CHS-DRG实施背景下公立医院骨科医用耗材精细化管理探索  

Exploration on Refined Management of Orthopedic Medical Consumables in Public Hospitals Under the Background of CHS-DRG Implementation

作　　者：芦铭[1] 李玉梅 蒋协远[1] 刘亚军[1] 侯常敏 刘阳[1] 宋凯[1] LU Ming;LI Yumei;JIANG Xieyuan;LIU Yajun;HOU Changmin;LIU Yang;SONG Kai(Department of Asset Management,Beijing Jishuitan Hospital,Beijing 100096,China)

机构地区：[1]北京积水潭医院资产管理处,北京100096

出　　处：《中国医疗设备》2023年第5期149-155,172,共8页China Medical Devices

基　　金：北京市属医院科研培育计划项目(PG2019009)。

摘　　要：目的建立骨科医用耗材一体化管理体系,帮助公立医院更好地适应国家医疗保障疾病诊断相关分组(China Healthcare Security-Diagnosis Related Groups,CHS-DRG)政策落地实施。方法运用系统法、归纳法分析骨科医用耗材的管理难点和风险点,探讨骨科耗材的精细化管理举措,通过严格准入管理、建立骨科耗材信息化管理系统、建设骨科耗材二级库,实现耗材信息互联互通,以及高值耗材准入、采购、使用、追溯等各个环节的一体化管理。结果管理体系应用后,提高了医院的管理效率和效果,使得医院骨科医用耗材的管理水平实现了整体提升。医院骨科DRG盈余例数占比逐渐增加,从88.94%提升至91.00%,亏损金额占比从10.02%逐渐降低至6.70%,大部分骨科科室实现了盈余。结论CHS-DRG实施后,对医院的长期运营发展将会产生重要影响。本研究针对骨科医用耗材提出清晰的管理思路和科学的管理方法,能够进行适当推广,帮助大型公立医院的管理者更加科学地进行决策,尤其是在DRG落地的初期,能够帮助医院降低运营成本,减少亏损。Objective To establish an integrated management system for orthopedic medical consumables,to help public hospitals better adapt to the implementation of China healthcare security-diagnosis related groups(CHS-DRG)policy.Methods The management difficulties and risk points of orthopedic medical consumables were analyzed by system method and induction method,and the refined management measures of orthopedic consumables were discussed.Through the strict admittance management,establishment of orthopedic consumables information management system and orthopedic consumables secondary library,the information interconnection of consumables was realized,and the integrated management of access,purchase,use and traceability of high-value consumables was realized.Results After the application of the management system,the management efficiency and effect of the hospital were improved,and the management level of orthopedic medical consumables in the hospital was improved as a whole.The proportion of surplus cases of hospital orthopedics DRG increased gradually,from 88.94%to 91.00%,and the proportion of loss amount decreased gradually from 10.02%to 6.70%.Most orthopedics departments realized surplus.Conclusion After the implementation of CHS-DRG,it will have an important impact on the long-term operation and development of hospitals.This study puts forward clear management ideas and scientific management methods for orthopedic medical consumables,which can be properly promoted and help managers of large public hospitals make more scientific decisions.Especially in the initial stage of DRG implementation,it can help hospitals reduce operating costs and losses.

关 键 词：CHS-DRG 骨科医用耗材 精细化管理 运营成本 

分 类 号：R197.32[医药卫生—卫生事业管理]