【摘要】 目的 探索SPD模式下高值医用耗材供应链核心管理路径的优化策略，为降低医疗机构管理成本、提升运营效率提供支持。方法 选取采用SPD模式的某三级综合医院为研究对象，对比分析熵权评价体系与零库存动态管理方案实施前(2021—2022年)与实施后(2023—2024年) 80家供应商的服务质量、供应效率及库存管理效能变化。采用熵权法计算指标权重，通过独立样本t检验验证优化效果。结果 一级指标熵权值排序为质量(0.270)>产能(0.259)>时效(0.240)>价格(0.117)>地域(0.114)，采用该评价体系后，供应商综合排名平均变动7.8个顺位。9个低优指标中，订货提前期、订单响应时间、储存空间等7个指标呈现不同程度降低(P<0.05),2个高优指标，供货准确率和平均周转率均有所提升(P<0.05)。结论 熵权法的供应商评价体系凸显质量、产能、时效的核心权重，结合零库存动态管理模型，对高值耗材供应链管理效率提升效果显著，并能降低退换货风险、加速周转效率。更多还原

【Abstract】 Objective To explore optimization strategies for core management pathways of high-value medical consumables supply chains under the Supply,Processing,and Distribution( SPD) model,aiming to reduce management costs and improve operational efficiency in healthcare institutions. Methods A tertiary general hospital utilizing the SPD model was selected as the research subject. An entropy weight evaluation system and a zero-inventory dynamic management scheme were implemented. Changes in service quality,supply efficiency,and inventory management effectiveness among 80 suppliers were compared before( 2021-2022) and after( 2023-2024) implementation. The entropy weight method was used to calculate indicator weights,and independent sample t-tests were employed to verify optimization effects. Results The ranking of first-level indicator entropy weights was: Quality( 0. 270) > Capacity( 0. 259) > Timeliness( 0. 240) > Price( 0. 117) > Region( 0. 114). Following the adoption of this evaluation system,the average ranking of suppliers shifted by 7. 8 positions. Among 9 low-preference indicators( where lower values are better),7 indicators—including order lead time,order response time,and storage space—showed varying degrees of reduction( P < 0. 05). Conversely,two high-preference indicators( where higher values are better),supply accuracy rate and average turnover rate,both improved( P < 0. 05). Conclusion The supplier evaluation system based on the entropy weight method highlights the core weights of quality,capacity,and timeliness. When combined with a zero-inventory dynamic management model,it significantly enhances the efficiency of high-value consumables supply chain management,reduces the risk of returns and exchanges,and accelerates turnover efficiency.更多还原