ICU病区不可单独收费医用耗材成本测算与定额管理  

Cost Accounting and Quota Management of Non-Chargeable Medical Consumables in ICU Wards

作　　者：毛雯筠 张雷 陈爽 MAO Wenjun;ZHANG Lei;CHEN Shuang(Department of Equipment,Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China)

机构地区：[1]复旦大学附属华山医院装备科,上海200040

出　　处：《中国医疗设备》2021年第5期146-148,共3页China Medical Devices

摘　　要：目的本文旨在介绍一种新思路来减少人为主观意愿对ICU病区不可单独收费医用耗材月成本金额的影响。方法根据患者的危重程度,选取具有代表性的病种,分类进行使用成本测算,得出ICU病区不可单独收费医用耗材理论月成本金额。通过物资管理系统的定额管理功能,以成本测算结果作为基础,进行经费总金额的限制。结果定额管理前后10个月的月成本金额标准差计算,实施前σ=40886.81,实施后σ=15410.86,定额管理后领用金额波动明显平缓并且均值下降。结论成本测算和实施定额管理,避免了不可单独收费医用耗材的过量领用,在满足临床部门正常医疗工作开展的同时,强化了负责人员对科学化领用的意识。Objective This paper aimed to introduce a new idea to reduce the impact of people’s subjective willingness on the monthly cost of non-chargeable medical consumables in ICU wards.Methods According to the critical degree of patients,representative diseases were selected,and the use cost was calculated by classification.The theoretical monthly cost amount of non-chargeable medical consumables in the ICU ward was obtained.Through the quota management function of the material management system,the total amount of funds was limited based on the results of cost accounting.Results The monthly cost of 10 months before and after the quota management was selected for standard deviation calculation,and it was obtained thatσ=40886.81 before implementation andσ=15410.86 after implementation.After the quota management,the fluctuation of the amount received was obviously flat and the average value had dropped.Conclusion Cost accounting and implementation of quota management can avoid excessive use of non-chargeable medical consumables.While satisfying the normal medical work of the clinical department,it can also strengthen the awareness of the person in charge of scientific application.

关 键 词：不可单独收费医用耗材 定额管理 成本测算 精细化管理 

分 类 号：R197.32[医药卫生—卫生事业管理]