医用耗材SPD管理模式在某三级公立医院的应用实践与成效  

Application Practice and Effect of SPD Management Mode of Medical Consumables in a Tertiary Public Hospital

作　　者：马宪礼[1] 徐道亮[1] 郑瑞强[1] 仲辉[1] 张勤[1] 高小坤[1] 成定胜[1] 李真 蔡滨[1] MA Xiani;XU Daoiang;ZHENG Ruiqiang;ZHONG Hui;ZHANG Qin;GAO Xiaokun;CHENG Dingsheng;LI Zhen;CAI(Department of Medical Engineering,Northern Jiangsu People’s Hospital,Yangzhou Jiangsu 225001,China)

机构地区：[1]江苏省苏北人民医院医学工程部,江苏扬州225001

出　　处：《中国医疗设备》2024年第1期114-118,124,共6页China Medical Devices

基　　金：江苏省医院协会医院管理创新专项研究课题(JSYGY-2021-JY2)。

摘　　要：目的 通过构建SPD供应链管理模式下医用耗材精细化管理模式,并在某三级公立医院予以实践应用,探讨其应用实践与具体成效。方法 基于SPD模式的构建,从单台手术耗材消耗量、中心库盘点时间、临床科室耗材领用与盘点时间、高值耗材计费异常情况等方面分析模式应用前后的效果。结果 某三级公立医院应用SPD模式后,单台手术耗材消耗均值从(13520.83±1182.14)元下降至(12328.91±1366.50)元,单台手术成本降低,且结果具有统计学意义(t=5.661,P=0.030);中心库盘点时间大大减少,临床科室耗材库存周转天数从平均10天/次下降至2天/次,耗材领用与盘点用时减少,工作效率得到提升(P<0.05);应用SPD模式后,高值耗材计费异常情况得到显著改善(P<0.001)。结论 SPD模式是一种契合科技、医改政策以及医院高质量发展的高效管理模式,可有效提升公立医院医用耗材精细化管理水平。Objective To construct the medical consumables fine management mode under the SPD supply chain management mode,and apply it in a gradeⅢpublic hospital,to explore its application practice and specific effects.Methods Based on the construction of SPD mode,the effects before and after its application were analyzed from the aspects of consumption of single surgical consumables,inventory time of central warehouse,collection and inventory time of consumables in clinical departments,abnormal charging situation of high-value consumables,etc.Results After the application of SPD mode in a gradeⅢpublic hospital,the mean consumption of single surgical consumables decreased from(13520.83±1182.14)yuan to(12328.91±1366.50)yuan,the cost of single surgery decreased,and the result was statistically significant(t=5.661,P=0.030).The inventory time of the central warehouse was significantly reduced,the inventory turnover days of consumables in clinical departments decreased from 10 days per time to 2 days per time on average,the time spent on consumables collection and inventory was reduced,and the work efficiency was improved(P﹤0.05).After SPD mode was applied,the abnormal charging situation of high value consumables was significantly improved(P﹤0.001).Conclusion SPD mode is an efficient management mode which conforms to science and technology,medical reform policy and high-quality development of hospitals,and can effectively improve the refined management level of medical consumables in public hospitals.

关 键 词：SPD 医用耗材 管理模式 成本管控 

分 类 号：R197.32[医药卫生—卫生事业管理]