基于KJ法和系统图法的外科手术耗材费用管理及评价研究  

Cost Management and Evaluation of Surgical Consumables Based on KJ Method and System Diagram Method

作　　者：何露洋 侯旭敏[1] 朱燕刚[1] 徐云华[1] 戴锦杰[1] 成月佳 HE Luyang;HOU Xumin;ZHU Yangang(Shanghai Chest Hospital,Shanghai Jiaotong University,Shanghai,200030,China;不详)

机构地区：[1]上海市胸科医院/上海交通大学附属胸科医院,上海200030

出　　处：《中国卫生质量管理》2021年第4期47-51,共5页Chinese Health Quality Management

基　　金：上海市医院协会管理基金项目“基于DRGs风险调整模型的快速康复管理效果评价”(X1901171)。

摘　　要：目的规范手术耗材使用行为,降低手术耗材费用。方法运用KJ法和系统图法探索均次手术耗材费用的影响因素,并制定管控措施。结果主要手术耗材费用指标均得到改善,2018年全院均次耗材费、均次辅助耗材费、均次治疗耗材费与2016年相比,均下降超过10%。结论要充分运用管理工具,采用制度先行、部门协同、目标确定、信息支撑等管理举措降低耗材费用。Objective To standardize the reasonable use of surgical consumables and reduce the costs.Methods The KJ method and system diagram method were used to explore the influencing factors of the consumable cost of the average operation,and the control measures were formulated.Results Major surgical consumables cost indicators had been improved.In 2018,the hospital's average consumables cost per time,auxiliary consumables cost per time and treatment consumables cost per time all decreased by more than 10%compared with those in 2016.Conclusion The consumable cost management should make full use of management tools,and adopt management measures such as system first,department coordination,target determination and information support,etc.

关 键 词：KJ法 系统图法 耗材管理 费用控制 

分 类 号：R197.1[医药卫生—卫生事业管理] R61[医药卫生—公共卫生与预防医学]