Medical equipment has the characteristics of fast updating, insufficient market competition, strong monopoly of sales channels, and difficulty in market investigation. Therefore, in actual procurement, strengthening the price control of medical equipment procurement is of great significance to save expenses, reduce risks and prevent corruption. Especially for single-source procurement, price control is an important problem faced by procurement agencies.

In recent years, the Daping Hospital (Military Hospital) where the author is located has grasped the market conditions, established a price evaluation system, analyzed and evaluated the price components of medical equipment in accordance with the relevant provisions of the "Military Material Procurement Management Regulations", and agreed reasonable on the basis of ensuring quality. price. In accordance with the requirements of the Implementation Plan for Deepening the Reform of Material Purchasing for the General Logistics Department, when implementing bulk material procurement from a single source, the procurement prices shall be determined by means of negotiation, cross-assessment, and entrusted third-party institutions to audit. Combining with Daping Hospital's procurement practice, we will discuss the application experience of third-party price evaluation in single-source equipment procurement combined with case studies.

A clinical department plans to purchase a new type of cryoablation device. After preliminary market surveys, the purchasing agency has initially grasped the market price of the device. However, due to the high-value consumables used in the project, the market price of the equipment has certain volatility depending on the unit size and the amount of consumables used. After the procurement agency organized competitive negotiations in accordance with procedures, the transaction price was determined based on the prevailing market price.

However, during the execution of the project, the user department learned that other users had purchased the same equipment at a lower price. After investigation by the purchasing agency, it was found that the current market price of the equipment has dropped significantly, and the supplier has concealed the market price of other units in the region during negotiations. The hospital asked the agents to reduce the price to implement, but many rounds of negotiations were unable to reach an agreement on the final transaction price. In accordance with the relevant provisions on the procurement of military materials, the hospital initiated the entrustment of a third-party price review agency to conduct price review with the agreement of both parties. According to the inventory list of asset appraisal and price review institutions provided by the local SASAC Audit Office, one audit institution was randomly selected and the final price of the project was determined. The price was significantly lower than the original purchase price. Fang has saved procurement funds and reduced procurement risks.

1. Strictly identify single-source projects. Appropriately reduce product parameter requirements, expand the scope of publicity, attract more suppliers to participate in bidding, and reduce product prices through market competition.

2. Strengthen market surveys. Before and after negotiations and during contract execution, the market prices of equipment should be constantly inquired, and the prices and usage of supporting consumables and reagents should be grasped. At the same time, the means of querying equipment prices should also be expanded.

3. In the procurement contract, it should be clear that during the implementation of the project, if the equipment market price drops significantly, it should be implemented at a low price; if the agent deliberately conceals the equipment market price, it should be punished to minimize the risk of the purchaser.

4. When introducing a third-party price review or asset evaluation agency, a formal price review agency or asset evaluation agency with a business scope should be selected, and the consent of both parties should be obtained before implementation, and the implementation should be carried out under the supervision of the unit's auditor.

5. For large-scale medical equipment purchases whose market prices are difficult to grasp or have price disputes, regardless of whether it is a single-source procurement project, third-party price review or asset evaluation should be actively carried out, which is conducive to saving procurement funds and reducing procurement risks.