多元化管理策略对医用高值耗材风险防控的影响  

Influence of Diversified Management Strategy on Risk Prevention and Control of Medical High-Value Consumables

作　　者：尚璇[1] 王惠[2] 刘鲁艳 刘敏[4] SHANG Xuan;WANG Hui;LIU Luyan;LIU Min(Department of Party and Mass Work,Zaozhuang Municipal Hospital,Zaozhuang Shandong 277100,China;Department of Nursing,Zaozhuang Municipal Hospital,Zaozhuang Shandong 277100,China;Department of Cardiothoracic Surgery,Zaozhuang Municipal Hospital,Zaozhuang Shandong 277100,China;Department of Infection Management,Zaozhuang Municipal Hospital,Zaozhuang Shandong 277100,China)

机构地区：[1]枣庄市立医院党群工作部,山东枣庄277100 [2]枣庄市立医院护理部,山东枣庄277100 [3]枣庄市立医院心胸外科,山东枣庄277100 [4]枣庄市立医院感染管理科,山东枣庄277100

出　　处：《中国卫生标准管理》2024年第14期53-56,共4页China Health Standard Management

摘　　要：目的探讨多元化管理策略对医用高值耗材风险防控的影响。方法选择2020年1月—2023年12月枣庄市某三甲医院使用高值耗材多的13个科室。将2020年1月—2021年12月枣庄市某三甲医院医用高值耗材管理采取传统管理模式,作为对照组;将2022年1月—2023年12月枣庄市某三甲医院医用高值耗材管理采取基于风险防控的多元化医用耗材管理模式,作为观察组。比较2种管理模式的成效。结果观察组在党支部参与所属科室高值耗材采购、使用、计费问题议事决策落实率为100%,高于对照组的33.67%,差异有统计学意义(P<0.05);观察组医疗服务收入占医疗收入的占比增幅高于对照组,观察组百元医疗收入(不含药品收入)中消耗的卫生材料占比增幅低于对照组,差异有统计学意义(P<0.05);对照组因耗材采购、使用、退货和计费不当进行廉政谈话人次为22人次,高于观察组的4人次,差异有统计学意义(P<0.05)。结论基于风险防控的多元化医用耗材管理模式提高了耗材管理规范性与有效性;规范了医疗行为,降低了廉政风险;同时也降低了医院运营成本。Objective To explore the impact of diversified management strategies on the risk prevention and control of medical high-value consumables.Methods A total of 13 departments with high value consumables in a third-grade hospital in Zaozhuang City from January 2020 to December 2023 were selectd.From January 2020 to December 2021,the management of medical high-value consumables in a grade-A hospital in Zaozhuang City adopted the traditional management mode as the control group.A diversified medical consumables management model based on risk prevention and control was adopted for the management of high-value medical consumables in a grade-A hospital in Zaozhuang City from January 2022 to December 2023 as the observation group.The effectiveness of the two management modes were compared.Results The implementation rate of the observation group's participation in the procurement,use and billing of high-value consumables in the party branch was 100%,higher than 33.67%of the control group,and the difference was statistically significant(P<0.05).The proportion of medical service income in the observation group was higher than that in the control group.The proportion of hygienic materials consumed in 100 yuan of medical income(excluding drug income)in the observation group increased less than that in the control group,and the difference was statistically significant(P<0.05).The number of people in the control group who had an honest government talk due to improper purchase,use,return and billing of consumables was 22,which was higher than 4 in the observation group,and the difference was statistically significant(P<0.05).Conclusion Diversified medical consumables management model based on risk prevention and control improves the standardization and effectiveness of consumables management,standardizes medical behavior and reduces the integrity risk,indirectly reduces the operating cost of the hospital.

关 键 词：高值医用耗材 风险防控 多元化 管理模式 监督 应用效果 

分 类 号：R197[医药卫生—卫生事业管理]