基于多码对照的物资管理系统对低值医用耗材全链条精细化管理研究  

Research on the fine management of the whole chain of low-value medical consumables based on the material management system based on multi-code mapping

作　　者：刘俐[1] 焦娟 李豫 张丽[1] Liu Li;Jiao Juan;Li Yu;Zhang Li(Department of Information,Medical Support Center,PLA General Hospital,Beijing 100010,China;Department of Laboratory,The Seventh Medical Center,PLA General Hospital,Beijing 100010,China)

机构地区：[1]解放军总医院医疗保障中心信息科,北京100010 [2]解放军总医院第七医学中心检验科,北京100010

出　　处：《中国医学装备》2024年第6期167-171,共5页China Medical Equipment

摘　　要：目的:构建基于多码对照的物资管理系统,实现低值医用耗材采购、入库、出库、科室使用和计费之间联动统一。方法:分析低值医用耗材管理中存在的问题、原因及现状,采用物资编码、价表编码和医保编码对照统一的方法,设置出入库管理、采购管理、查询统计及智能监控等模块,构建基于多码对照的物资管理系统,以科室出库联动计价规范低值医用耗材收费。选取2022年7月解放军总医院普通外科、重症医学科等临床科室的300名医护人员进行问卷调查,对比基于多码对照的物资管理系统应用前后低值医用耗材请领准确性、目录管理标准化、计价与出库对照准确性、库存管理便捷性和数据监管精确性的评分差异性。结果:基于多码对照的物资管理系统实现了低值医用耗材采购、入库、出库、科室出库和计价之间的联动统一。系统应用后的请领准确性、目录管理标准化、计价与出库对照准确性、库存管理便捷性和数据监管精确性平均评分分别为(4.12±0.67)分、(4.78±0.52)分、(4.48±0.63)分、(4.78±0.33)分和(4.66±0.52)分,均高于应用前,差异有统计学意义(t=4.13、7.22、5.12、8.12、7.56,P<0.05)。结论:基于多码对照的物资管理系统应用能够实现低值医用耗材全链条精细化管理,提高耗材使用效率,规范低值医用耗材收费,降低耗材成本。Objective:To construct a material management system based on multi-code mapping to realize the linkage and unification between the procurement,warehousing,delivery,department use and billing of low-value medical consumables.Methods:The problems,causes and current situation in the management of low-value medical consumables were analyzed.Using the method of unification of material code,price list code and medical insurance code,the modules of warehousing management,procurement management,query statistics and intelligent monitoring were set up,and a material management system based on multi-code mapping was built,and the charging of low-value medical consumables based on the linkage pricing of department delivery was standardized.The differences in the accuracy of requisition for low-value medical consumables,the standardization of catalog management,the accuracy of pricing and delivery comparison,the convenience of inventory management and the accuracy of data supervision before and after the application of the material management system based on multi-code mapping were compared.Results:The material management system based on multi-code mapping realized the linkage and unification between the procurement,warehousing,delivery,department delivery and pricing of low-value medical consumables.After the application of the system,the average scores of requisition accuracy,catalog management standardization,pricing and delivery comparison accuracy,inventory management convenience and data supervision accuracy were(4.12±0.67),(4.78±0.52),(4.48±0.63),(4.78±0.33)and(4.66±0.52),respectively,which were higher than those before application,the difference was statistically significant(t=4.13,7.22,5.12,8.12,7.56,P<0.05).Conclusion:The application of the material management system based on multi-code mapping can realize the refined management of the whole chain of low-value medical consumables,improve the efficiency of consumables,standardize the charging of low-value medical consumables,and reduce the cost of consumables.

关 键 词：低值医用耗材 精细化管理 多码合一 规范收费 

分 类 号：R197.39[医药卫生—卫生事业管理]