McCombs J S, Christianson J B
University of Minnesota.
J Health Polit Policy Law. 1987 Winter;12(4):703-22. doi: 10.1215/03616878-12-4-703.
This paper reviews the empirical literature on competitive bidding for health services under public programs and, in this context, discusses the major issues that must be confronted in designing bidding systems. These issues include the specification of units of service, the selection of winning bidders, the determination of reimbursement for winning bidders, the treatment of losing bidders, and contract enforcement. The paper then illustrates these issues in practice by outlining one possible competitive bidding system for purchases and rentals of durable medical equipment under the Medicare program.
本文回顾了关于公共项目下医疗服务竞争性投标的实证文献，并在此背景下讨论了设计投标系统时必须面对的主要问题。这些问题包括服务单位的规定、中标者的选择、中标者报销费用的确定、未中标者的处理以及合同执行。然后，本文通过概述医疗保险计划下耐用医疗设备采购和租赁的一种可能的竞争性投标系统，举例说明了这些问题在实践中的情况。
