基于差异性分析的单病种耗材资源消耗管控实证研究  

Study on the medical consumable materials cost control based on the nonparametric test

作　　者：郭传骥[1] 王韫秀[1] 朱秋芬 赵玉虹[3] GUO Chuanji;WANG Yunxiu;ZHU Qiufen;ZHAO Yuhong(Shengjing Hospital of China Medical University,No.36,Sanhao Street,Heping District,Shenyang,Liaoning Province,110004,PRC)

机构地区：[1]中国医科大学附属盛京医院,110004 [2]望海康信(北京)科技股份公司,100062 [3]中国医科大学附属盛京医院党委,110004

出　　处：《中国医院》2021年第8期37-39,共3页Chinese Hospitals

基　　金：辽宁省科技厅自然基金指导计划(2019-ZD-0786)。

摘　　要：目的:通过分析医用耗材消耗情况,确定病种下医用耗材使用差异点,并形成合理的耗材使用量及费用区间,为医院耗材管控提供决策支持。方法:以中国医科大学附属盛京医院2020年间子宫颈恶性肿瘤手术出院患者的病案信息及42947条收费明细数据为基础,采取非参数检验进行差异性分析,使用百分比法确定医用耗材合理区间。结果:子宫颈恶性肿瘤手术患者的耗材消耗占比为27.29%,防粘连耗材、术中止血类耗材、可吸收缝线、输液接头、体外引流耗材是该病种耗材管控重点。结论:医用耗材的不合理使用是医院应该关注的重点,一次性医用耗材的管控不容忽视;医用耗材管控应与医疗质量相结合,确定规范治疗方式下的项目使用原则及项目使用量是保障医用耗材合理使用的关键。Objective:To find the key medical consumables which should be controlled based on analyzing the consumption of medical consumables of cervical cancer,and to form a reasonable consumption range of medical consumables for hospital management.Methods:Taking cervical cancer patients in a tertiary hospital as an example,the HIS system collects patients discharged from the hospital in 2020.Non-parametric tests and the percentage method were used to determine the reasonable range of medical materials.Result:The consumption of medical consumables for cervical cancer surgery patients accounted for 27.29%.Anti-adhesion consumables,Haemostatic materials,absorbable sutures,Infusion connectors were controlled for this disease.Conclusion:Hospitals should control the unreasonable use of medical consumables.The control of medical consumables should be combined with medical quality.Finally,the medical consumables can be reasonably controlled.

关 键 词：医用耗材 非参数检验 耗材管控 

分 类 号：R197[医药卫生—卫生事业管理]