基于证据的医用耗材准入管理体系建设实践  

Construction practice of medical supplies access management system based on evidence

作　　者：罗冰洁[1] 吴晓东[1] 雍鑫[1] 黄进[2] LUO Bingjie;WU Xiaodong;YONG Xin;HUANG Jin(Department of Equipment and Materials,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;President and Dean’s Office,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院设备物资部,成都610041 [2]四川大学华西医院院长办公室,成都610041

出　　处：《华西医学》2023年第12期1777-1781,共5页West China Medical Journal

摘　　要：随着医疗保险支付方式改革的实施,医疗机构需要进一步做好成本管控、规范耗材合理使用。近年来,四川大学华西医院利用外部已有证据及通过真实世界数据分析方法获得的院内证据,进行耗材准入评估。该文通过分析耗材准入难点,以四川大学华西医院耗材准入管理体系及其在新申购耗材等待时间、申购合理性、论证科学性、支持四级手术开展、费用控制等方面取得的成效为例,为其他医院开展耗材准入工作提供了新路径。As the reform of medical insurance payment methods is implemented,it is necessary for the medical institutions to further improve cost control and standardize the rational use of medical supplies.Over the years,West China Hospital of Sichuan University has made the assessment of the access of supplies by using the existing external evidence and the internal evidence created through real world data analysis methods.In this thesis,the difficulties faced by the access of medical supplies are deeply analyzed.The supplies access management system of West China Hospital of Sichuan University and its achievements in average waiting time of new supplies,rationality of purchase application,scientificity of demonstration results,support for the implementation of fourth-level surgery,and cost control are taken as examples.From this,a set of new paths can be provided for other hospitals to learn from at the time of carrying out medical supplies access management.

关 键 词：医用耗材 证据 准入 管理流程 效果 评估 

分 类 号：R197.32[医药卫生—卫生事业管理]