Mohammad Kausar, Lathwal Amit, Mahesh R, Satpathy Sidhartha
Departmentof Hospital Administration, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
J Med Eng Technol. 2021 Apr;45(3):177-186. doi: 10.1080/03091902.2021.1891310. Epub 2021 Mar 23.
Organisational competitive procurement environment positively impacts prices while supply side factors also determine participation in bidding. With strong competition costs come down. Instances of low competition in equipment purchase in the apex tertiary care hospital led to this study aimed at determining procurement practices, competition in procurement and its determinants. Review of tender records for three financial years (2011-2014) was conducted to ascertain procurement practices and resulting competition. Sellers' perspective on factors determining participation was captured through a questionnaire. Although four bids per tender were received only two qualified technically emphasising need for broad based specifications. Both sellers and peer staff also feel that specifications are not broad based. Regression analysis showed that one unit increase in bid led to six per cent price reduction. Increase in number of equipment led to an increase in the number of bids received but no price decrease. Pre-bid meetings have no effect on the price offered. Quality of tender document and feasible demonstration are modifiable bidding factors. Procuring agencies need to be transparent to reflect an organisationally supported competitive environment. The future research directions are interventional studies on specifications, pre-bid meetings and increasing transparency.
组织竞争性采购环境对价格有积极影响，而供应方因素也决定了投标参与情况。竞争激烈时成本会下降。顶级三级护理医院设备采购竞争不足的情况促使了本研究，旨在确定采购实践、采购竞争及其决定因素。对三个财政年度（2011 - 2014年）的招标记录进行了审查，以确定采购实践及由此产生的竞争情况。通过问卷调查获取了卖家对决定参与的因素的看法。尽管每份标书收到了四份投标，但只有两份在技术上符合要求，这凸显了制定广泛规格的必要性。卖家和同行工作人员都认为规格不够广泛。回归分析表明，投标数量每增加一个单位会导致价格降低6%。设备数量的增加导致收到的投标数量增加，但价格并未下降。开标前会议对所报价格没有影响。招标文件质量和可行性论证是可调整的投标因素。采购机构需要保持透明，以营造一个得到组织支持的竞争环境。未来的研究方向是针对规格、开标前会议和提高透明度的干预性研究。
