医改背景下某三甲医院合理使用医用耗材效果研究  

Study on the effect of reasonable use of medical consumables in a Grade Ⅲ Level A hospital under the background of medical reform

作　　者：姚辉[1] 孙刚 缪家清 岑宏飞[1] YAO Hui;SUN Gang;MIAO Jiaqing;CEN Hongfei(Shenzhen Hospital of Beijing University,No,1120,Lianhua Road,Futian District,Shenzhen,518036,Guangdong Province,PRC)

机构地区：[1]北京大学深圳医院,广东省深圳市518036 [2]南方医科大学卫生管理学院,广州市白云区510515 [3]中山大学附属第一医院,广东省广州市

出　　处：《中国医院》2020年第1期30-31,共2页Chinese Hospitals

基　　金：国家社科基金项目（16BGL184）

摘　　要：目的:通过研究医改背景下某三甲医院合理使用医用耗材的管理成效,探索科学的医用耗材控费路径。方法:深圳市某三甲医院实施耗材使用管控方案,对该医院管控方案实施前后耗材使用数据进行统计分析。结果:2016-2018年,全院百元医疗收入(不含药品收入)中卫生材料费用呈现下降趋势,对于百元医疗收入(不含药品收入)中耗材费用,骨关节外科、骨脊柱外科、心内科连续2年降低,耗材管控方案实施后,骨关节外科、骨脊柱外科、心内科的单台手术耗材费下降,胸外科、胃肠外科有所上升。结论:耗材合理使用管理措施取得成效;为进一步提高耗材管理效率,可采取单病种管理、优化耗材遴选准入机制、实施耗材供应链精益管理等措施。Objective:To explore the scientific management path of medical consumables by studying the management effect of rational use of medical consumables ina Grade III Level A hospital under the background of medical reform.Methods:A Grade III Level A hospital in Shenzhen implemented a consumables use control plan.Statistical analysis was performed on consumables use data before and after the implementation of the hospital's control plan.Results:From 2016 to 2018,the cost of health materials in the hospital's RMB 100 medical income(excluding drug income)showed a downward trend,which were RMB 29.60,RMB 29.50,and RMB 28.08;for the RMB 100 medical income(excluding drug income),Consumption costs have been reduced for 2 consecutive years in orthopedic surgery,orthopedic spine surgery,and cardiology.Fees decreased by RMB 393.91,RMB 10155.00,and RMB 41.31,respectively.Chest surgery and gastrointestinal surgery increased by RMB 1,385.35 and RMB 1707.89,respectively.Conclusion:The management measures for the rational use of consumables have achieved results.In order to further improve the efficiency of consumables management,measures such as single disease management,optimization of the access mechanism for consumables selection,and lean management of consumables supply chain can be adopted.

关 键 词：医用耗材 合理使用 耗占比 

分 类 号：R197.3[医药卫生—卫生事业管理]