u6302\u7f51\u91c7\u8d2d\u53ef\u4ee5\u89c4\u8303\u533b\u7528\u8017\u6750\u7684\u91c7\u8d2d\u5168\u8fc7\u7a0b\u884c\u4e3a\uff0c\u5bd3\u7ba1\u7406\u3001\u76d1\u7763\u4e8e\u4e00\u4f53\u3002\u56fd\u5bb6\u536b\u751f\u8ba1\u751f\u59d4\u5bf9\u5404\u5730\u533b\u9662\u6240\u9700\u9ad8\u503c\u533b\u7528\u8017\u6750\u6309\u7167\u533b\u9662\u91c7\u8d2d\u76ee\u5f55\uff0c\u4ee5\u7701\uff08\u533a\u3001\u5e02\uff09\u4e3a\u5355\u4f4d\u5b9e\u884c\u96c6\u4e2d\u6302\u7f51\u9633\u5149\u91c7\u8d2d\u3002\u5404\u7701\uff08\u533a\u3001\u5e02\uff09\u6839\u636e\u5b9e\u9645\u60c5\u51b5\uff0c\u7814\u7a76\u786e\u5b9a\u9ad8\u503c\u533b\u7528\u8017\u6750\u9633\u5149\u6302\u7f51\u91c7\u8d2d\u5b9e\u65bd\u65b9\u6848\uff0c\u4f46\u8981\u6c42\u53ca\u6d41\u7a0b\u57fa\u672c\u76f8\u4f3c\u3002\u4ee5\u6e56\u5357\u7701 2017 \u5e74\u53d1\u5e03\u7684\u9ad8\u503c\u533b\u7528\u8017\u6750\u9633\u5149\u6302\u7f51\u91c7\u8d2d\u5b9e\u65bd\u65b9\u6848\u4e3a\u4f8b\u8fdb\u884c\u4ecb\u7ecd\u3002\n<\/p>\n

\n\t\u96c6\u56e2\u91c7\u8d2d\u8054\u76df\uff08GPO\uff09\n<\/p>\n

\n\t\u533b\u7597\u8017\u6750\u7684\u91c7\u8d2d\u6700\u521d\u662f\u533b\u9662\u81ea\u884c\u91c7\u8d2d\u4e3a\u4e3b\uff0c\u968f\u7740\u533b\u6539\u7684\u8fdb\u884c\uff0c\u56fd\u5bb6\u4e5f\u5728\u5927\u529b\u63a8\u52a8\u4ee5\u7701(\u533a\u3001\u5e02)\u4e3a\u5355\u4f4d\u7684\u533b\u7528\u8017\u6750\u96c6\u4e2d\u91c7\u8d2d\u5de5\u4f5c\u3002\u5728\u7701\u91c7\u8d2d\u5e73\u53f0\uff08\u9633\u5149\u91c7\u8d2d\u5e73\u53f0\uff09\u57fa\u7840\u4e0a\uff0c\u6839\u636e\u91c7\u8d2d\u8054\u76df\u4f1a\u5458\u5355\u4f4d\u4e34\u5e8a\u9700\u6c42\uff0c\u5229\u7528\u201c\u91cf\u4ef7\u6302\u94a9\u3001\u6b3e\u4ef7\u6302\u94a9\u201d\u7684\u5e02\u573a\u673a\u5236\uff0c\u901a\u8fc7\u8ba2\u5355\u5408\u5e76\uff0c\u5f62\u6210 GPO\u201c\u56e2\u8d2d\u4ef7\u201d\u3002\u533b\u7528\u8017\u6750\u91c7\u8d2d\u8054\u76df\u6a21\u5f0f\u7684\u51fa\u73b0\u6253\u7834\u4e86\u4ee5\u5f80\u533b\u7528\u8017\u6750\u4ee5\u533b\u9662\u81ea\u884c\u91c7\u8d2d\u7684\u4f20\u7edf\u6a21\u5f0f\uff0c\u4f7f\u8017\u6750\u91c7\u8d2d\u4ef7\u683c\u66f4\u52a0\u516c\u5f00\u900f\u660e\uff0c\u5728\u836f\u54c1\u4e4b\u540e\uff0c\u533b\u7528\u8017\u6750\u7684\u91c7\u8d2d\u4ef7\u683c\u4e5f\u5c06\u4f1a\u4e0d\u65ad\u521b\u4e0b\u65b0\u4f4e\u30022019 \u5e74 7 \u6708\uff0c\u6c5f\u82cf\u7701\u53d1\u5e03\u7684\u300a\u5173\u4e8e\u63a8\u8fdb\u533b\u7528\u8017\u6750\u9633\u5149\u91c7\u8d2d\u7684\u5b9e\u65bd\u610f\u89c1\uff08\u8bd5\u884c\uff09\u300b\u4e2d\u63d0\u51fa\u8981\u63a8\u8fdb\u533b\u7528\u8017\u6750\u5206\u7c7b\u91c7\u8d2d\u3002\n<\/p>\n

\n\t\u897f\u90e8\u8054\u76df\n<\/p>\n

\n\t\u7531\u9655\u897f\u7701\u53d1\u8d77\u7684\u897f\u90e8\u8054\u76df\uff0c\u73b0\u5728\u5df2\u53d1\u5c55\u4e3a\u73b0\u5728\u7684 15 \u7701\u9645\u8054\u76df\uff08\u9655\u897f\u3001\u5185\u8499\u53e4\u3001\u5b81\u590f\u3001\u7518\u8083\u3001\u9752\u6d77\u3001\u65b0\u7586\u3001\u6e56\u5357\u3001\u9ed1\u9f99\u6c5f\u3001\u5409\u6797\u3001\u8fbd\u5b81\u3001\u5e7f\u897f\u3001\u8d35\u5dde\u3001\u6d77\u5357\u3001\u65b0\u7586\u5efa\u8bbe\u5175\u56e2\u3001\u5c71\u897f\uff09\u3002\u897f\u90e8\u7701\u533a\u836f\u68b0\u91c7\u8d2d\u8054\u76df\u5c06\u5b9e\u73b0\u76ee\u5f55\u4e0e\u4ef7\u683c\u5171\u4eab\uff0c\u52a8\u6001\u8c03\u6574\u3001\u4ef7\u683c\u8054\u52a8\uff0c\u4e3b\u8981\u662f\u5e0c\u671b\u5728\u5b9e\u73b0\u8017\u6750\u96c6\u4e2d\u91c7\u8d2d\u6570\u636e\u4e92\u8054\u4e92\u901a\u3001\u8d44\u6e90\u5171\u4eab\u7684\u57fa\u7840\u4e4b\u4e0a\uff0c\u518d\u8fdb\u4e00\u6b65\u63a8\u52a8\u8de8\u533a\u57df\u7684\u4ef7\u683c\u8054\u52a8\u548c\u8054\u5408\u91c7\u8d2d\uff0c\u4ee5\u8fdb\u4e00\u6b65\u964d\u4f4e\u533b\u7528\u8017\u6750\u7684\u865a\u9ad8\u4ef7\u683c\u3002\u7b2c\u4e00\u9636\u6bb5\uff0c\u897f\u90e8\u5404\u7701\u533a\u5206\u522b\u63d0\u4f9b\u73b0\u6709\u9ad8\u503c\u533b\u7528\u8017\u6750\u7684\u57fa\u7840\u6570\u636e\uff0c\u5b9e\u73b0\u9ad8\u503c\u533b\u7528\u8017\u6750\u57fa\u7840\u6570\u636e\u7684\u5171\u4eab\uff1b\u7b2c\u4e8c\u9636\u6bb5\uff0c\u5236\u5b9a\u7edf\u4e00\u7684\u7f16\u7801\u6807\u51c6\uff0c\u786e\u5b9a\u5171\u540c\u7ef4\u62a4\u548c\u4e0a\u4f20\u673a\u5236\uff0c\u786e\u4fdd\u6570\u636e\u5e93\u57fa\u7840\u6570\u636e\u5b89\u5168\u6709\u6548\uff0c\u897f\u90e8\u5404\u7701\u533a\u6839\u636e\u5404\u81ea\u5de5\u4f5c\u9700\u8981\uff0c\u968f\u65f6\u8c03\u7528\u5171\u4eab\u6570\u636e\u5e93\u4fe1\u606f\uff0c\u5b9e\u73b0\u5404\u7701\u533a\u9ad8\u503c\u533b\u7528\u8017\u6750\u57fa\u7840\u6570\u636e\u5e93\u6570\u636e\u7684\u7edf\u4e00\uff0c\u8d44\u5ba1\u53ca\u4ef7\u683c\u7b49\u4fe1\u606f\u4e92\u8054\u4e92\u901a\u30022017 \u5e74\u9655\u897f\u7701\u5206\u4e09\u6279\u5b8c\u6210 13 \u5927\u7c7b\u9ad8\u503c\u8017\u6750\u5168\u56fd\u6700\u4f4e\u4ef7\u9650\u4ef7\u91c7\u8d2d\uff0c\u4ef7\u683c\u6700\u9ad8\u964d\u5e45 98.7%\uff0c\u5e73\u5747\u964d\u5e45 18.37%\u3002\u4e3a\u4e86\u6269\u5927\u6548\u5e94\uff0c\u8fd8\u63d0\u51fa\u4e86\u8de8\u7701\u5f00\u5c55\u533b\u7528\u8017\u6750\u91c7\u8d2d\u6570\u636e\u5171\u5efa\u5171\u4eab\uff0c\u5e76\u5f62\u4e0a\u8ff0\u7701\u9645\u8017\u6750\u91c7\u8d2d\u8054\u76df\uff0c\u4ee5\u6570\u636e\u4e3a\u57fa\u7840\uff0c\u4e0e\u5404\u7701\u533a\u8054\u5408\u8bae\u4ef7\uff0c\u5bf9\u6302\u7f51\u91c7\u8d2d\u7684\u9ad8\u503c\u533b\u7528\u8017\u6750\u4ef7\u683c\uff0c\u6bcf\u534a\u5e74\u8fdb\u884c\u4e00\u6b21\u5927\u8c03\u6574\uff1b\u5728\u4f4e\u503c\u8017\u6750\uff08\u542b\u8bd5\u5242\uff09\u6302\u7f51\u653f\u7b56\u51fa\u53f0\u540e\uff0c\u6e56\u5357\u7701\u90f4\u5dde\u5e02\u3001\u957f\u6c99\u5e02\u5f00\u59cb\u8ddf\u8fdb\u3002\n<\/p>\n

\n\t\u4eac\u6d25\u5180\u91c7\u8d2d\u8054\u76df\n<\/p>\n

\n\t2016 \u5e74\uff0c\u5317\u4eac\u5e02\u3001\u5929\u6d25\u5e02\u548c\u6cb3\u5317\u7701\u5171\u540c\u7b7e\u7f72\u4e86\u300a\u4eac\u6d25\u5180\u516c\u7acb\u533b\u9662\u533b\u7528\u8017\u6750\u8054\u5408\u91c7\u8d2d\u6846\u67b6\u534f\u8bae\u300b\uff0c\u4e09\u5730\u5b9e\u73b0\u201c\u4e00\u4e2a\u5e73\u53f0\u3001\u534f\u540c\u8054\u52a8\u3001\u9633\u5149\u900f\u660e\u3001\u7f51\u4e0a\u91c7\u8d2d\u201d\uff0c\u8fdb\u4e00\u6b65\u964d\u4f4e\u8017\u6750\u865a\u9ad8\u4ef7\u683c\u30022019 \u5e74 11 \u6708\uff0c\u4eac\u6d25\u5180 3 \u7701\u5e02\u8054\u5408\u53d1\u5e03\u300a\u4eac\u6d25\u5180\u533b\u7528\u8017\u6750\u8054\u5408\u5e26\u91cf\u91c7\u8d2d\u5de5\u4f5c\u610f\u89c1\u7684\u901a\u77e5\u300b\uff0c\u8fbd\u5b81\u3001\u5409\u6797\u3001\u9ed1\u9f99\u6c5f\u3001\u5c71\u897f\u3001\u5185\u8499\u53e4\u3001\u5c71\u4e1c\u7701\u4e5f\u8868\u793a\u8981\u79ef\u6781\u8ddf\u8fdb\uff0c\u53c2\u4e0e\u5f00\u5c55\u8054\u5408\u91c7\u8d2d\uff0c\u5efa\u7acb\u4ee5\u4eac\u6d25\u5180\u5408\u4f5c\u4e3a\u57fa\u7840\u7684\u5317\u65b9\u91c7\u8d2d\u8054\u76df\uff0c\u5f62\u6210\u201c3+6\u201d\u8054\u5408\u91c7\u8d2d\u65b0\u6a21\u5f0f\u30022020 \u5e74 5 \u6708 18 \u65e5\uff0c\u4eac\u6d25\u5180\u53ca\u9ed1\u5409\u8fbd\u8499\u664b\u9c81\u533b\u836f\u8054\u5408\u91c7\u8d2d\u529e\u516c\u5ba4\uff083+N \u96c6\u91c7\u8054\u76df\uff09\u5bf9\u8bae\u4ef7\u7ec4\u4eba\u5de5\u6676\u4f53\u5f00\u5c55\u8bae\u4ef7\u8c08\u5224\u5de5\u4f5c\uff0c\u672c\u6b21\u96c6\u91c7\u5171\u9009\u5b9a\u4e86 53 \u7ec4\u76ee\u5f55\uff0c\u5171 172 \u4e2a\u4ea7\u54c1\uff0c\u7b2c\u4e00\u8f6e\u7ade\u4ef7\u3001\u7b2c\u4e8c\u8f6e\u8bae\u4ef7\u8c08\u5224\uff0c\u5176\u4e2d\u6709 25 \u4e2a\u4ea7\u54c1\u7ade\u4ef7\u6210\u529f\uff0c19 \u4e2a\u4ea7\u54c1\u8bae\u4ef7\u8c08\u5224\u6210\u529f\u3002\u4e0e\u8054\u5408\u91c7\u8d2d\u5730\u533a\u533b\u7597\u673a\u6784\u539f\u91c7\u8d2d\u4ef7\u76f8\u6bd4\uff0c\u7b2c\u4e00\u8f6e\u7ade\u4ef7\u7684\u5e73\u5747\u964d\u5e45\u4e3a\u8fbe 54.21%\uff0c\u6700\u9ad8\u964d\u5e45\u4e3a 84.73%\uff0c\u8c08\u5224\u964d\u5e45\u5b98\u65b9\u5c1a\u672a\u53d1\u5e03\u6570\u636e\uff0c\u6839\u636e\u521d\u6b65\u4f30\u7b97\uff0c\u5e73\u5747\u964d\u5e45\u53ef\u8fbe 10%-30%\u3002\n<\/p>\n

\n\t\u201c\u6caa\u82cf\u6d59\u7696\u95fd\u201d\u7684\u534e\u4e1c\u56db\u7701\u4e00\u5e02\u8054\u76df\n<\/p>\n

\n\t2016 \u5e74 11 \u6708\uff0c\u4e0a\u6d77\u3001\u6c5f\u82cf\u3001\u6d59\u6c5f\u3001\u5b89\u5fbd\u3001\u798f\u5efa\u8fd9\u56db\u7701\u4e00\u5e02\u7684\u4ee3\u8868\u5171\u540c\u7b7e\u7f72\u300a\u6caa\u82cf\u6d59\u7696\u95fd\u56db\u7701\u4e00\u5e02\u5efa\u7acb\u7efc\u5408\u533b\u6539\u8054\u5e2d\u4f1a\u8bae\u5236\u5ea6\u534f\u8bae\u300b\uff0c\u660e\u786e\u5c06\u5728\u836f\u54c1\u8017\u6750\u91c7\u8d2d\u3001\u533b\u4fdd\u652f\u4ed8\u3001\u533b\u7597\u670d\u52a1\u4ef7\u683c\u6539\u9769\u3001\u4eba\u4e8b\u85aa\u916c\u3001\u5065\u5eb7\u4ea7\u4e1a\u53d1\u5c55\u7b49\u65b9\u9762\u5f00\u5c55\u653f\u7b56\u534f\u540c\u30022017\u5e74 5 \u6708\uff0c\u201c\u6caa\u82cf\u6d59\u7696\u95fd\u201d\u56db\u7701\u4e00\u5e02\u7efc\u5408\u533b\u6539\u8054\u5e2d\u4f1a\u8bae\u5728\u4e0a\u6d77\u53ec\u5f00\uff0c\u5bf9\u56db\u7701\u4e00\u5e02\u836f\u54c1\u548c\u533b\u7528\u8017\u6750\u8054\u5408\u91c7\u8d2d\u5de5\u4f5c\u65b9\u6848\u7b49\u8fdb\u884c\u4e86\u7814\u7a76\u8ba8\u8bba\u3002\u4f1a\u8bae\u660e\u786e\uff0c\u8981\u63a8\u5e7f\u6d59\u6c5f\u7701\u3001\u5b81\u6ce2\u5e02\u533b\u7528\u8017\u6750\u5e26\u91cf\u91c7\u8d2d\u7684\u6210\u529f\u7ecf\u9a8c\uff0c\u9009\u62e9 1-2 \u7c7b\u7528\u91cf\u5927\u3001\u4ef7\u683c\u9ad8\u7684\u533b\u7528\u8017\u6750\u54c1\u79cd\uff0c\u5b9e\u884c\u56db\u7701\u4e00\u5e02\u8054\u5408\u91c7\u8d2d\uff0c\u63d0\u9ad8\u91c7\u8d2d\u96c6\u4e2d\u5ea6\uff0c\u538b\u7f29\u865a\u9ad8\u4ef7\u683c\u3002\u6240\u8c13\u201c\u4e09\u6b65\u8bc4\u5ba1\u6cd5\u201d\u5c31\u662f\uff1a\uff081\uff09\u7b2c\u4e00\u6b65\u662f\u4f9b\u5e94\u5546\u8d44\u8d28\u5165\u56f4\u7531\u8ba1\u7b97\u673a\u51b3\u5b9a\uff1a\u5bf9\u4f9b\u5e94\u5546\u8d44\u8d28\u8bbe\u7acb\u82e5\u5e72\u5ba1\u6838\u8981\u7d20\uff0c\u8d4b\u4e88\u76f8\u5e94\u7684\u5206\u503c\uff0c\u7531\u8ba1\u7b97\u673a\u5bf9\u4f9b\u5e94\u5546\u8d44\u8d28\u8981\u7d20\u8fdb\u884c\u8bc4\u5206\uff0c\u6309\u5f97\u5206\u4ece\u9ad8\u5230\u4f4e\u786e\u8ba4\u5165\u56f4\u540d\u5355\uff0c\u5165\u56f4\u4f01\u4e1a\u4e0d\u8d85\u8fc7 10 \u5bb6\uff1b\uff082\uff09\u7b2c\u4e8c\u6b65\u54c1\u724c\u9074\u9009\u7531\u4e13\u5bb6\u6295\u7968\u51b3\u5b9a\uff1a\u968f\u673a\u62bd\u53d6 25 \u540d\u4e34\u5e8a\u4e13\u5bb6\uff0c\u5404\u4e13\u5bb6\u72ec\u7acb\u5bf9\u8d44\u8d28\u5165\u56f4\u54c1\u724c\u8fdb\u884c\u6295\u7968\uff0c\u6309\u6309\u5f97\u7968\u591a\u5c11\u9074\u9009\u4ef7\u683c\u8c08\u5224\u7684\u5165\u56f4\u54c1\u724c\uff0c\u5165\u56f4\u54c1\u724c\u4e0d\u8d85\u8fc7 5 \u4e2a\uff1b\uff083\uff09\u7b2c\u4e09\u6b65\u662f\u6210\u4ea4\u4e0e\u5426\u7531\u4ef7\u683c\u51b3\u5b9a\uff1a\u4ef7\u683c\u8c08\u5224\u4e13\u5bb6\u6309\u540c\u8d28\u4f4e\u4ef7\u3001\u964d\u4ef7\u5e45\u5ea6\u3001\u4ef7\u683c\u8c08\u5224\u7ed3\u679c\u6ee1\u610f\u5ea6\u4e09\u8981\u7d20\u8fdb\u884c\u73b0\u573a\u8bae\u4ef7\u3002\u8bae\u4ef7\u91c7\u7528\u201c\u591a\u8f6e\u62a5\u4ef7\u3001\u9010\u8f6e\u6dd8\u6c70\u3001\u73b0\u573a\u516c\u5e03\u201d\u7684\u65b9\u5f0f\uff0c\u786e\u5b9a\u6210\u4ea4\u4ea7\u54c1\u3002\u8fd9\u4e09\u4e2a\u6b65\u9aa4\u73af\u73af\u76f8\u6263\uff0c\u53c8\u76f8\u4e92\u72ec\u7acb\uff0c\u4fdd\u8bc1\u5165\u56f4\u4f01\u4e1a\u5747\u4e3a\u4ea7\u54c1\u8d28\u91cf\u53ef\u9760\u3001\u4fe1\u8a89\u826f\u597d\u3001\u4f9b\u8d27\u53ca\u65f6\uff0c\u540c\u65f6\u53c8\u6700\u5927\u9650\u5ea6\u5730\u964d\u4f4e\u91c7\u8d2d\u4ef7\u683c\u3002\n<\/p>\n

\n\t\u4e09\u660e\u91c7\u8d2d\u8054\u76df\n<\/p>\n

\n\t\u798f\u5efa\u7701\u4e09\u660e\u5e02\u7387\u5148\u5f00\u5c55\u4e86\u533b\u836f\u3001\u533b\u7597\u3001\u533b\u4fdd\u4e09\u533b\u8054\u52a8\u7684\u516c\u7acb\u533b\u9662\u6539\u9769\u3002\u901a\u8fc7\u4ee5\u533b\u4fdd\u652f\u4ed8\u4e3a\u57fa\u7840\u7684\u836f\u54c1\u8054\u5408\u9650\u4ef7\u9633\u5149\u91c7\u8d2d\uff0c\u201c\u4e24\u7968\u5236\u201d\u7684\u5c1d\u8bd5\uff0c\u538b\u4f4e\u836f\u4ef7\uff0c\u538b\u7f29\u56de\u6263\u7a7a\u95f4\uff0c\u8c03\u63a7\u529b\u5ea6\u53ef\u8c13\u7a7a\u524d\uff0c\u77ed\u65f6\u95f4\u5185\u57fa\u672c\u8fbe\u5230\u4e86\u836f\u54c1\u91cf\u4ef7\u9f50\u964d\u7684\u76ee\u7684\u3002\u7531\u4e8e\u4e09\u660e\u8054\u76df\u201c\u91cf\u4ef7\u9f50\u4e0b\u201d\u7684\u7279\u70b9\uff0c\u5728\u964d\u4f4e\u533b\u7597\u8d39\u7528\u3001\u63d0\u9ad8\u533b\u9662\u4e1a\u52a1\u6027\u6536\u5165\u65b9\u9762\u53d6\u5f97\u4e86\u201c\u663e\u8457\u6210\u7ee9\u201d\uff0c\u53d7\u5230\u4e86\u56fd\u5bb6\u9ad8\u5c42\u3001\u6709\u5173\u90e8\u95e8\u548c\u533b\u836f\u536b\u751f\u754c\u7684\u5173\u6ce8\u53ca\u80af\u5b9a\uff0c\u800c\u56e0\u6b64\u88ab\u63a8\u5e7f\u81f3\u5168\u56fd\u7684\u533b\u6539\u6a21\u5f0f\u30022020 \u5e74 1 \u6708\uff0c\u9ed1\u9f99\u6c5f\u7701\u9e21\u897f\u5e02\u52a0\u5165\u4e09\u660e\u8054\u76df\uff0c\u8054\u76df\u6210\u5458\u5df2\u8fbe\u5230\u4e86 54 \u4e2a\uff0c\u6db5\u76d6\u4e86 16 \u4e2a\u7701\u4efd\uff08\u81ea\u6cbb\u533a\uff09\u3002\u8054\u76df\u5185\u5e73\u53f0\u5171\u4eab\u3001\u76ee\u5f55\u5171\u4eab\u3001\u4ef7\u683c\u5171\u4eab\u3001\u8d44\u6e90\u5171\u4eab\uff0c\u5145\u5206\u53d1\u6325\u91c7\u8d2d\u8054\u76df\u7684\u534f\u540c\u6548\u5e94\u3002\n<\/p>\n

\n\t\u5e26\u91cf\u91c7\u8d2d\n<\/p>\n

\n\t\u56fd\u5bb6\u5c42\u9762\u7684\u533b\u7528\u8017\u6750\u96c6\u4e2d\u91c7\u8d2d\u653f\u7b56\u6700\u65e9\u53ef\u8ffd\u6eaf\u81f3 2000 \u5e74\u56fd\u52a1\u9662\u4f53\u6539\u529e\u7b49\u516b\u90e8\u8054\u5408\u53d1\u5e03\u300a\u5173\u4e8e\u57ce\u9547\u533b\u836f\u536b\u751f\u4f53\u5236\u6539\u9769\u7684\u6307\u5bfc\u610f\u89c1\u300b\uff0c\u610f\u89c1\u63d0\u51fa\u8981\u8fdb\u884c\u836f\u54c1\u96c6\u4e2d\u62db\u6807\u91c7\u8d2d\u5de5\u4f5c\u8bd5\u70b9\uff0c\u5f00\u542f\u4e86\u6211\u56fd\u533b\u836f\u884c\u4e1a\u96c6\u4e2d\u91c7\u8d2d\u7684\u5148\u6cb3\u3002\u6839\u636e\u4e2d\u56fd\u533b\u7597\u5668\u68b0\u884c\u4e1a\u53d1\u5c55\u62a5\u544a\uff0c\u53ef\u5c06 2000 \u5e74\u4ee5\u6765\u533b\u7597\u5668\u68b0\u96c6\u4e2d\u91c7\u8d2d\u7684\u53d1\u5c55\u5386\u7a0b\u5206\u4e3a\u56db\u4e2a\u9636\u6bb5\uff0c\u5404\u4e2a\u9636\u6bb5\u90fd\u6709\u76f8\u5173\u56fd\u5bb6\u653f\u7b56\u51fa\u53f0\u3002\n<\/p>\n

\n

\n\t\u5e26\u91cf\u91c7\u8d2d\u7684\u54c1\u79cd\u9009\u62e9\n<\/p>\n

\n\t\u4ece\u5e26\u91cf\u91c7\u8d2d\u7684\u8017\u6750\u54c1\u79cd\u5b9a\u4f4d\u6765\u770b\uff0c\u4e0d\u662f\u6240\u6709\u8017\u6750\u90fd\u9002\u5408\u5e26\u91cf\u91c7\u8d2d\uff0c\u4e5f\u4e0d\u662f\u6240\u6709\u8017\u6750\u90fd\u662f\u66b4\u5229\u548c\u4ef7\u683c\u865a\u9ad8\uff0c\u8fd1 5 \u5e74\u6765\u5404\u5730\u7684\u62db\u91c7\u5de5\u4f5c\u8fd8\u662f\u201c\u529f\u4e0d\u53ef\u6ca1\u201d\u7684\uff0c\u6709\u4e9b\u7c7b\u522b\u884c\u4e1a\u865a\u9ad8\u4ef7\u683c\u5df2\u7ecf\u538b\u7f29\u4e86\u5f88\u591a\u3002\n<\/p>\n

\n\t\u89e3\u51b3\u65b9\u6848\uff1a\n<\/p>\n

\n\t1\uff09 \u6839\u636e\u91c7\u8d2d\u7269\u54c1\u7684 80\/20 \u6cd5\u5219\uff0c\u91c7\u7528\u91cd\u70b9\u7ba1\u7406\u7684\u529e\u6cd5\u8fdb\u884c\u91c7\u8d2d\u3002\u901a\u5e38\u6570\u91cf\u6216\u79cd\u7c7b\u4e3a 80%\u7684\u91c7\u8d2d\u7269\u54c1\u53ea\u5360\u603b\u4ef7\u503c\u7684 20%\uff0c\u800c\u5269\u4e0b\u6570\u91cf\u4e3a 20%\u7684\u7269\u54c1\u5219\u5360\u6709 80%\u7684\u4ef7\u503c\u3002\n<\/p>\n

\n\t2\uff09 \u5e94\u5145\u5206\u8003\u8651\u8017\u6750\u7684\u884c\u4e1a\u5c5e\u6027\uff0c\u6309\u8981\u7d20\u7279\u70b9\u5bf9\u4ea7\u54c1\u8fdb\u884c\u7b5b\u9009\uff0c\u5e94\u5f53\u9009\u62e9\u540c\u7c7b\u4ea7\u54c1\u95f4\u5dee\u5f02\u5ea6\u4e0d\u5927\u3001\u533b\u751f\u504f\u597d\u5c11\uff0c\u4ea7\u54c1\u98ce\u9669\u5c0f\u3001\u5e02\u573a\u4f9b\u5e94\u98ce\u9669\u5c0f\u7684\u54c1\u7c7b\u3002\u9ad8\u503c\u8017\u6750\u5927\u90fd\u662f\u7528\u4e8e\u5371\u6025\u91cd\u75c7\u7684\u6cbb\u7597\uff0c\u8017\u6750\u7684\u7597\u6548\u4e0e\u672f\u8005\u6280\u672f\u5bc6\u5207\u76f8\u5173\uff0c\u533b\u751f\u6280\u672f\u662f\u5728\u5b9e\u8df5\u4e2d\u957f\u671f\u7ec3\u4e60\u79ef\u7d2f\u5f62\u6210\u7684\uff0c\u672f\u8005\u4e0e\u5668\u6750\u914d\u5408\u81f3\u5173\u91cd\u8981\uff0c\u5e94\u5f53\u5c3d\u91cf\u5c0a\u91cd\u533b\u751f\u4e60\u60ef\uff0c\u548c\u4f01\u4e1a\u4ea7\u54c1\u63a8\u5e7f\u7684\u4ef7\u503c\u3002\u56fd\u5916\u901a\u8fc7\u533b\u9662\u536b\u751f\u6280\u672f\u8bc4\u4f30\uff08Hospital-Based Health Technology Assessment\uff0cHB-HTA\uff09\u6765\u89e3\u51b3\u8fd9\u4e00\u95ee\u9898\uff0c\u5148\u5bf9\u4ea7\u54c1\u7684\u7279\u70b9\u8fdb\u884c\u8bc4\u4ef7\uff0c\u5e76\u5728\u6b64\u57fa\u7840\u4e0a\u786e\u5b9a\u4ea7\u54c1\u7684\u9009\u62e9\u548c\u4ef7\u683c\u3002\u6839\u636e\u5f53\u4e0b\u56fd\u5185\u4e34\u5e8a\u6280\u672f\u7684\u6210\u719f\u5ea6\uff0c\u5fc3\u810f\u4ecb\u5165\u3001\u9aa8\u79d1\u3001\u773c\u79d1\u3001\u8840\u6db2\u900f\u6790\u7b49\u8017\u6750\u76f8\u5bf9\u6765\u8bf4\u9002\u5408\u5e26\u91cf\u91c7\u8d2d\u3002\n<\/p>\n

\n\t\u5e26\u91cf\u91c7\u8d2d\u201c\u91cf\u201d\u7684\u786e\u5b9a\u65b9\u5f0f\n<\/p>\n

\n\t\u6839\u636e\u76ee\u524d\u5b89\u5fbd\u3001\u6c5f\u82cf\u7b49\u5730\u7684\u5e26\u91cf\u91c7\u8d2d\u8bd5\u70b9\u65b9\u6848\uff0c\u5404\u5730\u7684\u201c\u91cf\u201d\u7684\u786e\u5b9a\u65b9\u5f0f\u4e0d\u540c\u3002\u603b\u4f53\u6765\u770b\uff0c\u6709\u4ee5\u4e0b\u4e09\u79cd\u65b9\u5f0f\uff1a\n<\/p>\n

\n\t1\uff09\u5e02\u573a\u4efd\u989d\uff1a\u8be5\u79cd\u96c6\u91c7\u65b9\u6848\u662f\u7ed9\u51fa\u5e02\u573a\u4efd\u989d\u7684\u65b9\u5f0f\uff0c\u5373\u533a\u57df\u5185\u6216\u533b\u9662\u96c6\u56e2\u5e74\u5ea6\u4f7f\u7528\u4efd\u989d\u767e\u5206\u6bd4\u3002\u4f8b\u5982\u5b89\u5fbd\u7701\u53c2\u52a0\u5e26\u91cf\u91c7\u8d2d\u7684\u8017\u6750\u79cd\u7c7b\u4e3a\u5360 2018 \u5e74\u5ea6\u7701\u5c5e\u516c\u7acb\u533b\u7597\u673a\u6784\u9aa8\u79d1\u690d\u5165\uff08\u810a\u67f1\uff09\u7c7b\u548c\u773c\u79d1\uff08\u4eba\u5de5\u6676\u4f53\uff09\u7c7b\u9ad8\u503c\u533b\u7528\u8017\u6750\u91c7\u8d2d\u91cf 70%\u300190%\u7684\u4ea7\u54c1\u3002\u8fd9\u79cd\u65b9\u5f0f\u64cd\u4f5c\u76f8\u5bf9\u7b80\u5355\uff0c\u5e02\u573a\u5f00\u653e\uff0c\u5bf9\u4e8e\u4f01\u4e1a\u4e5f\u6bd4\u8f83\u516c\u5e73\uff0c\u8f83\u6709\u4ef7\u503c\u3002\n<\/p>\n

\n\t2\uff09\u4f01\u4e1a\u5386\u53f2\u7528\u91cf\u6216\u6bd4\u4f8b\uff1a\u8be5\u79cd\u96c6\u91c7\u65b9\u6848\u662f\u7ed9\u51fa\u533a\u57df\u5185\u6216\u533b\u9662\u5185\u67d0\u5382\u5bb6\u81ea\u8eab\u4ea7\u54c1\u5386\u53f2\u7528\u91cf\u989d\u6216\u8005\u6bd4\u4f8b\u3002\u4f8b\u5982\u5357\u4eac\u7684\u7b2c\u4e8c\u8f6e\u8c08\u5224\u662f\u4ece\u68b0\u4f01\u51fa\u53d1\uff0c\u6311\u9009\u5728\u533b\u9662\u6709\u4e00\u5b9a\u4f7f\u7528\u91cf\u7684\u4e00\u5bb6\u68b0\u4f01\u8fdb\u884c\u8c08\u5224\uff0c\u65b9\u6848\u63d0\u51fa\u4fdd\u8bc1\u8be5\u4f01\u4e1a\u53bb\u5e74\u5728\u8054\u76df\u5730\u533a\u533b\u9662\u91c7\u8d2d\u91cf\u768470%\u3002\u8fd9\u79cd\u65b9\u5f0f\u4e0b\uff0c\u5e02\u573a\u5f00\u653e\u6027\u5dee\u3001\u516c\u5e73\u6027\u5dee\uff0c\u901a\u8fc7\u884c\u653f\u624b\u6bb5\u5e72\u9884\u5e02\u573a\u7ade\u4e89\uff0c\u5728\u8be5\u79cd\u65b9\u5f0f\u4e0b\uff0c\u533b\u9662\u53ef\u80fd\u865a\u5047\u62a5\u91cf\uff0c\u9002\u7528\u4ea7\u54c1\u9500\u91cf\u4e0d\u7a33\u5b9a\u6216\u72ec\u5bb6\u4f01\u4e1a\uff0c\u4ef7\u503c\u542b\u91cf\u8f83\u4f4e\u3002\n<\/p>\n

\n\t3\uff09 \u5e02\u573a\u771f\u5b9e\u91cf\uff1a\u8be5\u79cd\u96c6\u91c7\u65b9\u6848\u662f\u7ed9\u51fa\u771f\u6b63\u4e00\u4e2a\u533a\u57df\u6216\u533b\u9662\u96c6\u56e2\u7684\u5e02\u573a\u91cf\uff0c\u6709\u5177\u4f53\u6570\u503c\u3002\u8fd9\u79cd\u65b9\u5f0f\u9700\u8981\u533b\u7597\u673a\u6784\u548c\u533b\u751f\u7684\u652f\u6301\uff08\u975e\u884c\u653f\u547d\u4ee4\uff09\uff0c\u7ed9\u51fa\u771f\u5b9e\u9700\u6c42\u91cf\u3002\u5e02\u573a\u5f00\u653e\uff0c\u516c\u5e73\u7ade\u4e89\uff0c\u662f\u5e26\u771f\u6b63\u7684\u5e02\u573a\u7684\u91cf\uff0c\u4ef7\u503c\u542b\u91cf\u9ad8\u3002\n<\/p>\n

\n

\n\t\u5e26\u91cf\u91c7\u8d2d\u5e02\u573a\u53c2\u4e0e\u4e3b\u4f53\u7684\u79ef\u6781\u6027\n<\/p>\n

\n\t\u5e26\u91cf\u91c7\u8d2d\u9700\u8981\u5145\u5206\u8c03\u52a8\u5e02\u573a\u4ea4\u6613\u4e3b\u4f53–\u533b\u9662\u548c\u4f01\u4e1a\u7684\u79ef\u6781\u6027\u3002\u4ece\u533b\u9662\u548c\u533b\u751f\u7684\u5229\u76ca\u65b9\u9762\uff0c\u5e94\u5f53\u5145\u5206\u91cd\u89c6\u4ea7\u54c1\u6027\u80fd\u4e0e\u4e34\u5e8a\u9700\u6c42\u5173\u7cfb\uff0c\u4ece\u4ea7\u54c1\u536b\u751f\u7ecf\u6d4e\u4ef7\u503c\u51fa\u53d1\uff0c\u8003\u8651\u533b\u751f\u3001\u60a3\u8005\u9009\u62e9\u6743\u5229\uff0c\u5e26\u91cf\u7684\u89c4\u6a21\u4e0d\u5b9c\u8fc7\u5927\uff0c\u7ed9\u533b\u9662\u3001\u533b\u751f\u3001\u7279\u6b8a\u75c5\u60a3\u7559\u51fa\u4e00\u5b9a\u7a7a\u95f4\uff0c\u8017\u6750\u91c7\u8d2d\u5b9e\u884c\u5e26\u91cf\u91c7\u8d2d+\u9633\u5149\u6302\u7f51+GPO \u7ed3\u5408\u7684\u65b9\u5f0f\u3002\u4ece\u4f01\u4e1a\u7684\u5229\u76ca\u548c\u957f\u8fdc\u53d1\u5c55\u8003\u8651\uff0c\u533b\u7528\u8017\u6750\u884c\u4e1a\u79d1\u6280\u542b\u91cf\u9ad8\uff0c\u4f01\u4e1a\u7814\u53d1\u6295\u5165\u5927\u3001\u5e02\u573a\u57f9\u80b2\u5468\u671f\u957f\uff0c\u5668\u68b0\u521b\u65b0\u6027\u5f3a\uff0c\u5404\u5382\u5bb6\u6280\u672f\u5404\u6709\u7279\u70b9\uff0c\u5355\u7eaf\u538b\u7f29\u5e02\u573a\u4ef7\u683c\u4f1a\u6709\u5f88\u591a\u4e0d\u5229\u540e\u679c\uff0c\u4f1a\u6253\u51fb\u4f01\u4e1a\u7814\u53d1\u521b\u65b0\u4ea7\u54c1\u7684\u79ef\u6781\u6027\u3002\n<\/p>\n

\n\t\u56e0\u6b64\uff0c\u9009\u62e9\u540c\u7c7b\u4ea7\u54c1\u95f4\u5dee\u5f02\u5ea6\u4e0d\u5927\u3001\u533b\u751f\u504f\u597d\u5c11\uff0c\u4ea7\u54c1\u98ce\u9669\u5c0f\u3001\u5e02\u573a\u4f9b\u5e94\u98ce\u9669\u5c0f\u7684\u54c1\u7c7b\uff1b\u5e26\u771f\u6b63\u5e02\u573a\u7684\u91cf\uff0c\u5c3d\u91cf\u4e0d\u662f\u4f01\u4e1a\u81ea\u8eab\u5e02\u573a\u5386\u53f2\u7528\u91cf\uff0c\u516c\u5e73\u7ade\u4e89\uff0c\u51cf\u5c0f\u5e72\u9884\u5e02\u573a\uff1b\u7406\u987a\u673a\u5236\uff0c\u5145\u5206\u53d1\u6325\u533b\u7597\u673a\u6784\u548c\u4f01\u4e1a\u4e3b\u52a8\u53c2\u4e0e\u5e26\u91cf\u91c7\u8d2d\u7684\u79ef\u6781\u6027\uff0c\u8c03\u52a8\u533b\u751f\u4f7f\u7528\u7684\u79ef\u6781\u6027\uff0c\u4fdd\u969c\u8d27\u6b3e\uff0c\u9644\u52a0\u4f18\u5f85\uff0c\u5982\u63a8\u884c\u533b\u4fdd\u652f\u4ed8\u4ef7\u7b49\u653f\u7b56\u5747\u662f\u5e26\u91cf\u91c7\u8d2d\u80fd\u591f\u6210\u529f\u5b9e\u65bd\u7684\u5148\u51b3\u548c\u8f85\u52a9\u6761\u4ef6\u3002\n<\/p>\n

\n

\n\t\u6211\u4eec\u8ba4\u4e3a\u672a\u6765\u9ad8\u503c\u8017\u6750\u5e26\u91cf\u91c7\u8d2d\u5c06\u9010\u6b65\u5e38\u6001\u5316\u3002\u4ece\u8017\u6750\u96c6\u91c7\u7684\u5730\u533a\u6765\u770b\uff0c\u4e2d\u592e\u4e0e\u5730\u65b9\u6743\u8d23\u9010\u6b65\u660e\u6670\uff0c\u591a\u6570\u8017\u6750\u96c6\u91c7\u4ecd\u5c06\u4ee5\u5730\u65b9\u4e3a\u4e3b\uff0c\u4e2d\u592e\u90e8\u95e8\u8d1f\u8d23\u7279\u6b8a\u7c7b\u522b\u54c1\u79cd\u96c6\u91c7\uff0c\u5730\u65b9\u90e8\u95e8\u53ef\u4ee5\u505a\u5168\u90e8\u8017\u6750\u54c1\u76ee\u96c6\u91c7\uff1b\u533b\u7528\u8017\u6750\u91c7\u8d2d\u4e2d\u6709\u671b\u5e94\u7528\u533b\u9662\u536b\u751f\u6280\u672f\u8bc4\u4f30\u65b9\u6cd5\uff1b\u5e26\u91cf\u91c7\u8d2d+\u63d0\u5347\u533b\u7597\u670d\u52a1\u9879\u76ee\u6536\u8d39+DRGS+\u533b\u7528\u533b\u4fdd\u8017\u6750\u76ee\u5f55\u7b49\u653f\u7b56\u591a\u7ba1\u9f50\u4e0b\uff0c\u6539\u53d8\u8017\u6750\u884c\u4e1a\u5229\u76ca\u683c\u5c40\u3002\n<\/p>\n

\n

\n\t\u9ad8\u503c\u8017\u6750\u5e26\u91cf\u91c7\u8d2d\u5bf9\u884c\u4e1a\u7684\u5f71\u54cd\uff1a\u6e38\u620f\u89c4\u5219\u91cd\u6784\uff0c\u884c\u4e1a\u9762\u4e34\u6d17\u724c\n<\/p>\n

\n\t\u4e0d\u540c\u4e8e\u836f\u54c1\u5e26\u91cf\u91c7\u8d2d\uff0c\u8017\u6750\u5e26\u91cf\u91c7\u8d2d\u5bf9\u4e8e\u56fd\u4ea7\u9f99\u5934\u4f01\u4e1a\u673a\u9047\u5927\u4e8e\u98ce\u9669\u3002\u9ad8\u503c\u8017\u6750\u548c\u836f\u54c1\u7531\u4e8e\u5728\u4ea7\u54c1\u5c5e\u6027\u3001\u9500\u552e\u65b9\u5f0f\u53ca\u91c7\u8d2d\u6a21\u5f0f\u4e0a\u5b58\u5728\u8bf8\u591a\u4e0d\u540c\uff1a\n<\/p>\n

\n\t1\uff09 \u4ea7\u54c1\u5206\u7c7b\uff1a\u4e0e\u836f\u54c1\u89c4\u8303\u6e05\u6670\u7684\u5206\u7c7b\u4e0d\u540c\uff0c\u9ad8\u503c\u8017\u6750\u8303\u56f4\u975e\u5e38\u5e7f\uff0c\u5206\u7c7b\u590d\u6742\uff0c\u7f3a\u4e4f\u7edf\u4e00\u7684\u884c\u4e1a\u6807\u51c6\u548c\u7f16\u7801\u4f53\u7cfb\uff1b\n<\/p>\n

\n\t2\uff09\u4f7f\u7528\u79d1\u5ba4\uff1a\u8017\u6750\u4f7f\u7528\u79d1\u5ba4\u591a\u4e0e\u5916\u79d1\u76f8\u5173\uff0c\u800c\u836f\u54c1\u591a\u4e3a\u5185\u79d1\u4f7f\u7528\uff1b\n<\/p>\n

\n\t3\uff09\u4f7f\u7528\u96be\u5ea6\uff1a\u8017\u6750\u7684\u4f7f\u7528\u5bf9\u4e8e\u672f\u8005\u4f9d\u8d56\u7a0b\u5ea6\u9ad8\uff0c\u4f7f\u7528\u8fc7\u7a0b\u590d\u6742\uff0c\u7279\u5f02\u6027\u5f3a\uff1b\u836f\u54c1\u5904\u65b9\u5f00\u5177\u540e\u5bf9\u533b\u751f\u51e0\u4e4e\u65e0\u4f9d\u8d56\uff0c\u4f7f\u7528\u8fc7\u7a0b\u7b80\u5355\uff1b\n<\/p>\n

\n\t4\uff09 \u9002\u7528\u60a3\u8005\uff1a\u8017\u6750\u591a\u9002\u7528\u4e8e\u6025\u75c7\u3001\u91cd\u75c7\u624b\u672f\uff0c\u836f\u54c1\u9002\u7528\u60a3\u8005\u591a\u4e3a\u6162\u75c5\uff1b\n<\/p>\n

\n\t5\uff09\u5e02\u573a\u73af\u5883\uff1a\u836f\u54c1\u591a\u6570\u4e3a\u7ade\u4e89\u5145\u5206\uff0c\u800c\u8017\u6750\u591a\u6570\u4e0d\u5145\u5206\uff0c\u540c\u65f6\u8017\u6750\u7528\u91cf\u76f8\u5bf9\u5c0f\uff0c\u66f4\u65b0\u6362\u4ee3\u5feb\uff0c\u836f\u54c1\u7528\u91cf\u5de8\u5927\uff0c\u6362\u4ee3\u6162\uff1b\n<\/p>\n

\n\t6\uff09\u9500\u552e\u65b9\u5f0f\uff1a\u4e0e\u836f\u54c1\u591a\u4e3a\u76f4\u9500\u4e0d\u540c\uff0c\u8017\u6750\u591a\u4e3a\u7ecf\u9500\uff0c\u7531\u4e8e\u9ad8\u503c\u8017\u6750\u578b\u53f7\u4f17\u591a\uff0c\u4e13\u4e1a\u8981\u6c42\u66f4\u9ad8\uff0c\u9700\u8981\u6e20\u9053\u5546\u5bf9\u4e8e\u90e8\u5206\u9ad8\u503c\u8017\u6750\u627f\u62c5\u57f9\u8bad\u3001\u8c03\u8bd5\u3001\u7ef4\u4fee\u7b49\u670d\u52a1\uff1b\n<\/p>\n

\n\t7\uff09\u91c7\u8d2d\u65b9\u5f0f\uff1a\u836f\u54c1\u76f8\u5bf9\u7b80\u5355\uff0c\u5e26\u91cf\u5bb9\u6613\uff1b\u8017\u6750\u8f83\u4e3a\u590d\u6742\uff0c\u4e0d\u540c\u5382\u5bb6\u95f4\u4ea7\u54c1\u5dee\u5f02\u6027\u660e\u663e\uff0c\u4e14\u96be\u4ee5\u8fdb\u884c\u4e00\u81f4\u6027\u8bc4\u4ef7\uff0c\u5e26\u91cf\u91c7\u8d2d\u96be\uff1b\n<\/p>\n

\n\t\u603b\u4f53\u6765\u770b\uff0c\u533b\u7597\u5668\u68b0\u4e0e\u836f\u54c1\u4ea7\u54c1\u5c5e\u6027\u4e0d\u540c\uff0c\u6ca1\u6709\u201c\u539f\u7814\u201d\u548c\u201c\u4eff\u5236\u201d\u7684\u533a\u522b\uff0c\u5404\u7c7b\u5668\u68b0\u89c4\u683c\u53c2\u6570\u4f17\u591a\uff0c\u96be\u4ee5\u8fdb\u884c\u201c\u4e00\u81f4\u6027\u201d\u8bc4\u4ef7\uff0c\u8d28\u91cf\u5206\u7ea7\u53ea\u80fd\u901a\u8fc7\u4e34\u5e8a\u6570\u636e\u3001\u533b\u751f\u8bc4\u4ef7\u4ee5\u53ca\u4ea7\u54c1\u6750\u6599\u8fdb\u884c\u8d28\u91cf\u533a\u5206\uff1b\u800c\u4e14\u4e00\u81f4\u6027\u8bc4\u4ef7\u9700\u8981\u8f83\u957f\u7684\u5468\u671f\uff0c\u800c\u8017\u6750\u901a\u5e38\u6765\u8bf4\u751f\u547d\u5468\u671f\u53ea\u6709\u4e24\u5e74\u5de6\u53f3\uff0c\u5382\u5bb6\u81ea\u5df1\u9488\u5bf9\u4ea7\u54c1\u7684\u9891\u7e41\u6362\u4ee3\u53ef\u80fd\u4f1a\u5bfc\u81f4\u4e00\u81f4\u6027\u8bc4\u4ef7\u8fd8\u6ca1\u505a\u5b8c\uff0c\u4ea7\u54c1\u5c31\u9000\u5e02\u4e86\u3002\u6240\u6709\u7684\u9ad8\u503c\u8017\u6750\u4e2d\u53ea\u6709\u51a0\u8109\u652f\u67b6\u5dee\u5f02\u662f\u6700\u5c0f\u7684\uff0c\u6240\u4ee5\u6c5f\u82cf\u7701\u9996\u5148\u9009\u62e9\u51a0\u8109\u652f\u67b6\u8bd5\u70b9\u96c6\u91c7\u3002\n<\/p>\n

\n

\n\t\u5e26\u91cf\u91c7\u8d2d\u7684\u76ee\u7684\u662f\u6324\u51fa\u8017\u6750\u4ef7\u683c\u4e2d\u865a\u9ad8\u7684\u9500\u552e\u8d39\u7528\uff0c\u751f\u4ea7\u4f01\u4e1a\u6700\u7ec8\u627f\u62c5\u7684\u4ef7\u683c\u964d\u5e45\u5728\u4e8e\u6e20\u9053\u7684\u5229\u6da6\u7a7a\u95f4\uff0c\u5982\u679c\u6e20\u9053\u5229\u6da6\u7a7a\u95f4\u8f83\u5927\uff0c\u5bf9\u4e8e\u751f\u4ea7\u4f01\u4e1a\u7684\u5f71\u54cd\u5219\u5fae\u4e4e\u5176\u5fae\u3002\u8017\u6750\u5e26\u91cf\u91c7\u8d2d\u4e2d\u6807\u7684\u51e0\u5bb6\u4f01\u4e1a\u80fd\u591f\u72ec\u4eab\u8be5\u7701\uff08\u5e02\uff09\u516c\u7acb\u533b\u9662\u8d85\u8fc7 70%\u7684\u5e02\u573a\u4efd\u989d\uff0c\u6709\u5229\u4e8e\u884c\u4e1a\u96c6\u4e2d\u5ea6\u7684\u63d0\u5347\u3001\u9f99\u5934\u4f01\u4e1a\u5e02\u5360\u7387\u7684\u6269\u5927\u3002\u968f\u7740\u9ad8\u503c\u533b\u7528\u8017\u6750\u5e26\u91cf\u91c7\u8d2d\u5728\u5168\u56fd\u66f4\u5927\u8303\u56f4\u5185\u94fa\u5f00\uff0c\u672a\u4e2d\u6807\u5382\u5bb6\u7684\u5e02\u573a\u4efd\u989d\u5c06\u88ab\u8fdb\u4e00\u6b65\u538b\u7f29\uff0c\u540c\u65f6\u7531\u4e8e\u4e2d\u5c0f\u578b\u8017\u6750\u751f\u4ea7\u4f01\u4e1a\u5f80\u5f80\u4ea7\u80fd\u76f8\u5bf9\u6709\u9650\uff0c\u4e14\u5728\u4e24\u7968\u5236\u4e0b\uff0c\u7ecf\u9500\u5546\u7684\u89d2\u8272\u8f6c\u4e3a\u914d\u9001\u5546\uff0c\u751f\u4ea7\u5382\u5bb6\u9700\u8981\u5728\u5168\u56fd\u5404\u5730\u5efa\u7acb\u591a\u4e2a\u5916\u4ed3\uff0c\u4ee5\u5feb\u901f\u54cd\u5e94\u533b\u9662\u9700\u6c42\uff0c\u800c\u5916\u4ed3\u7684\u5efa\u4ed3\u548c\u914d\u5957\u76f8\u5173\u8d39\u7528\u5bf9\u5c0f\u516c\u53f8\u800c\u8a00\u662f\u4e00\u4e2a\u58c1\u5792\uff1b\u4e24\u7968\u5236\u540e\uff0c\u884c\u4e1a\u8d26\u671f\u666e\u904d\u62c9\u957f\uff0c\u5c0f\u516c\u53f8\u4e0d\u5177\u6709\u8d44\u91d1\u548c\u6210\u672c\u4f18\u52bf\uff0c\u96be\u4ee5\u4e0e\u5927\u578b\u4f01\u4e1a\u76f8\u6297\u8861\u3002\u901a\u8fc7\u4f18\u80dc\u52a3\u6c70\u7684\u673a\u5236\uff0c\u63a8\u52a8\u9ad8\u503c\u533b\u7528\u8017\u6750\u884c\u4e1a\u5411\u96c6\u7ea6\u5316\u3001\u89c4\u8303\u5316\u3001\u5065\u5eb7\u5316\u7684\u65b9\u5411\u53d1\u5c55\u3002\n<\/p>\n

\n

\n\t\u4ece\u957f\u671f\u6765\u770b\uff0c\u6211\u4eec\u8ba4\u4e3a\u8017\u6750\u5e26\u91cf\u91c7\u8d2d\u6709\u5229\u4e8e\u884c\u4e1a\u96c6\u4e2d\u5ea6\u7684\u63d0\u5347\uff0c\u672a\u6765\u7b26\u5408\u536b\u751f\u7ecf\u6d4e\u5b66\u3001\u5177\u6709\u660e\u786e\u4e34\u5e8a\u8bca\u7597\u4ef7\u503c\u7684\u8017\u6750\u6709\u671b\u53d7\u76ca\uff0c\u56fd\u4ea7\u8017\u6750\u7531\u4e8e\u5177\u6709\u6027\u4ef7\u6bd4\u9ad8\u4f18\u52bf\uff0c\u6709\u671b\u9010\u6b65\u62a2\u5360\u8fdb\u53e3\u7684\u5e02\u573a\u4efd\u989d\uff1b\u62e5\u6709\u81ea\u4e3b\u521b\u65b0\u80fd\u529b\u3001\u4e1a\u52a1\u591a\u5143\u5316\u5e03\u5c40\uff0c\u6216\u662f\u5355\u4e00\u4ea7\u54c1\u5177\u6709\u9ad8\u6280\u672f\u542b\u91cf\u548c\u9ad8\u9644\u52a0\u503c\uff0c\u5728\u5dee\u5f02\u5316\u7ade\u4e89\u4e2d\u5177\u6709\u660e\u663e\u7684\u4f18\u52bf\u7684\u56fd\u4ea7\u9f99\u5934\u4f01\u4e1a\u6709\u671b\u5728\u884c\u4e1a\u6d17\u724c\u4e2d\u53d7\u76ca\u3002\n<\/p>\n

\n\t3.3\u3001\u56fd\u5916\u533b\u7597\u5668\u68b0\u7684\u91c7\u8d2d\u65b9\u5f0f\uff08\u7565\uff09\n<\/p>\n

\n\t\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\uff08WHO\uff092016 \u5e74\u5bf9\u5168\u7403 173 \u4e2a\u56fd\u5bb6\u533b\u7597\u5668\u68b0\u91c7\u8d2d\u653f\u7b56\u7684\u68b3\u7406\u663e\u793a\uff0c110 \u4e2a\u56fd\u5bb6\u5728\u56fd\u5bb6\u5c42\u9762\u91c7\u8d2d\u533b\u7597\u5668\u68b0\uff0c\u5360 63.58%\uff1b74 \u4e2a\u56fd\u5bb6\u62e5\u6709\u56fd\u5bb6\u91c7\u8d2d\u6216\u62a5\u9500\u533b\u7597\u5668\u68b0\u6e05\u5355\uff0c\u5360 42.77%\uff1b85 \u4e2a\u56fd\u5bb6\u5177\u6709\u56fd\u5bb6\u533b\u7597\u5668\u68b0\u91c7\u8d2d\u6307\u5357\uff0c\u5360 49.13%\uff1b86 \u4e2a\u56fd\u5bb6\u5177\u6709\u652f\u6301\u91c7\u8d2d\u6216\u6350\u8d60\u7684\u6280\u672f\u89c4\u8303\uff0c\u5360 49.71%\u3002\u56fd\u9645\u591a\u91c7\u53d6 GPO+\u533b\u9662\u81ea\u884c\u91c7\u8d2d\u65b9\u5f0f\uff0c\u66f4\u9002\u5408\u5e02\u573a\u7ecf\u6d4e\uff0c\u8d34\u8fd1\u9700\u6c42\u3002\u5176\u4e2d\uff0c\u7f8e\u56fd GPO \u53d1\u5c55\u65f6\u95f4\u6700\u957f\uff0c\u53d1\u5c55\u8f83\u4e3a\u6210\u719f\u3002\n<\/p>\n

\n

\n\t4\u3001\u6295\u8d44\u6807\u7684\n<\/p>\n

\n\t\u6211\u56fd\u533b\u7597\u5668\u68b0\u884c\u4e1a\u8fce\u6765\u524d\u6240\u672a\u6709\u7684\u53d1\u5c55\u826f\u673a\uff0c\u672a\u6765\u5341\u5e74\u662f\u56fd\u4ea7\u521b\u65b0\u533b\u7597\u5668\u68b0\u7684\u9ec4\u91d1\u53d1\u5c55\u65f6\u671f\u3002\u4ece\u6218\u7565\u6027\u7684\u89d2\u5ea6\uff0c\u6211\u4eec\u505a\u51fa\u8fd9\u4e00\u5224\u65ad\u4e3b\u8981\u57fa\u4e8e\u4e09\u5927\u7406\u7531\uff1a1\u3001\u65b0\u9700\u6c42\u548c\u521b\u65b0\u6280\u672f\u5f15\u9886\u884c\u4e1a\u53d1\u5c55\u30022\u3001\u8fdb\u53e3\u66ff\u4ee3\u52a0\u901f\u548c\u96c6\u4e2d\u5ea6\u63d0\u5347\u50ac\u751f\u9f99\u5934\u80dc\u51fa\u30023\u3001\u66f4\u597d\u7684\u878d\u8d44\u73af\u5883\u548c\u533b\u7597\u653f\u7b56\u9a71\u52a8\u884c\u4e1a\u521b\u65b0\u3002\u4ece\u4f30\u503c\u65b9\u6cd5\u770b\uff0c\u540e\u7eed\u533b\u7597\u5668\u68b0\u677f\u5757\u4e2d\u4f18\u8d28\u7684\u4ea7\u54c1\u7ba1\u7ebf\uff0c\u4e5f\u4f1a\u7c7b\u4f3c\u4e8e\u521b\u65b0\u836f\uff0c\u5f00\u542f pipeline \u4f30\u503c\u6cd5\u3002\n<\/p>\n

\n\t\u521b\u65b0\u6280\u672f\u548c\u65b0\u9700\u6c42\u5f15\u9886\u884c\u4e1a\u53d1\u5c55\n<\/p>\n

\n\t\u4ece\u9700\u6c42\u770b\uff0c\u66f4\u5fae\u521b\u3001\u66f4\u7cbe\u51c6\u3001\u66f4\u65e9\u671f\u8bca\u65ad\u7684\u5668\u68b0\u9700\u6c42\u5728\u9010\u6b65\u589e\u52a0\u3002\u5668\u68b0\u7684\u521b\u65b0\u9700\u6c42\u548c\u7075\u611f\u5f88\u591a\u6765\u6e90\u4e8e\u4e34\u5e8a\uff0c\u4e2d\u56fd\u5de8\u5927\u7684\u624b\u672f\u91cf\u6709\u52a9\u4e8e\u6301\u7eed\u6316\u6398\u51fa\u521b\u65b0\u9700\u6c42\uff0c\u76ee\u524d\u56fd\u5185\u9891\u73b0\u81ea\u4e3b\u521b\u65b0\u7684\u5fae\u521b\u65b0\u7c7b\u4ea7\u54c1\uff0c\u4f8b\u5982\u827e\u5fb7\u751f\u7269\u7684\u57fa\u56e0\u68c0\u6d4b\u4ea7\u54c1\u3001\u5fc3\u8109\u533b\u7597\u7684\u672f\u4e2d\u652f\u67b6\u3001\u5065\u5e06\u751f\u7269\u8840\u6db2\u704c\u6d41\u5668\u3001\u5357\u5fae\u533b\u5b66\u7684\u7275\u5f15\u5668\u7b49\u3002\u4ece\u4f9b\u7ed9\u770b\uff0c\u533b\u9662\u7aef\u201c\u4ee5\u836f\u517b\u533b\u201d\u6a21\u5f0f\u5728\u533b\u7597\u653f\u7b56\u63a8\u52a8\u4e0b\u5c06\u9010\u6b65\u6de1\u5316\uff0c\u4ee5\u533b\u7597\u5668\u68b0\u4f5c\u4e3a\u91cd\u8981\u652f\u6491\u7684\u65b0\u533b\u7597\u6280\u672f\u548c\u533b\u7597\u670d\u52a1\u5c06\u4f1a\u9010\u6e10\u7efd\u653e\u66f4\u591a\u5149\u5f69\u3002\u4ece\u836f\u68b0\u6bd4\u770b\uff0c\u5168\u7403 vs \u4e2d\u56fd\uff0c\u5c1a\u6709\u5f88\u5927\u63d0\u5347\u7a7a\u95f4\u3002\u6839\u636e\u300a\u4e2d\u56fd\u533b\u7597\u5668\u68b0\u884c\u4e1a\u53d1\u5c55\u62a5\u544a(2017)\u300b\uff0c\u622a\u81f3 2016 \u5e74\u5e95\uff0c\u6211\u56fd\u836f\u54c1\u548c\u533b\u7597\u5668\u68b0\u4eba\u5747\u6d88\u8d39\u989d\u7684\u6bd4\u4f8b\u4ec5\u4e3a 1:0.35\uff0c\u8fdc\u4f4e\u4e8e 1:0.7 \u7684\u5168\u7403\u5e73\u5747\u6c34\u5e73\uff0c\u66f4\u4f4e\u4e8e\u53d1\u8fbe\u56fd\u5bb6 1:0.98 \u7684\u6c34\u5e73\u3002\u5c55\u671b\u672a\u6765\uff0c\u521b\u65b0\u6280\u672f\u548c\u65b0\u9700\u6c42\u5c06\u5f15\u9886\u533b\u7597\u5668\u68b0\u884c\u4e1a\u53d1\u5c55\u3002\n<\/p>\n

\n

\n\t\u8fdb\u53e3\u66ff\u4ee3\u548c\u96c6\u4e2d\u5ea6\u63d0\u5347\u50ac\u751f\u884c\u4e1a\u9f99\u5934\n<\/p>\n

\n\t\u9664\u4e86\u9700\u6c42\u7684\u589e\u957f\uff0c\u8fdb\u53e3\u66ff\u4ee3\u662f\u672a\u6765\u533b\u7597\u5668\u68b0\u884c\u4e1a\u7684\u53e6\u4e00\u4e2a\u5de8\u5927\u7ea2\u5229\u3002\u76ee\u524d\uff0c\u56fd\u4ea7\u533b\u7597\u8bbe\u5907\u5df2\u9010\u6b65\u7a81\u7834\u591a\u9879\u6280\u672f\u58c1\u5792\uff0c\u5df2\u7ecf\u57fa\u672c\u5b9e\u73b0\u8fdb\u53e3\u66ff\u4ee3\uff08\u56fd\u4ea7\u5360\u6bd4\u8d85\u8fc7 50%\uff09\u7684\u7ec6\u5206\u9886\u57df\u5305\u62ec\uff1a1\uff09\u690d\u5165\u6027\u8017\u6750\u4e2d\u7684\u5fc3\u8840\u7ba1\u652f\u67b6\u3001\u5fc3\u810f\u5c01\u5835\u5668\u3001\u4eba\u5de5\u8111\u819c\u3001\u9aa8\u79d1\u690d\u5165\u7269\u4e2d\u7684\u521b\u4f24\u7c7b\u4ea7\u54c1\u7b49\uff1b2\uff09\u5927\u4e2d\u578b\u533b\u7597\u8bbe\u5907\u4e2d\u7684\u76d1\u62a4\u4eea\u3001DR \u7b49\uff1b3\uff09\u4f53\u5916\u8bca\u65ad\u9886\u57df\u7684\u751f\u5316\u8bca\u65ad\uff1b4\uff09\u5bb6\u7528\u533b\u7597\u5668\u68b0\u4e2d\u7684\u5236\u6c27\u673a\u3001\u8840\u538b\u8ba1\u7b49\u3002\u8ffd\u6eaf\u6211\u56fd\u5df2\u7ecf\u5b9e\u73b0\u8fdb\u53e3\u66ff\u4ee3\u7684\u5668\u68b0\u7ec6\u5206\u9886\u57df\u7684\u6210\u529f\u7ecf\u9a8c\uff0c\u6280\u672f\u3001\u54c1\u724c\u3001\u6027\u4ef7\u6bd4\u3001\u6e20\u9053\u90fd\u662f\u56fd\u4ea7\u4f01\u4e1a\u7684\u5236\u80dc\u6cd5\u5b9d\uff0c\u653f\u7b56\u5bf9\u4e8e\u56fd\u4ea7\u4ea7\u54c1\u7684\u652f\u6301\u4e5f\u8d77\u5230\u4e00\u5b9a\u52a9\u63a8\u4f5c\u7528\u3002\n<\/p>\n

\n

\n\t\u8fdb\u53e3\u66ff\u4ee3\u53d1\u751f\u7684\u4e34\u754c\u70b9\u6709\u4ee5\u4e0b\u51e0\u4e2a\u89c2\u5bdf\u6307\u6807\uff1a\u4e00\u662f\u4eba\u624d\u548c\u6280\u672f\u6c34\u5e73\u8fbe\u6807\uff0c\u4e8c\u662f\u4f7f\u7528\u8005\u7684\u77e5\u8bc6\u5f97\u5230\u666e\u53ca\uff0c\u4e09\u662f\u6e20\u9053\u89e6\u8fbe\u3002\u56fd\u4ea7\u4f01\u4e1a\u5b9e\u73b0\u8fdb\u53e3\u66ff\u4ee3\u7684\u6700\u4f73\u8def\u5f84\u662f\uff1a\u8fdb\u53e3\u4ea7\u54c1\u505a\u8fc7\u91cd\u70b9\u5b66\u672f\u63a8\u5e7f\u4f46\u5e02\u5360\u7387\u76f8\u5bf9\u8f83\u4f4e\u3001\u5185\u8d44\u4f01\u4e1a\u96c6\u4e2d\u5ea6\u8f83\u4f4e\u3001\u8fdb\u53e3\u66ff\u4ee3\u521a\u5f00\u59cb\u3001\u884c\u4e1a\u5185\u7b2c\u4e00\u68af\u961f\u6682\u672a\u5f62\u6210\u3002\u5185\u8d44\u4f01\u4e1a\u9009\u62e9\u5728\u6b64\u65f6\u8fdb\u5165\uff0c\u505a\u51fa\u6280\u672f\u4e0a\u6709\u7ade\u4e89\u529b\u7684\u4ea7\u54c1\uff0c\u8f85\u4ee5\u5f3a\u5927\u7684\u8425\u9500\u63a8\u5e7f\u80fd\u529b\uff0c\u6709\u671b\u94f8\u5c31\u54c1\u724c\u62a4\u57ce\u6cb3\u3002\n<\/p>\n

\n\t\u6280\u672f\u662f\u6838\u5fc3\u7ade\u4e89\u529b\uff0c\u8fdb\u5165\u7b2c\u4e00\u68af\u961f\u81f3\u5173\u91cd\u8981\u3002\u56fd\u5916\u7684\u533b\u7597\u5668\u68b0\u4ee5\u98a0\u8986\u6027\u4ea7\u54c1\u3001\u5fae\u521b\u65b0\u4ea7\u54c1\u4e3a\u4e3b\uff0c\u6280\u672f\u542b\u91cf\u8f83\u9ad8\uff0c\u4e14\u9700\u8981\u81ea\u5df1\u505a\u5b66\u672f\u63a8\u5e7f\u3002\u56fd\u5185\u533b\u7597\u5668\u68b0\u7814\u53d1\u6a21\u5f0f\u53ef\u4ee5\u5927\u81f4\u5206\u4e3a\u4e24\u79cd\uff0c\u4e00\u79cd\u662f\u7c7b\u4f3c\u4e8e me-too \u6216\u8005 me-better \u521b\u65b0\u836f\uff0c\u8ddf\u968f\u8fdb\u53e3\u5668\u68b0\uff0c\u6216\u5728\u5176\u57fa\u7840\u4e0a\u8fdb\u884c\u4e00\u5b9a\u7a0b\u5ea6\u7684\u6539\u8fdb\uff0c\u7814\u53d1\u98ce\u9669\u8f83\u4f4e\uff0c\u800c\u4e14\u8fdb\u53e3\u4ea7\u54c1\u5df2\u7ecf\u5728\u524d\u671f\u505a\u4e86\u4e00\u5b9a\u7684\u5b66\u672f\u63a8\u5e7f\u5de5\u4f5c\uff1b\u53e6\u4e00\u79cd\u662f\u81ea\u4e3b\u521b\u65b0\u7684\u5fae\u521b\u65b0\u7c7b\u4ea7\u54c1\uff0c\u56fd\u5185\u5e02\u573a\u5148\u524d\u5e76\u6ca1\u6709\u8fdb\u53e3\u4ea7\u54c1\u3002\u5bf9\u4e8e\u7b2c\u4e8c\u7c7b\u4ea7\u54c1\uff0c\u5c5e\u4e8e\u8fdb\u53e3\u66ff\u4ee3\u4e4b\u5916\u7684\u6295\u8d44\u903b\u8f91\uff0c\u901a\u8fc7\u56fd\u5185\u4f01\u4e1a\u4ece\u96f6\u5f00\u59cb\u8fdb\u884c\u5b66\u672f\u63a8\u5e7f\u548c\u5e02\u573a\u6559\u80b2\uff0c\u9010\u6b65\u63d0\u5347\u4ea7\u54c1\u7684\u6e17\u900f\u7387\u3002\u5668\u68b0\u7684\u521b\u65b0\u9700\u6c42\u548c\u7075\u611f\u5f88\u591a\u6765\u6e90\u4e8e\u4e34\u5e8a\uff0c\u4e2d\u56fd\u5de8\u5927\u7684\u624b\u672f\u91cf\u6709\u52a9\u4e8e\u6301\u7eed\u6316\u6398\u51fa\u521b\u65b0\u9700\u6c42\uff0c\u76ee\u524d\u56fd\u5185\u9891\u73b0\u81ea\u4e3b\u521b\u65b0\u7684\u5fae\u521b\u65b0\u7c7b\u4ea7\u54c1\u3002\n<\/p>\n

\n\t\u6211\u56fd\u533b\u7597\u5668\u68b0\u5f88\u591a\u7ec6\u5206\u9886\u57df\u7ade\u4e89\u683c\u5c40\u5c5e\u4e8e\u5206\u6563\u7ade\u4e89\u578b\uff0c\u8fd9\u79cd\u683c\u5c40\u4e3a\u6211\u56fd\u56fd\u4ea7\u4f01\u4e1a\u8fdb\u53e3\u66ff\u4ee3\u521b\u9020\u4e86\u826f\u597d\u7684\u6761\u4ef6\u3002\u5728\u8fdb\u53e3\u66ff\u4ee3\u521a\u5f00\u59cb\uff0c\u5185\u8d44\u4f01\u4e1a\u96c6\u4e2d\u5ea6\u8f83\u4f4e\uff0c\u884c\u4e1a\u5185\u7b2c\u4e00\u68af\u961f\u6682\u672a\u5f62\u6210\u65f6\u8fdb\u5165\uff0c\u505a\u51fa\u6280\u672f\u4e0a\u6709\u7ade\u4e89\u529b\u7684\u4ea7\u54c1\uff0c\u8f85\u4ee5\u5f3a\u5927\u7684\u8425\u9500\u63a8\u5e7f\u80fd\u529b\uff0c\u94f8\u5c31\u54c1\u724c\u62a4\u57ce\u6cb3\uff0c\u662f\u56fd\u4ea7\u4f01\u4e1a\u5b9e\u73b0\u8fdb\u53e3\u66ff\u4ee3\u7684\u6700\u4f73\u8def\u5f84\u3002\u4f8b\u5982\u4e0a\u6d77\u5fae\u521b\u548c\u4e50\u666e\u533b\u7597\u5728 2004 \u5e74\u5de6\u53f3\u8fdb\u5165\u5fc3\u8840\u7ba1\u652f\u67b6\u9886\u57df\uff0c\u5f53\u65f6\u5f3a\u751f\u3001\u7f8e\u6566\u529b\u3001\u6ce2\u58eb\u987f\u79d1\u5b66\u3001\u96c5\u57f9\u90fd\u662f\u6211\u56fd\u5fc3\u8840\u7ba1\u652f\u67b6\u7684\u91cd\u8981\u5382\u5546\uff0c\u5f7c\u6b64\u95f4\u4e0d\u5b58\u5728\u7edd\u5bf9\u4f18\u52bf\uff1b\u7531\u4e8e\u5fc3\u8840\u7ba1\u884c\u4e1a\u672c\u8eab\u89c4\u6a21\u8f83\u5927\uff0c\u4e5f\u4e3a\u6211\u56fd\u56fd\u4ea7\u4f01\u4e1a\u9884\u7559\u4e86\u4e00\u5b9a\u7684\u53d1\u5c55\u7a7a\u95f4\u3002\u800c\u4e14\u5916\u8d44\u4f01\u4e1a\u5df2\u7ecf\u5728\u524d\u671f\u505a\u597d\u4e86\u7528\u6237\u6559\u80b2\u5de5\u4f5c\uff0c\u5fae\u521b\u548c\u4e50\u666e\u51ed\u501f\u81ea\u8eab\u5148\u8fdb\u7684\u6280\u672f\u548c\u4ea7\u54c1\u7684\u6027\u4ef7\u6bd4\u4f18\u52bf\uff0c\u4ee5\u53ca\u5168\u9762\u7684\u8425\u9500\u6e20\u9053\u5b8c\u6210\u8fdb\u53e3\u66ff\u4ee3\uff0c\u5f62\u6210\u56fd\u4ea7\u7b2c\u4e00\u68af\u961f\uff08\u5fae\u521b\u3001\u4e50\u666e\u3001\u5409\u5a01\uff09\uff0c\u4e4b\u540e\u7ade\u4e89\u683c\u5c40\u4fbf\u7ef4\u6301\u81f3\u4eca\u8fd1 10 \u5e74\u5f88\u96be\u88ab\u6253\u7834\u3002\n<\/p>\n

\n\t\u4e58\u7740\u5206\u7ea7\u8bca\u7597\u3001\u57fa\u5c42\u653e\u91cf\u7684\u4e1c\u98ce\uff0c\u5728\u56fd\u5bb6\u653f\u7b56\u4e0d\u65ad\u5411\u56fd\u4ea7\u8bbe\u5907\u503e\u659c\u7684\u5927\u8d8b\u52bf\u4e0b\uff0c\u4e2d\u56fd\u5c06\u6709\u671b\u8fce\u6765\u56fd\u4ea7\u8bbe\u5907\u7e41\u8363\u53d1\u5c55\u7684\u65b0\u9636\u6bb5\uff0c\u9884\u8ba1\u672a\u6765\u4e94\u5230\u5341\u5e74\u53c8\u5c06\u6709\u591a\u4e2a\u7ec6\u5206\u9886\u57df\u5b8c\u6210\u8fdb\u53e3\u66ff\u4ee3\u3002\u56fd\u5185\u9f99\u5934\u5c06\u4eab\u6709\u884c\u4e1a\u9ad8\u589e\u901f\u53ca\u8fdb\u53e3\u66ff\u4ee3\u7684\u53cc\u91cd\u9a71\u52a8\uff0c\u884c\u4e1a\u96c6\u4e2d\u5ea6\u63d0\u5347\uff0c\u5e02\u573a\u7ade\u4e89\u683c\u5c40\u91cd\u5851\uff0c\u8fd9\u6837\u7684\u9886\u57df\u662f\u5668\u68b0\u9886\u57df\u6295\u8d44\u7684\u9ec4\u91d1\u7ec6\u5206\uff0c\u4e3b\u8981\u5305\u62ec\u5f69\u8d85\u3001\u5316\u5b66\u53d1\u5149\u3001\u5185\u955c\u8017\u6750\u3001\u9aa8\u79d1\u8017\u6750\u3001\u5fc3\u8111\u8840\u7ba1\u8017\u6750\u7b49\u677f\u5757\uff0c\u5728\u6280\u672f\u5df2\u7ecf\u5ab2\u7f8e\u8fdb\u53e3\u4ea7\u54c1\u540e\uff0c\u76ee\u524d\u6b63\u5728\u9010\u6b65\u8fdb\u53e3\u66ff\u4ee3\uff0c\u662f\u672a\u6765\u725b\u80a1\u8bde\u751f\u7684\u91cd\u8981\u7ec6\u5206\u9886\u57df\u3002\u76f8\u5173\u516c\u53f8\u5982\u5f69\u8d85\u9886\u57df\u7684\u8fc8\u745e\u533b\u7597\u3001\u5f00\u7acb\u533b\u7597\uff1b\u5316\u5b66\u53d1\u5149\u9886\u57df\u7684\u8fc8\u745e\u533b\u7597\u3001\u5b89\u56fe\u751f\u7269\u3001\u65b0\u4ea7\u4e1a\u3001\u8fc8\u514b\u751f\u7269\uff1b\u5185\u955c\u8017\u6750\u7684\u5357\u5fae\u533b\u5b66\uff1b\u9aa8\u79d1\u8017\u6750\u5982\u5a01\u9ad8\u80a1\u4efd\u3001\u5927\u535a\u533b\u7597\u3001\u7231\u5eb7\u533b\u7597\u3001\u6625\u7acb\u533b\u7597\u3001\u51ef\u5229\u6cf0\u3001\u4e09\u53cb\u533b\u7597\uff1bTAVR \u9886\u57df\u7684\u542f\u660e\u533b\u7597\u3001\u6c9b\u5609\u533b\u7597\uff1b\u4e3b\u52a8\u8109\u548c\u5916\u5468\u8017\u6750\u9886\u57df\u7684\u5fae\u521b\u533b\u7597\u3001\u5fc3\u8109\u533b\u7597\u7b49\u3002\u5728\u8fd9\u4e9b\u9886\u57df\uff0c\u56fd\u4ea7\u4f01\u4e1a\u7684\u4efd\u989d\u76ee\u524d\u4e3b\u8981\u96c6\u4e2d\u5728\u4e8c\u7ea7\u53ca\u4ee5\u4e0b\u7684\u57fa\u5c42\u5e02\u573a\uff0c\u5728\u653f\u7b56\u5229\u597d\u53ca\u6280\u672f\u8fdb\u6b65\u7684\u9a71\u52a8\u4e0b\uff0c\u56fd\u4ea7\u4f01\u4e1a\u5c06\u9010\u6b65\u6269\u5927\u5728\u4e09\u7ea7\u533b\u9662\u7684\u5e02\u573a\u4efd\u989d\uff0c\u5f62\u6210\u7ec6\u5206\u884c\u4e1a\u5185\u56fd\u4ea7\u7b2c\u4e00\u68af\u961f\u3002\u56fd\u5185\u533b\u7597\u5668\u68b0\u96c6\u4e2d\u5ea6\u4e5f\u6709\u671b\u4e0d\u65ad\u63d0\u5347\uff0c2017 \u5e74\u524d\u5168\u7403 CR20=54.5%\uff0c\u4e2d\u56fd CR20=14.18%\uff0c\u968f\u7740\u884c\u4e1a\u89c4\u8303\u548c\u533b\u7597\u653f\u7b56\u4e2d\u5bf9\u4e8e\u9ad8\u7aef\u5668\u68b0\u7684\u9f13\u52b1+\u4e2d\u4f4e\u7aef\u5668\u68b0\u7684\u96c6\u91c7\uff0c\u884c\u4e1a\u9f99\u5934\u5e02\u5360\u7387\u5c06\u6301\u7eed\u63d0\u5347\u3002\n<\/p>\n

\n

\n\t\u4f18\u8d28\u533b\u7597\u5668\u68b0\u54c1\u79cd\u6709\u671b\u5b9e\u73b0\u7ba1\u7ebf\u4f30\u503c\n<\/p>\n

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\n\t\u63a8\u8350\u5173\u6ce8\u4ee5\u4e0b\u6807\u7684\uff1a\n<\/p>\n

\n\ta) \u533b\u7597\u8bbe\u5907\uff1a\u8fc8\u745e\u533b\u7597\u3001\u5f00\u7acb\u533b\u7597\u3001\u4e07\u4e1c\u533b\u7597\u3001\u9c7c\u8dc3\u533b\u7597\u7b49\uff1b\n<\/p>\n

\n\tb) \u533b\u7528\u8017\u6750\uff1a\u5fae\u521b\u533b\u7597\uff08H\uff09\u3001\u4e50\u666e\u533b\u7597\u3001\u5065\u5e06\u751f\u7269\u3001\u5357\u5fae\u533b\u5b66\u3001\u5fc3\u8109\u533b\u7597\u3001\u5a01\u9ad8\u80a1\u4efd\uff08H\uff09\u3001\u5927\u535a\u533b\u7597\u3001\u7231\u5eb7\u533b\u7597\uff08H\uff09\u3001\u6625\u7acb\u533b\u7597\uff08H\uff09\u3001\u51ef\u5229\u6cf0\u3001\u4e09\u53cb\u533b\u7597\u3001\u5148\u5065\u79d1\u6280\uff08H\uff09\u3001\u542f\u660e\u533b\u7597\uff08H\uff09\u3001\u6c9b\u5609\u533b\u7597\uff08H\uff09\u7b49\uff1b\n<\/p>\n

\n\tc) IVD\uff1a\u5b89\u56fe\u751f\u7269\u3001\u65b0\u4ea7\u4e1a\u3001\u8fc8\u514b\u751f\u7269\u3001\u827e\u5fb7\u751f\u7269\u3001\u4e07\u5b5a\u751f\u7269\u3001\u51ef\u666e\u751f\u7269\u7b49\u3002\n<\/p>\n

\n\t\u2026\u2026\n<\/p>\n

\n\t\uff08\u62a5\u544a\u89c2\u70b9\u5c5e\u4e8e\u539f\u4f5c\u8005\uff0c\u4ec5\u4f9b\u53c2\u8003\u3002\u62a5\u544a\u6765\u6e90\uff1a\u5174\u4e1a\u8bc1\u5238\uff09\n<\/p>\n

\n\t<\/p>\n

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